Chapter 15 Prep U
A client's healthcare provider has prescribed meperidine 75 mg PO q4h PRN for the client's chronic pain. What education should the nurse provide to this client regarding this medication?
"Avoid drinking alcohol while taking meperidine."
A hospital client is reporting pain, and the health care provider has prescribed 3 mg hydromorphone SC. The medication is available in single-use vials of 10 mg/1 mL. How many milliliters of hydromorphone should the nurse draw up? Record the answer using 1 decimal place.
0.3
The nurse enters the client's room to see how the client's pain level is because PRN Demerol can be given. The client is sitting up in bed laughing and visiting with family. The client states that the pain is a "10" on a pain scale of 0 to 10. What is the best response by the nurse?
Administer the pain medication as ordered.
The client is having surgery this week. What information should the nurse give the client concerning the use of pain medication after surgery?
Ask for pain medication before the pain gets severe.
A hospital client's pain is rated at 9/10, and the nurse is preparing to administer 4 mg hydromorphone PO as prescribed. What are the appropriate interventions by the nurse prior to administering the medication?
Assess the client's baseline respiratory rate.
The client is chronically ill. To aid in pain management, the nurse may administer which compounded medication?
Brompton's Mixture
Tylenol #3 consists of acetaminophen (Tylenol) and another medication. What is the other medication?
Codeine
Which statement by the nurse indicates the need for follow-up education regarding the relationship between acute pain management and physical dependence?
Once a client has experienced dependence (psychological or physical), he or she will continue the drug-seeking behavior regardless of whether or not they are really experiencing pain when receiving opioid analgesics for pain control on an acute or short-term basis."
Which of the following terms would the nurse expect health care professionals to use to describe drugs used in pain management?
Opioids
A client who lives with chronic pain has just learned that she is pregnant. What narcotic analgesic is most appropriate for this client?
Oxycodone
Clients diagnosed with chronic pain should be given what information regarding opioids' effectiveness?
They should be given on a regular schedule, around the clock.
A trauma client has been receiving frequent doses of morphine in the 6 days since his accident. This pattern of analgesic administration should prompt the nurse to carefully monitor the client's what?
bowel patterns.
The nurse is describing potential adverse effects to a client who has been prescribed an opioid agonist. The nurse would indicate that effects on what body systems are potentially life threatening? Select all that apply.
central nervous (CNS) respiratory
The World Health Organization's (WHO) pain-relief ladder includes which components? Select all that apply.
It consists of three steps. Each step of the ladder is based upon the intensity of the perceived pain. The goal of treatment is freedom from pain. All steps of the ladder may incorporate use of an adjuvant.
Morphine has been prescribed for a 28-year-old man with severe pain due to a back injury. The nurse is teaching the client upon discharge to avoid alcohol while taking this medication because it can cause which?
respiratory depression
When teaching a client about patient-controlled analgesia (PCA), which would the nurse integrate into the teaching plan?
Many postoperative clients require less opioid when PCA is used.
A client is undergoing inpatient addiction rehabilitation following many years or addiction to heroin. What medication would be the most useful adjunct to treatment?
Methadone
A 40-year-old male client with arthritis of the knee joint has been prescribed an analgesic to relieve the pain. Which medication is a narcotic analgesic?
Morphine
A client is in the end of life and has developed increased respiratory secretions and labored breathing. The health care provider will order which medication to decrease these symptoms?
Morphine sulfate
The nurse notes a respiratory rate of 6 breaths/min in a client in the postanesthesia recovery unit. Which drug would the nurse anticipate being given immediately?
Naloxone
The nurse notes a client prescribed an extended-release opioid requests that all medications be crushed to facilitate the administration. What information about this form of opioid presents a problem respecting the client's request?
Crushing the medication may precipitate an overdose.
A client has been administered an opioid. For what effect should the nurse regularly assess?
Level of consciousness (LOC)
