Chapter 43- Pain Management Potter and
Perry Test 5
Questions with correct answers A+ Review
2023
1. Which of the following signs or symptoms in an
... [Show More] opioid-naïve patient is of greatest
concern to the nurse when assessing the patient 1 hour after administering an opioid?
A. Oxygen saturation of 95%
B. Difficulty arousing the patient
C. Respiratory rate of 10 breaths/min
D. Pain intensity rating of 5 on a scale of 0 to 10 - Correct Answer-B. Difficulty arousing
the patient
Opioid-naive patients may develop a rare adverse effect of respiratory depression, and
sedation always occurs before respiratory depression.
2. A health care provider writes the following order for an opioidnaive patient who
returned from the operating room following a total hip replacement. "Fentanyl patch 100
mcg, change every 3 days." Based on this order, the nurse takes the following action:
A. Calls the health care provider, and questions the order
B. Applies the patch the third postoperative day
C. Applies the patch as soon as the patient reports pain
D. Places the patch as close to the hip dressing as possible - Correct Answer-A. Calls
the health care provider, and questions the order
Fentanyl is 100 times more potent than morphine and not recommended for acute
postoperative pain
3. A patient is being discharged home on an around-the-clock (ATC) opioid for chronic
back pain. Because of this order, the nurse anticipates an order for which class of
medication?
A. Stool softener
B. Stimulant laxative
C. H2 receptor blocker
D. Proton pump inhibitor - Correct Answer-B. Stimulant laxative
Patients usually become tolerant to the side effects of opioids, with the exception of
constipation. Routinely administer stimulant laxatives, not simple stool softeners, to
prevent and treat constipation.
4. A new medical resident writes an order for OxyContin SR 10 mg PO q12 hours prn.
Which part of the order does the nurse question?
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