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PCC- Quiz 1 Pain Questions and Answers

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PCC- Quiz 1 Pain Questions and Answers Which manifestation should the nurse attribute to adverse effects of morphine sulfate administered via PCA? A. Diarrhea B. Urinary frequency C. Nausea and vomiting D. Increased blood pressure C Which assessment is of highest priority for the nurse...

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  • October 27, 2024
  • 8
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Pcc
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PCC- Quiz 1 Pain Questions and
Answers
Which manifestation should the nurse attribute to adverse effects of morphine sulfate
administered via PCA?
A. Diarrhea
B. Urinary frequency
C. Nausea and vomiting
D. Increased blood pressure - answer C

Which assessment is of highest priority for the nurse to complete before administering
morphine?
A. Pain rating
B. Blood pressure
C. Respiratory rate
D. Level of consciousness - answer C

The nurse should teach a patient to avoid which medication while taking ibuprofen?
A. Aspirin
B. Furosemide
C. Nitroglycerine
C. Morphine Sulfate - answer A

The nurse is preparing to administer celecoxib to a patient. What medication taken by
the patient should the nurse monitor because of an increased risk of adverse effects?
A. Aspirin
B. Scopolamine
C. Theophylline
D. Acetaminophen - answer A

A patient with osteoarthritis has been taking ibuprofen 400 mg every 8 hours. The
patient states that the drug does not seem to work as well as it used to in controlling the
pain. The most appropriate response to the patient is based on what knowledge?
A. Another NSAID may be indicated because of individual variations in response to drug
therapy.
B. It may take several months for NSAIDs to reach therapeutic levels in the blood and
thus be effective.
C. If NSAIDs are not effective in controlling symptoms, systemic corticosteroids are the
next line of therapy.
D. The patient may not be taking the drug correctly, so the nurse must assess the
patient's knowledge base and provide teaching. - answer A

, The nurse is caring for a patient receiving morphine sulfate 10 mg IV push when
necessary for pain. Upon assessment, the nurse finds the patient obtunded with a
respiratory rate of 8 breaths/min. Which medication would the nurse prepare to
administer to treat these symptoms?
A. Atropine
B. Naloxone
C. Protamine sulfate
D. Neostigmine bromide - answer B

A patient asks the nurse why a dose of hydromorphone (Dilaudid) by IV push is given
before starting the medication via PCA. Which response is most appropriate?
A. "PCA will never be effective unless a loading dose is given first."
B. "The IV push dose will enhance the effects of the PCA for the next 8 hours."
C. "The IV push dose will provide for immediate pain relief, which can be maintained by
using the PCA."
D. "PCA takes at least 2 hours to begin working, so the IV push dose will provide pain
relief in the interim." - answer C

A patient has been prescribed a nonsteroidal antiinflammatory medication (NSAID).
Which effect should the nurse teach the patient to immediately report?
A. Blurred vision
B. Nasal stuffiness
C. Urinary retention
D. Black or tarry stools - answer D

The nurse should question an order written for acetaminophen with oxycodone for a
patient exhibiting which clinical manifestation?
A. Severe jaundice
B. Oral candidiasis
C. Increased urine output
D. Elevated blood glucose - answer A

The patient with a documented history of opioid use just had surgery. The nurse is
concerned about the high dose of opioid analgesic prescribed for this patient. What is
the best action for the nurse to take?
A. Remember that pain can be observed in patients.
B. Relieve this patient's pain to avoid adverse consequences.
C. Be sure the patient is really in pain before giving the analgesic.
D. This patient has the right to appropriate assessment and management of pain. -
answer D

The patient's neuropathic pain is not well controlled with the opioid analgesic
prescribed. What medications may be added for a multimodal approach to treat the
patient's pain? (Select all that apply.)
A. Fentanyl
B. Antiseizure drugs

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