Drugs for Pain Opiods and Headaches-pharm

The most important nursing measure you should perform

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Unformatted text preview: l he have? Example Test Questions An analgesic is given to: A. Produce sleep B. Relieve nausea C. Relieve pain D. Reduce anxiety It may be necessary to repeat doses of naloxone (Narcan) to a client who has too much morphine because the opioid antagonist: A. Has less strength in each dose than do individual doses of morphine. B. Has a shorter half-life than does morphine. C. Combined with morphine, increases the physiological action of morphine. D. Causes the respiratory rate to decrease. Before administrating an opioid analgesic, the initial action of the nurse would be to : A. Check the radial pulse and check it with the radial pulse. B. Check the blood pressure C. Check the temperature. D. Check the rate, depth, and rhythm of respirations. A common side effect of an opioid analgesic is: A. B. C. D. Constipation Diarrhea Increased respirations Fine hand tremors Your patient has a history of migraine headaches. She has just been given a prescription for sumatriptan (Imitrex). Which symptoms would you tell her to report to her health care provider immediately? A. B. C. D. Decreased appetite Chest heaviness Weight gain Fatigue You have just administered an IM injection of morphine to your client. The most important nursing measure you should perform before leaving the room should be to: A. Close the draperies. B. Make sure the side rails are up and the bed is in the low position. C. Ask all the visitors to leave the room. D. Offer your client something to drink. Which client should have cautious use of naloxone hydrochloride (Narcan))? A. B. C. D. Brittle diabetic Asthmatic Postoperative radical neck Meperidine (Demerol) addict Which is the priority of care in the patient with moderate to severe pain from cancer? A. Prevention of addiction and physical dependence B. Adequate pain relief with opioid medications C. Avoiding constipation by increasing dietary fiber D. Using transcutaneous electrical nerve stimulation (TENS) or massage to treat cancer pain After surgery, a patient has morphine prescribed for postoperative pain. Which is the priority assessment in this situation? A. Respiratory rate B. Heart rate C. Pain level D. Constipation A postoperative patient who has an intravenous infusion of morphine has a respiratory rate of 8 breaths per minute and is lethargic. Which as needed (PRN) medication should the nurse administer to the patient? administer A. B. C. D. Methadone (Dolophine) Nalbuphine (Nubain) Tramadol (Ultram) Naloxone (Narcan) Which assessment would best determine the effectiveness of Sumatriptan? A. Decreased frequency of migraine headaches B. Prevention of migraine headaches C. Termination of the migraine headache D. Decreased nausea associated with a migraine headache A neonate is born to a known heroin addict. The infant is exhibiting symptoms of opioid withdrawal. Which of these nursing issues is of the highest priority as the nurse cares for the neonate in the nursery? A. Altered nutrition B.Disturbed sleep C.Fluid deficit D.Parenting The nurse is ambulating a postoperative patient in the hall who is receiving an opioid analgesic for pain when the patient complains of severe nausea. What should the nurse do first if all options are possible? A. Administer the prescribed antiemetic B.Assist the patient to sit down C.Get an emesis basin D.Walk the patient back to his room A patient is admitted to the ED after a traumatic injury and is in server pain from compound fractures. It is most critical that the nurse carefully assess the patient before administering an opioid for evidence of A. Asthma B. Diabetes C. Head injury D. Hypertension Migraine headaches (Select all that apply) A. Always start with an abnormal sensation (aura). B. Cannot be treated effectively after the pain starts C. Involve inflammation of the intracranial blood vessels D. Involve vasoconstriction of intracranial blood vessels E. Therapy includes drugs and nonpharmocologic measures to prevent attacks F. Therapy should start at the earliest sign of attack Which of these patient assessment finding would b most sifnificant if the nurse was preparing to administer ergotamine to a patient who is experiencing the start of a migraine headache? A. ALT 30 international units/L B. Blood pressure 90/58 mmHg C. Capillary refill 8 seconds D. Flashes of light in visual fiels The nurse would consult the prescriber before administering ergotamine or triptan drugs for migraine headache to a patient with (Select all that applies). A. B. C. D. E. F. Cardiovascular disease Diabetes mellitus Hypertension Infection Peptic ulcer disease Possible pregnancy...
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