Lilley s Pharmacology 4th Edition TEST BANK Final Comprehensive Textbook bank A patient diagnosed with migraine headache is experiencing what type of pain Acute pain Persistent pain Vascular pain Phantom pain correct answer Vascular pain Vascular pain is thought to account for a large percentage of migraine headaches It is believed to originate from vascular or perivascular tissues It is characterized by persistent and recurring pain lasting 3 to 6 months Acute pain is sudden and usually subsides when treated Phantom pain occurs in the area of a body part that has been removed surgically or traumatically and is often described as burning itching tingling or stabbing It can also occur in paralyzed limbs following spinal cord injury An 18 year old basketball player fell and twisted his ankle during a game Which type of analgesic is he likely to be given A synthetic opioid such as meperidine hydrochloride An opium alkaloid such as morphine sulphate An opioid antagonist such as naloxone hydrochloride Suboxone Lilley s Pharmacology 4th Edition TEST BANK Final Comprehensive Textbook bank A non opioid analgesic such as tramadol correct answer A non opioid analgesic such as tramadol Pain originating from skeletal muscles ligaments and joints usually responds to non opioid analgesics such as nonsteroidal anti inflammatory drugs NSAIDs All drugs in the NSAID class are especially useful for pain associated with inflammatory conditions because these drugs have analgesic and anti inflammatory effects A patient is in the recovery room following abdominal surgery He is groggy but reports severe pain around his incision What is the most important factor for the nurse to consider during her patient assessment before administering a dose of morphine sulphate Temperature Respiration rate Appearance of the incision Time of last bowel movement correct answer Respiration rate One of the most serious side effects of opioids is respiratory depression so respiration must be assessed prior to administering a dose of morphine A 78 year old patient is in the recovery room after lengthy hip surgery While gradually awakening the patient requests pain medication Within 10 minutes after receiving a dose of morphine sulphate the patient is very lethargic respiration is shallow at a rate of nine respirations per minute What necessary action may the nurse need to perform Lilley s Pharmacology 4th Edition TEST BANK Final Comprehensive Textbook bank Close observation for signs of opioid tolerance Immediate intubation and artificial ventilation Administration of naloxone an opioid reversal agent Administration of an agonist opioid such as fentanyl Duragesic Mat correct answer Administration of naloxone an opioid reversal agent Naloxone an opioid reversal agent is used to reverse the effects of acute opioid overdose and is the drug of choice for reversal of opioid induced respiratory depression A patient will be discharged with a 1 week supply of an opioid analgesic for pain management after his abdominal surgery What should the nurse teach this patient in regard to this drug How to manage diarrhea How to access drug addiction programs How to prevent constipation How to avoid dehydration due to polyuria correct answer How to prevent constipation Lilley s Pharmacology 4th Edition TEST BANK Final Comprehensive Textbook bank Gastrointestinal occurrences such as nausea vomiting and constipation are the most common adverse effects associated with opioid analgesics Physical dependence usually occurs in patients undergoing long term treatment A patient who has been treated for lung cancer for 3 years has noticed that over the past few months the opioid analgesic that is being used is not helping as much and says that taking more medication is needed for the same pain relief What is this patient experiencing Opioid toxicity Addiction Opioid tolerance Abstinence syndrome correct answer Opioid tolerance Opioid tolerance is a common physiological result of long term opioid use Patients with opioid tolerance require larger doses of the opioid agent to maintain the same level of analgesia A 38 year old male has arrived at the urgent care centre with severe hip pain after falling from a ladder at work He has taken several pain pills over the past few hours but cannot remember how many he has taken He hands the nurse an empty bottle of acetaminophen Tylenol What is the most serious toxic effect of acute acetaminophen overdose Tachycardia Central nervous system CNS depression Hepatic necrosis Lilley s Pharmacology 4th Edition TEST BANK Final Comprehensive Textbook bank Nephrotic necrosis correct answer Hepatic necrosis Hepatic necrosis is the most serious acute toxic effect of an acute overdose of acetaminophen Tachycardia and CNS depression are not side effects of acute acetaminophen overdose Long term not short term ingestion of large doses is more likely to result in nephropathy The drug pentazocine Talwin is a narcotic agonist antagonist Which statement describes a characteristic of this type of medication It has minimal analgesic effects It works to reverse the effects of opiates Its adverse effects differ from those of the opiate narcotics It has a lower addiction potential than opiate narcotics correct answer It has a lower addiction potential than opiate narcotics Opioid agonist antagonist drugs generally have lower addiction potentials than opiate narcotics A 57 year old patient has been on a transdermal narcotic analgesic as part of the management of pain for end stage breast cancer Lately she has experienced breakthrough pain How should this pain be addressed Lilley s Pharmacology 4th Edition TEST BANK Final Comprehensive Textbook bank She should be given NSAIDs Her current therapy should not be changed The baseline dose of the narcotic may need to be increased in increments The narcotic route should be changed to the rectal route to increase absorption correct answer The baseline dose of the narcotic may need to be increased in increments If a patient is requiring larger doses for breakthrough pain the baseline dose of the narcotic may need to be titrated upward For which situation is the herb feverfew commonly used a Muscle aches b Headaches c Leg cramps d Incisional pain after surgery correct answer b Headaches Feverfew is commonly used to treat migraine headaches menstrual problems arthritis and fever Possible adverse effects include muscle stiffness and muscle and joint pain Lilley s Pharmacology 4th Edition TEST
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