Test Bank for Priorities in Critical Care Nursing
9th Edition By Linda Urden, Kathleen Stacy,
Mary Lough (All Chapters,
What age-related change can affect the absorption of medications? - Decreased
splanchnic blood flow
What is the chemical change in a drug that renders it active or inactive called? -
Metabolism
Which nonsteroidal anti-inflammatory drug (NSAID) has the side effect of renal failure,
HTN, heart failure, and GI bleed in the
elderly population? - Naproxen
Older adult patients receiving diphenhydramine should be observed for which side
effects of the medication? - Confusion
When caring for older adults, it is important for the nurse to understand the effects of
aging on laboratory values. Which laboratory
values are not affected by age? - Liver function tests
When caring for older adults, it is important for the nurse to understand the effects of
aging on laboratory values. Which laboratory
values are affected by age? - Albumin levels
Which phrase best describes the concept of pain? - Whatever the patient says it is,
occurring when that patient says it does
What are the neural processes of encoding and processing noxious stimuli associated
with pain called? - Nociception
C fibers are small-diameter, unmyelinated fibers that transmit what type of pain? -
Aching
Which assessment findings might indicate respiratory depression after opioid
administration? - Change in level of consciousness
The patient is admitted to the critical care unit with hemodynamic instability and an
allergy to morphine. The nurse anticipates that
the practitioner will order which medication for severe pain? - Fentanyl
, Which combinations of drugs has been found to be effective in managing the pain
associated with musculoskeletal and soft tissue
inflammation? - Nonsteroidal anti-inflammatory drugs (NSAIDs) and opioids
A patient underwent a thoracotomy 12 hours ago and has continuous epidural analgesia
with morphine. In addition to respiratory
depression, the patient should be monitored for which complications? - Urinary
retention, undue somnolence, itching, nausea, and vomiting
A patient underwent a thoracotomy 12 hours ago and has continuous epidural analgesia
with morphine. In addition to closely
monitoring the patient for side effects and complications, which intervention might
enhance the patient's pain control? - Consider administration of adjunct medication such
as a nonsteroidal
anti-inflammatory agent.
Which statement accurately describes the duration of acute pain? - Acute pain is
associated with the healing process and should not exceed 6 months
A patient complains of pain at his incision site. The nurse is aware that four processes
are involved in nociception. In what order do
the processes occur? - Transduction, transmission, perception, and modulation
Why use a specific pain intensity scale in the critical care unit? - It provides consistency
of assessment and management.
The patient is sedated and breathing with the use of mechanical ventilation. The patient
is unable to communicate any aspects of his
pain to the nurse. What tool should the nurse use to assess the patient's pain? - BPS
Which patient is MOST likely to be experiencing a life-threatening opioid side effect? -
Patient with a respiratory rate of 8 breaths/min who is difficult to arouse
The nurse is caring for a patient with moderate pain. What is the maximum dose of
acetaminophen the patient should receive in 24
hours? - 4 g
A patient has been taking Demerol 50 mg tablets three times a day for the past 5 years
for chronic back pain; however, the patient
complains that the medication is not providing the same level of pain relief as it once
did. Based on this statement, the nurse
suspects that the patient has developed what problem? - Tolerance
The nurse is caring for a patient with a patient-controlled analgesia (PCA). The patient's
spouse asks about the advantages of using
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