exam 1 elsevier questions
A cancer patient experiences pain described as "burning and shooting", what
✅✅
type of pain is the patient experiencing based on this assessment finding? -
-neuropathic
✅✅
A cancer patient is reporting pain rated 10. Nurse has several choices of pain
meds to admin. Which drug is best at this time? - -pure opioid agonist
✅✅
A nurse advises a patient who is taking acetaminophen to avoid or minimize
alcohol intake. What is the nurse trying to prevent? - -liver damage
A nurse is educating a patient who is prescribed warfarin. The nurse advises
the patient to avoid taking aspirin and explains that taking both drugs together
✅✅
may cause a phenomenon called increased adverse effects, which would
result in which outcome? - -excessive bleeding
A nurse is teaching a group of co-workers about the effects of drugs on
✅✅
receptors. Which comment by a co-worker would need correction? -
-agonist drugs decrease receptor activation
A nurse provides discharge instructions for a patient who is taking
✅✅
acetaminophen after surgery. The nurse should instruct the patient to avoid
which product while taking acetaminophen ? - -Alcoholic drinks
A patient has been admitted with a headache of unknown origin. Which
✅✅
medication will the nurse administer first while assessing for likely causes? -
-acetaminophen
A patient is on aspirin 81 mg PO daily for heart circulation. After patient
undergoes hernia repair, the surgeon prescribes hydrocodone/aspirin 10 mg
✅✅
PO q 4hrs PRN for pain. When the nurse gives the prescription to the patient,
what is most important to teach the patient? - -teach that patient to watch
for bleeding, bruising, and ringing in ears
A patient is receiving meperidine for severe migraines that were not
✅✅
responsive to other medications. Which assessment is cause for immediate
action? - -respiratory rate 8 breaths/min
A patient receives pain medication through an indwelling IV that flows through
✅✅
a device allowing the patient to self-manage pain. What type of pain
management system will the nurse monitor? - -PCA
, ✅✅
A patient refused to take his or her prescribed medication and is adamant that
the tablet is worsening the condition. What does the nurse do? - -respect
the patient's right to refuse and notify the provider
A patient takes a daily low-dose aspirin for protection against myocardial
✅✅
infarction and stroke. Which medication will the nurse teach the patient to
avoid taking with aspirin? - -ibuprofen
A patient takes more than one cholinergic agonist that stimulates muscarinic
✅✅
receptors. Which parameter does the nurse make a priority to monitor to help
prevent serious adverse effects of therapy? - -blood pressure
A patient with chronic pain has a fentanyl patch on the right shoulder. Patient
✅✅
reports that arm hurts and requests warm pack applied to area. Which
statement by nurse is correct? - -Putting a warm pack on the area where
the fentanyl patch is located could accelerate fentanyl release
A patient with severe respiratory depression is treated in the ER for opioid
✅✅
toxicity. What drug will be used to treat respiratory depression in the
situation? - -Naloxone
A postop patient has an epidural infusion of MS. Respiratory rate declines to 8
✅✅
breaths/min. Which medication would the nurse anticipate administering? -
-Naloxone
Adrenergic receptors - ✅✅-beta 1, beta 2, alpha 1, alpha 2, dopamine
✅✅
before administering an adrenergic agonist, what is the most important
assessment for the nurse to complete? - -blood pressure
Beta 1 and beta 2 agonists results in which effects? - ✅✅ -bronchial dilation,
increased heart rate, increased force of heart contraction
beta blockers are used to treat which conditions? - ✅✅-heart failure,
hypertension, angina pectoris
✅✅
cholinergic drugs that stimulate muscarinic receptors are indicated for which
situation? - -producing miosis in certain eye diseases
✅✅
For which type of pain is a fentanyl transdermal patch best suited? -
-severe pain resulting from cancer metastisis
✅✅
how often does the nurse tell the patient to change a fentanyl transdermal
patch? - -every 72 hours
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