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NUR 108 ( LATEST 2024 / 2025 ) ACUTE PAIN | ALL Q&AS BRAND NEW GUARANTEED A++
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NUR 108 ( LATEST 2024 / 2025 ) ACUTE PAIN | ALL Q&AS BRAND NEW GUARANTEED A++
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NUR 108 Acute Pain1. The average dose of morphine is 10mg IV. Based on the guidelines for elderly patients, what
dose should be used initially?
A. 4mg
B. 6mg
C. 8mg
D. 10mg
Answer
B. 6mg - fits in the range of 25-50% reduction for elderly
2. Unrelieved pain and narcotics can cause all of the following except
A. Mental Confusion
B. Urinary Retention
C. Hypotension
D. Decreased GI motility
Answer
C. Hypotension - would become hypertensive with unrelieved pain
3. A patient who had a total knee replacement 5 days ago rates his pain at 5/10. Which drug is
appropriate?
A. morphine IV
B. ibuprofen (Advil) PO
C. oxycodone/acetaminophen (Percocet) oral
D. ketorolac (Toradol) IV
Answer
C. Percocet - moderate pain level on the WHO ladder calls for that combination of drugs for a
5/10 pain
4. A patient who had abdominal surgery earlier in the day and complains of pain 4/10.The
patient sleeps when undisturbed and has difficulty staying away during your physical assessment.
The patient is still NPO.
A. morphine IV
B. oxy/acetamin (Percocet) oral
, C. hydrocodone/aceta (Vicodin) oral
D. ketorolac (Toradol) IV
Answer
D. ketorolac (Toradol) IV - patient is NPO, Toradol has less side effects than morphine,
particularly CNS depression and they already have a hard time staying awake
5. A patient who had a minor outpatient surgical procedure and complains of pain 2/10.
A. morphine IV
B. oxygen/acetamin (Percocet) oral
C. hydrocodone/aceta (Vicodin) oral
D. ibuprofen (advil) oral
Answer
D. ibuprofen (Advil) oral - fits WHO ladder, minor pain level, teach them to know what to look
for if pain isn't controlled with that
6. A patient who had major abdominal surgery and is complaining of pain 8/10. He was last
medicated four hours ago with 10mg morphine. morphine 10-15mg IV q 4hrs PRN is ordered.
A. morphine 10mg IV
B. morphine 15mg IV
Answer
B. morphine 15mg IV - had 10mg 4 hours ago and it didn't last, so you would want to up the
dose since there is a scale and PRN with pain 8/10
7. Physiologic Effects of Unrelieved Pain - Endocrine
Answer
Increased - ACTH, Cortisol, ADH, epinephrine, norepinephrine, catecholamines, renin,
angiotensin II, aldosterone, glucagon, interleukin, growth hormone
Decreased - insulin & testosterone
8. Physiologic Effects of Unrelieved Pain - Metabolic
Answer
gluconeogenesis, hepatic glycogenolysis, hyperglycemia, glucose intolerance, insulin resistance,
muscle protein catabolism, increased lipolysis
9. Physiologic Effects of Unrelieved Pain - Cardiovascular
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