100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
Pharmacology N140 Test Bank Questions with Correct Answers|100% Verified $12.49   Add to cart

Exam (elaborations)

Pharmacology N140 Test Bank Questions with Correct Answers|100% Verified

 8 views  0 purchase
  • Course
  • Pharm
  • Institution
  • Pharm

Pharmacology N140 Test Bank Questions with Correct Answers|100% Verified A patient was diagnosed with pancreatic cancer last month, and has complained of a dull ache in the abdomen for the past 4 months. This pain has been gradually increasing, and the pain relievers taken at home are no longer...

[Show more]

Preview 4 out of 166  pages

  • October 6, 2024
  • 166
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Pharm
  • Pharm
avatar-seller
EmillyCharlotte
EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISH SEPTEMBER 2024




Pharmacology N140 Test Bank Questions
with Correct Answers|100% Verified

A patient was diagnosed with pancreatic cancer last month, and has complained of a dull ache in the

abdomen for the past 4 months. This pain has been gradually increasing, and the pain relievers taken at

home are no longer effective. What type of pain is the patient experiencing?


a. Acute pain


b. Chronic pain


c. Somatic pain


d. Neuropathic pain - Answer✔✔-B


Chronic pain is associated with cancer and is characterized by slow onset, long duration, and dull,

persistent aching. The patient's symptoms are not characteristics of acute pain, somatic pain, or

neuropathic pain.


An 18-year-old basketball player fell and twisted his ankle during a game. The nurse will expect to

administer which type of analgesic?


a. Synthetic opioid, such as meperidine (Demerol)


b. Opium alkaloid, such as morphine sulfate


c. Opioid antagonist, such as naloxone HCL (Narcan)


d. Nonopioid analgesic, such as indomethacin (Indocin) - Answer✔✔-D


Page 1/166

,EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISH SEPTEMBER 2024


Somatic pain, which originates from skeletal muscles, ligaments, and joints, usually responds to

nonopioid analgesics such as nonsteroidal anti-inflammatory drugs (NSAIDs). The other options are not

the best choices for somatic pain.


A patient is recovering from abdominal surgery, which he had this morning. He is groggy but complaining

of severe pain around his incision. What is the most important assessment data to consider before the

nurse administers a dose of morphine sulfate to the patient?


a. His pulse rate


b. His respiratory rate


c. The appearance of the incision


d. The date of his last bowel movement - Answer✔✔-B


Chapter 10: Analgesic Drugs 51 One of the most serious adverse effects of opioids is respiratory

depression. The nurse must assess the patient's respiratory rate before administering an opioid. The

other options are incorrect.


A 78-year-old patient is in the recovery room after having a lengthy surgery on his hip. As he is gradually

awakening, he requests pain medication. Within 10 minutes after receiving a dose of morphine sulfate,

he is very lethargic and his respirations are shallow, with a rate of 7 per minute. The nurse prepares for

which priority action at this time?


a. Assessment of the patient's pain level


b. Immediate intubation and artificial ventilation


c. Administration of naloxone (Narcan)


Page 2/166

,EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISH SEPTEMBER 2024


d. Close observation of signs of opioid tolerance - Answer✔✔-C


Naloxone, an opioid-reversal agent, is used to reverse the effects of acute opioid overdose and is the

drug of choice for reversal of opioid-induced respiratory depression. This situation is describing an opioid

overdose, not opioid tolerance. Intubation and artificial ventilation are not appropriate because the

patient is still breathing at 7 breaths/min. It would be inappropriate to assess the patient's level of pain.


A patient will be discharged with a 1-week supply of an opioid analgesic for pain management after

abdominal surgery. The nurse will include which information in the teaching plan?


a. How to prevent dehydration due to diarrhea


b. The importance of taking the drug only when the pain becomes severe


c. How to prevent constipation


d. The importance of taking the drug on an empty stomach - Answer✔✔-C


Gastrointestinal (GI) adverse effects, such as nausea, vomiting, and constipation, are the most common

adverse effects associated with opioid analgesics. Physical dependence usually occurs in patients

undergoing long-term treatment. Diarrhea is not an effect of opioid analgesics. Taking the dose with

food may help minimize GI upset.


A patient has been treated for lung cancer for 3 years. Over the past few months, the patient has noticed

that the opioid analgesic is not helping as much as it had previously and more medication is needed for

the same pain relief. The nurse is aware that this patient is experiencing which of these?


a. Opioid addiction


b. Opioid tolerance


Page 3/166

, EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISH SEPTEMBER 2024


c. Opioid toxicity


d. Opioid abstinence syndrome - Answer✔✔-B


Opioid tolerance is a common physiologic result of long-term opioid use. Patients with opioid tolerance

require larger doses of the opioid agent to maintain the same level of analgesia. This situation does not

describe toxicity (overdose), addiction, or abstinence syndrome (withdrawal).


A 38-year-old man has come into the urgent care center with severe hip pain after falling from a ladder

at work. He says he has taken several pain pills over the past few hours but cannot remember how many

he has taken. He hands the nurse an empty bottle of acetaminophen (Tylenol). The nurse is aware that

the most serious toxic effect of acute acetaminophen overdose is which condition?


a. Tachycardia


b. Central nervous system depression


c. Hepatic necrosis


d. Nephropathy - Answer✔✔-C


Hepatic necrosis is the most serious acute toxic effect of an acute overdose of acetaminophen. The other

options are incorrect.


A 57-year-old woman being treated for end-stage breast cancer has been using a transdermal opioid

analgesic as part of the management of pain. Lately, she has been experiencing breakthrough pain. The

nurse expects this type of pain to be managed by which of these interventions?


a. Administering NSAIDs


b. Administering an immediate-release opioid

Page 4/166

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller EmillyCharlotte. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $12.49. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

62890 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$12.49
  • (0)
  Add to cart