Pharm quiz #4
Codiene. Not only is constipating, but addicting. What else do we know it for?
A cough suppressant.
What is the most reliable indicator of pain?
A patients word
What do we call it when someone has been taking opioids for a long time, and they have to continue taking it more and more?
A tolerance
A nurse is collecting data from a client who has salicylism. Which of the following findings should the nurse expect? (Select all) A. Dizziness B. Diarrhea C. Jaundice D. Tinnitus E. Headaches
A, B, D, E
What is the contraindication to taking morphine?
Paralytic ilius
All narcotics regardless of the origin reduce pain by?
Stimulating opioid receptors
In addition to analgesia, the narcotics effects on the body includes?
(We know they induce N/V) >>Euphoria.
A nurse is reinforcing teaching with a client about celecoxib. Which of the following information should the nurse include? A. Increases the risk of MI B. Decrease the risk of stroke D. Inhibits COX-1 E. Increases platelet aggregation
A
A nurse is preparing to administer acetaminophen 10mg/kg PO to a preschool toddler for a fever. Child weighs 22lbs. Available is acetaminophen in 160mg/5ml vial. How many mls does the nurse administer and round to the nearest 10th.
3.125
A nurse is assisting with the admission of a toddler who has an acetaminophen overdose. Which of the following medications should the nurse anticipate administering to this client? A. Acetylcysteine B. Pegfilgrastim C. Misoprostol D. Naltrexone
A
A nurse is preparing to administer an opioid agonist to a client who has acute pain. The nurse should monitor for which of the following complications? A. Urinary retention B. Tachypnea C. Tinnitus D. Joint pain
A
A nurse is reviewing the medication administration record of a client who is receiving transdermal fentanyl for the relief of severe pain. Which of the following medications should the nurse expect to cause an adverse effect if the client receives it concurrently with fentanyl? A. Ampicillin B. Diazapam C. Furosemide D. Prednisone
B
A nurse is caring for a client who is competent and refuses an analgesic injection. the nurse administers the injection anyway despite the clients objection. Which of the following types of tort has the nurse committed.
Battery (although Oregon does not have this)
A nurse is caring for a client who has end-stage cancer and is receiving morphine. The clients daughter asks why the provider prescribed methylnalrexone. Which of the following responses should the nurse make? A. "The medication will increase your mothers respiratory rate" B. "The medication will prevent dependence on morphine" C. "The medication will relieve your mothers constipation" D. "The medication works with morphine to increase pain relief"
C
A nurse is collecting data from a client who reports taking aspirin about four times daily to relieve the pain of a wrist sprain. Which of the following medications interacts adversely with aspirin? A. Digoxin B. Levothyroxine C. Warfarin D. Nitroglycerin
C
What is an unintended consequence of opioid therapy?
Constipation Respiratory depression
A nurse is caring for a client who is receiving morphine postoperatively. Which of the following actions should the nurse take? A. Have alvimopan available to reverse excessive sedation B. Protect the clients skin from the severe diarrhea that morphine causes C. Withhold this medication for respiratory rate less than 16/min D. Encourage the client to cough at regular intervals
D
A nurse is preparing to administer butorphanol to a client who has a history of substance use disorder. The nurse should be aware of which of the following information about butorophanol? A. Butorphanol has a greater risk for misuse than morphine B. Butorphanol causes a higher incidence of respiratory depression than morphine C. Opioid antagonists cannot reverse the effects of butorphanol D. Butorphanol can cause abstinence syndrome in clients who have opioid dependency
D
The nurse in an urgent care center is collecting data from a client who has severe aspirin toxicity. Which of the following findings should the nurse expect? A. Body temperature 35C (95F) B. Lung crackles C. Cool, dry skin D. Respiratory depression
D
Sublimation means?
Dislocation
Client reports using acetaminophen to manage knee pain daily. Which of the following statements should the nurse investigate further?
Do not take with alcohol >Do not use cold medicine because it already contains acetaminophen.
Which medications should you have regular eye exams with when you are taking it?
Ibuprofen
Post operative mastectomy was administered hydromorphone (Dilaudid) a half hour ago. The nurse should identify that which of the following adverse effects of this medication is the same as acetaminophen toxicity?
N/V
You are a nurse in an urgent care center collecting data on a client that reports excessive amounts of acetaminophen. Which of the following findings should the nurse identify the medications as acute acetaminophen toxicity?
N/V
The nurse is preparing to give an enteric coated aspirin to an older gentleman and he has difficulty swallowing medications so he asks you if you can crush it up. You say?
No, because it will not do its job because of its coating. Patient may get stomach ache.
Maperadine. Monitor which of the following is the nurses priority or data collection with activity with any opioid?
Respirations
What is a synergistic effect. When they give you two meds, what is that known as?
The meds are working together.
What is methylnaltrexone?
This med helps with constipation. Such as for cancer patients who are on a long term dose of opioids, and if laxatives do not work for them anymore.
Willow bark was the original source of aspirin?
True
So you are taking 650mg aspirin for Rheumatoid arthritis every 6 hours. The nurse should instruct the client to monitor for which of the following adverse effects of aspirin therapy?
Usually the first sign is tinnitis
IF you broke your femur, do you think you would have an increased pulse rate?
Yes