HIT-150 MindTap Chapter 19

In a client that has no medical history of allergies, what might the health care practitioner recommend for an over-the-counter (OTC) anti-inflammatory medication for an ankle sprain? a. Ibuprofen (Motrin) b. Codeine #3 c. Codeine #2 d. Acetaminophen (Tylenol)

A

The health care practitioner is educating her client regarding the use of Tylenol, an OTC analgesic. What precaution is NOT necessary to tell the client regarding this medication? a. Take it with food as it enhances the absorption and decreases GI upset. b. Be aware of the danger of overdose. c. Be aware of the danger of poisoning. d. Monitor for the many side effects due to the interaction with other medications.

A

The health care practitioner knows that analgesics are prescribed for which of the following? a. To relieve pain b. To sedate c. To produce sleep d. To calm or soothe

A

Which of the following medications are contraindicated for a client with an aspirin allergy? a. Percodan b. Codeine #3 c. Percocet d. Vicodin

A

An older adult client had been treated for herpes zoster virus with an antiviral medication and is also on pain medication for postherpetic neuralgia. The client presents to his health care provider's office because he has seen no improvement of pain while on the narcotic medication. The health care practitioner prescribes the addition of a regime of Neurontin (gabapentin). How can the health care practitioner BEST explain the reason for adding this medication to the client's regiment? a. It will make you less anxious about your pain. b. It will work as a coanalgesic or adjunct to the pain medication. c. It will assist you if you have a migraine. d. It will prevent you from having a seizure from the narcotic.

B

The health care practitioner sees an order for a salicylate and knows that this type of drug is most commonly used for its analgesic and antipyretic properties. What property does an antipyretic contain? a. Anticancerous b. Fever-reducing c. Anti-inflammatory d. Antianxiety

B

A client asks the health care practitioner what the strongest painkiller is, morphine or hydromorphone. How does the health care practitioner respond? a. They both have the same potency but are designated by different trade names. b. Morphine is much stronger than hydromorphone. c. Hydromorphone is much stronger than morphine. d. They are two completely different drugs and cannot be compared.

C

A client asks the health care practitioner why he is being put on an antidepressant for back pain when he does not suffer from depression. How does the health care practitioner respond? a. Antidepressants have no effect on pain but should make you feel better. b. Antidepressants are used as pain medications. c. Antidepressants can be used as adjunct medications to enhance the effect of the pain medication. d. You may get depressed because of your back pain, which will hinder your progress.

C

A client with a diagnosis of AIDS has been losing weight and has no appetite. What medication may be prescribed? a. Morphine b. Neurontin c. Drobinal d. Demerol

C

A health care practitioner is assisting the nurse with monitoring a client who has received IV morphine for a procedure to reduce a dislocated shoulder. What sign should the health care practitioner watch for and inform the physician if it occurs? a. Decreased blood pressure to 110/50 b. Decreased diuresis of 30 cc per hour c. Decreased respiratory rate to 8 d. Decreased heart rate to 69

C

A health care practitioner is giving a presentation on analgesics. How can she explain the role of an endorphin? a. An exogenous compound that produces a sense of well-being b. A chemical receptor that works peripherally at the site of pain c. An endogenous compound that produces a sense of well-being d. An enzyme that is produced in the body and activates the inflammatory cascade

C

A client is prescribed morphine after back surgery. In which of the following conditions would the administration of morphine be appropriate? a. Respiratory distress secondary to long-standing COPD b. Septic shock with no urine output c. Closed head injury of a trauma victim d. Perforated duodenum secondary to ulcer disease

D

A client with end-stage cancer has been on extended-release morphine sulfate (MS Contin) for bone cancer. The client has significant respiration depression, which is suspected to be caused by an added dose of medication. Narcan is administered to the client. What would the health care practitioner expect regarding the use of this narcotic antagonist? a. It will decrease the effect of the added dose. b. Narcan will enhance the effect of the MS Contin. c. The dosage may have to be reduced after careful monitoring. d. Added doses may be required.

D

The health care practitioner knows that opioids work on what system? a. The peripheral nervous system b. Autonomic nervous system c. Somatic nervous system d. Central nervous system

D

Which of the following is the MOST serious side effect associated with opiate use? a. Hypertension and tachycardia b. Nausea and vomiting c. Inability to sleep d. Respiratory depression

D

Why is short-term use of opioids for acute pain typically NOT associated with addiction or psychological dependence? a. It is not as potent as drugs taken for chronic usage. b. Clients are usually less tolerant of short-term opiates. c. It is not given around the clock. d. The majority of clients stop taking it when the pain is gone.

D

. . . is considered a first line anticonvulsant for the treatment of neuropathic pain. Gabapentin (Neurontin) ; Milnacipran (Savella); Duloxetine (Cymbalta); Carbamazeoine (Tegretol).

Gabapentin (Neurontin)

The first "triptan" approved was : Imitrex(Sumatriptan) ; Maxalt(Rizatriptan) ; Zomig(Zolmitripta) ; Relpax(Eletriptan).

Imitrex(Sumatriptan)

Topical lidocaine provides pain relief through a ( central ; local ; peripheral ; systemic) effect and generally has little if any central action.

Topical lidocaine provides pain relief through a effect and generally has little if any central action.

Analgesics can be classified as opioid, nonopioid, and . . . (hynotic, narcotic, adjuvant, sedative)

adjuvant

Drugs intended for the treatment of disease states other than pain that enhance analgesic effects are called . . . (adjuvant ; narcotic ; epileptic ; addictive)

adjuvant

Drugs administered to relieve pain are called ..... (analgesics, hypnotics, pain pills, sedatives)

analgesics

Drugs administered to produce sleep are called : (anti-inflammatory ; analgesics ; hynotics ; sedatives) .

hynotics

Drugs administered to produce sleep are called . . . (analgesics, hypnotics, pain pills, sedatives)

hypnotics

Abrupt withdrawal of hypnotics may result in rebound : (insomnia ; fatique ; shortness of breath ; tachycardia) .

insomnia

When using a lidocaine patch, the client must be advised to apply it only to (clean ; intact ; hairless ; tatooless) skin.

intact

( cluster ; migrane ; tension ; stress ) is the most common neurovascular headache and may include nausea, vomiting, and sensitivity to light and noise.

migrane

Tricyclic antidepressants are used to treat (acute ; chronic; headache ; nerve) pain.

nerve

For clients who require opioids for pain management, is not self-limiting (opioid-induced constipation; nausea ; urinary retention ; sexual dysfunction ).

opioid-induced constipation

The most common reason people seek medical care is . (bronchitis; common cold; infection; pain).

pain

Drugs administered to calm, soothe, or produce sedation are called : (anti-inflammatory ; analgesics ; hynotics ; sedatives) .

sedatives

(diarrhea; fatique ; obesity ; severe decrease appetiate) is a disease symptom that is treated with medical marijuana.

severe decrease appetiate

Sedative-hypnotic medications should be prescribed for (extended ; intermediate ; long-term;short-term) use only.

short-term