1. What types of drugs have the main purpose of relieving pain? a. Anticholinergics
b. Antagonists
c. Analgesics
d. Agonists - ANS: C
2. An adult
... [Show More] patient has returned to the unit from an operative procedure. The healthcare
provider asks you to rate a patient's postoperative pain. What is your best response?
a. "He is asleep now, so his pain level is acceptable."
b. "I will ask the patient to rate his own pain."
c. "His wife says he can still feel the incision when he turns or coughs."
d. "Since he received 15 mg of morphine an hour ago, his pain is probably minimal." -
ANS: B
3. You are caring for a female patient who is paralyzed from the waist down and has a
large open wound on her right heel. When asked about her pain in that foot, she tells
you it is a 0 on a 0 to 10 pain rating scale. What does this response indicate?
a. The patient's paralysis prevents the patient's brain from perceiving the pain.
b. The patient has chronic pain that does not trigger the stress response.
c. The patient has demonstrated substance misuse behaviors from taking pain drugs
too often. d. The patient's acute pain has been effectively managed by the prescribed
pain drug. - ANS: A
4. A nursing student assigned to work with you asks you to explain why natural and
synthetic opioids are considered "high-alert drugs?" What is your best response?
a. "Opioids have an increased risk for causing a patient harm if given in error." b.
"Opioids have a relatively high potential for addiction or abuse."
c. "There is wide variation in the dosages between opioid types."
d. "High-alert drugs are those that can be given by a variety of routes." - ANS: A
5. The RN has given 2 mg of hydromorphone intravenously to a patient for severe pain.
When you assess the patient's pain level an hour after receiving the drug you find the
patient asleep with a respiratory rate of 10 breaths/min. What is your best first action?
a. Give naloxone intravenously.
b. Document the finding as the only action.
c. Notify the healthcare provider immediately.
d. Assess the patient's oxygen saturation with pulse oximetry. - ANS: D
6. A patient being discharged to home is prescribed an oxycodone-acetaminophen
combination for pain management. Which statement regarding a precaution is most
important to teach this patient?
a. "If you still need this drug after 48 hours, notify your healthcare provider immediately."
b. "Always go to bed immediately after taking a dose of this drug."
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