ATI Pharmacology Made Easy 4.0 "Pain and Inflammation", Pharm Pain and Inflammation

A health care professional is caring for a patient who is taking naloxone to treat a morphine overdose. The health care professional should monitor for which of the following adverse effects? (Select all that apply.) A) Tachypnea B) Increased pain C) Thrombophlebitis D) Tachycardia E) Hypertension

A) Tachypnea B) Increased pain D) Tachycardia E) Hypertension

A client is about to start taking tramadol to treat moderate pain. Which of the following instructions should you include when talking with the client about taking this drug?

Allow 1 hr for it to take effect

A nurse is caring for a client who is taking acetaminophen at regular intervals for mild discomfort. The nurse should tell the client to report which of the following early indications of acetaminophen toxicity? (Select all that apply)

Diaphoresis Nausea Diarrhea

A nurse is caring for a client who has a new prescription for butorphanol. The nurse should monitor the client for which of the following adverse drug reactions?

Nausea Dizziness Headache

The nurse is caring for a patient with opioid addiction. The nurse anticipates that the patient will be prescribed which medication? Naloxone (Narcan) Meperidine (Demerol) Morphine (MS Contin) Methadone (Dolophine

methadone

a patient with renal cancer need an opiote for pain control. which opioid med would be the safest for this patient?

methadone

Which medication is used to treat a patient with severe adverse effects of a narcotic analgesic? Naloxone (Narcan) Acetylcysteine (Mucomyst) Methylprednisolone (Solu-Medrol) Flumazenil (Romazicon)

naloxone

A health care professional is caring for a patient who is about to begin taking tramadol (Ultram) to treat moderate acute pain from a shoulder injury. When talking with the patient about the drug, the health care professional should include which of the following instructions? (Select all that apply.) A) Increase fiber and fluid intake. B) Take the drug with food. C) Avoid driving after taking the drug. D) Change positions gradually. E) Reduce exercise level temporarily.

A) Increase fiber and fluid intake. B) Take the drug with food. C) Avoid driving after taking the drug. D) Change positions gradually.

A health care professional should question the use of tramadol (Ultram) for patients who have which of the following? A) Seizure disorder B) Hyperthyroidism C) Rheumatoid arthritis D) Urinary incontinence

A) Seizure disorder

A health care professional should advise patients to take acetaminophen (Tylenol) for which of the following? (Select all that apply.) A) To reduce fever B) To decrease inflammation C) To relieve mild pain D) To promote sedation E) To alleviate anxiety

A) To reduce fever C) To relieve mild pain

A nurse is teaching a client who has a new prescription for prednisone. Which of the following instructions should the nurse include. (Select all that apply)

Discontinue the drug gradually Report illness or infection Increase intake of calcium and vitamin D Monitor for signs of gastric bleeding

A nurse is teaching a client who is talking allopurinol about minimizing adverse effects. Which of the flowing instructions should the nurse include?

Eat a small meal before taking this drug

A patient prescribed massage therapy for musculoskeletal pain asks the nurse, "How is rubbing my muscles going to make the pain go away?" What is the nurse's best response? "Massaging muscles helps relax the contracted fibers and decrease painful stimuli." "Massaging muscles decreases the inflammatory response that initiates the painful stimuli." "Massaging muscles activates large sensory nerve fibers that send signals to the spinal cord to close the gate, thus blocking painful stimuli from reaching the brain." "Massaging muscles activates small sensory nerve fibers that send signals to the spinal cord to open the gate and allow endorphins to reach the muscles and relieve the pain."

Massaging muscles activates large sensory nerve fibers that send signals to the spinal cord to close the gate, thus blocking painful stimuli from reaching the brain.

a patient with bone pain caused by metastatic cancer will be receiving transdermal fentanyl patches. the patient asks the nurse what benefits these patches have. the nurse's best response includes which of these features?

more constant drug levels for analgesia

A patient needs to switch analgesic drugs secondary to an adverse reaction to the current treatment regimen. The patient is concerned that the new prescription will not provide optimal pain control. The nurse's response is based on knowledge that doses of analgesics are determined using an equianalgesic table with which drug prototype? Meperidine Fentanyl Codeine Morphine

morphine

In monitoring a patient for adverse effects related to morphine sulfate (MS Contin), the nurse assesses for stimulation of which area in the central nervous system (CNS)? The cough reflex center Sympathetic baroreceptors The chemoreceptor trigger zone Autonomic control over circulation

the chemoreceptor trigger zone

A nurse is caring for a client who takes low-dose aspirin to prevent cardiovascular events. The client asks the nurse about taking ibuprofen to treat rheumatoid arthritis. Which of the following responses should the nurse make?

"Ibuprofen will reduce the cardioprotective effects of low-dose aspirin"

the nurse is administering an IV dose of morphine sulfate to 48 y/o postop patient. the dose ordered is 3 mg Q3H for pain. the medication is supplied in vials of 4 mg/mL. how much will be drawn into the syringe for this dose?

0.75 mL

A nurse is caring for a group of postoperative clients. The nurse should identify that morphine is contraindicated for which of the following clients?

A client who had a cholecystectomy

A patient recovering from a total knee arthroplasty has been prescribed acetaminophen (Tylenol) for mild discomfort that does not require an opioid. The health care professional should tell the patient to report which of the following early indications of acetaminophen overdose? (Select all that apply.) A) Diaphoresis B) Palpitations C) Shortness of breath D) Nausea E) Diarrhea

A) Diaphoresis D) Nausea E) Diarrhea

A health care professional is caring for a patient who is about to begin taking allopurinol (Zyloprim) to treat gout. The health care professional should monitor the patient for hypersensitivity syndrome, which causes which of the following clinical manifestations? A) Fever B) Muscle pain C) Anxiety D) Tremors

A) Fever

A health care professional should question the use of morphine for a patient who is taking which of the following drugs? A) Phenobarbital (Luminal) for a seizure disorder B) Warfarin (Coumadin) for anticoagulation C) Glipizide (Glucotrol) for diabetes mellitus D) Alendronate (Fosamax) for osteoporosis

A) Phenobarbital (Luminal) for a seizure disorder

A client arrives at the emergency room immediately following an acetaminophen overdose. Which drug should you prepare to administer?

Acetylcysteine

W nurse is reviewing the medical record of a client who reports taking acetaminophen at home. The nurse should identify that which of the following client conditions is a contraindication for acetaminophen?

Alcohol use disorder

A nurse is caring for a child who has a viral infection. The nurse should identify that which if the following drugs can increase the risk of Reye Syndrome in children who have viral infections?

Aspirin

A nurse is teaching a client who has a new prescription of allopurionol. Which of the following instructions should the nurse include?

Avoid driving or activities that require mental alertness

A patient who takes low-dose aspirin to prevent cardiovascular events asks a health care professional about taking ibuprofen (Advil) to treat rheumatoid arthritis. The health care professional should respond with which of the following statements? A) "Ibuprofen will increase the risk for salicylism." B) "Ibuprofen will reduce the antiplatelet effects of low-dose aspirin." C) "Low-dose aspirin will reduce the anti-inflammatory effects of ibuprofen." D) "Low-dose aspirin will reduce the analgesic effects of ibuprofen."

B) "Ibuprofen will reduce the antiplatelet effects of low-dose aspirin."

A health care professional is caring for a patient who is about to begin taking butorphanol for pain control. The health care professional should monitor the patient for which of the following adverse effects? (Select all that apply.) A) Infection B) Nausea C) Tachycardia D) Dizziness E) Headache

B) Nausea D) Dizziness E) Headache

A health care professional is caring for a patient who is about to begin taking allopurinol (Zyloprim) to prevent hyperuricemia. The health care professional should advise the patient to report which of the following adverse effects? (Select all that apply.) A) Palpitations B) Sore throat C) Vertigo D) Bruising E) Vision changes

B) Sore throat C) Vertigo D) Bruising E) Vision changes

A health care professional is caring for a patient who has osteoarthritis and is about to begin taking aspirin. The health care professional should tell the patient to report which of the following possible indications of salicylism? (Select all that apply.) A) Fever B) Tinnitus C) Diaphoresis D) Thrombophlebitis E) Dizziness

B) Tinnitus C) Diaphoresis E) Dizziness

A health care professional is caring for a patient who is receiving morphine to relieve severe pain. The health care professional should monitor the patient for which of the following adverse effects? (Select all that apply.) A) Diarrhea B) Urinary retention C) Respiratory depression D) Sedation E) Orthostatic hypotension

B) Urinary retention C) Respiratory depression D) Sedation E) Orthostatic hypotension

A health care professional is caring for a patient who is opioid-dependent and is about to begin taking butorphanol (Stadol). The health care professional should recognize the patient is at risk for developing a syndrome that causes which of the following? (Select all that apply.) A) Bronchospasm B) Vomiting C) Peripheral edema D) Abdominal cramps E) Hypertension

B) Vomiting D) Abdominal cramps E) Hypertension

A health care professional is preparing for administer butorphanol (Stadol) to a patient for pain control. During administration, the health care professional should take which of the following actions? A) Caution the patient about the drug's potential for abuse. B) Withhold the drug for respiratory rates below 12/min. C) Administer one nasal spray into each nostril. D) Give the drug with an opioid agonist for maximal effects.

B) Withhold the drug for respiratory rates below 12/min.

A client is about to begin celecoxib therapy for osteoarthritis. You should instruct the client to watch for and report which of the following possible indications of a serious reaction to this drug?

Black, tarry stools

A nurse is caring for a client who has a new prescription for prednisone for long-term treatment of rheumatoid arthritis. The nurse should monitor the client for which of the following adverse drug reaction?

Bone loss

A health care professional should question the use of celecoxib (Celebrex) for a patient who has which of the following? A) Rheumatoid arthritis B) Ankylosing spondylitis C) An allergy to sulfonamides D) Adrenocortical insufficiency

C) An allergy to sulfonamides

A health care professional is caring for an older adult patient who is about to begin taking prednisone for long-term treatment of rheumatoid arthritis. The health care professional should monitor the patient for which of the following adverse effects? A) Pulmonary embolism B) Hepatitis C) Bone loss D) Breast cancer

C) Bone loss

A health care professional should understand that naloxone can reverse the effects of an excessive dosage of which of the following drugs? A) Aspirin B) Acetaminophen (Tylenol) C) Morphine D) Prednisone

C) Morphine

A nurse is caring for a client who has a new prescription for celecoxib. The nurse should tell the client to report which of the following adverse drug reactions?

Chest pain

A health care professional should question the use of acetaminophen (Tylenol) for patients who have which of the following? A) Asthma B) Diabetes mellitus C) Heart failure D) Alcohol use disorder

D) Alcohol use disorder

Which of the following drugs can increase the risk of Reye's syndrome in children who have viral infections? A) Butorphanol (Stadol) B) Acetaminophen (Tylenol) C) Tramadol (Ultram) D) Aspirin

D) Aspirin

A health care professional should question the use of morphine for a patient who is recovering from which of the following procedures? A) Mastectomy B) Knee arthroplasty C) Cystoscopy D) Cholecystectomy

D) Cholecystectomy

A health care professional is caring for a patient who takes furosemide (Lasix) and is about to begin taking prednisone to treat inflammatory bowel disease. The health care professional should monitor the patient for which of the following results of concurrent use of the two drugs? A) Hypercalcemia B) Hypoglycemia C) Hypothermia D) Hypokalemia

D) Hypokalemia

A nurse is caring for a client who is taking allopurinol to treat gout. The nurse should monitor the client for which of the following manifestations of hypersensitivity syndrome

Fever

A nurse is caring for for client who is about to begin taking aspirin. The nurse should instruct the client to report which of the following manifestations of salicylism? (Select all that apply)

Fever Tinnitus Diaphoresis Dizziness

A client who is receiving chemotherapy takes allopurinol (Zyloprim) prior to the chemotherapy to reduce the risk for which condition?

Hyperuricemia

A nurse is caring for a client who currently takes furosemide and has new prescription for prednisone. The nurse should monitor the client for which of the following manifestations during concurrent use of the two drugs

Hypokalemia

A nurse is teaching a client who has a new prescription for tramadol. Which of the following instructions should the nurse include? (Select all that apply.)

Increase fiber and fluid intake Take the drug with food Change position gradually Reduce exercise level temporarily

A provider prescribes prednisone for a client who has type 1 diabetes mellitus. Recognizing the risk for an adverse drug reaction to prednisone, which of the following precautions should the primary care provider take for this client?

Increase serum glucose monitoring

A nurse is caring for a client who is taking naloxone to treat acute morphine toxicity. The nurse should monitor the client for which of the following adverse drug reactions? (Select all that apply)

Increased respiratory rate Increased pain Ventricular arrhythmias Hypertension

A nurse is planning for a client who has started taking prednisone. Which of the following interventions should the nurse include?

Monitor the clients blood glucose

As a health care provider prepares to give the client morphine IV for pain, she makes sure she has which of the following drug available?

Naloxone

A client is about to start taking aspirin to prevent cardiovascular events. You should instruct the client to watch for and report which adverse drug reaction of aspirin?

Petechiae

In addition to celecoxib (Celebrex) the client takes low-dose aspirin daily for which of the following purposes?

Reduces the risks of a cardiovascular event

A nurse is reviewing the medical record of a client who has a new prescription for tramadol. The nurse should identify that which of the following conditions is a contraindication for tramadol?

Seizure disorder

A nurse is teaching a client who has a new prescription for allopurinol. The nurse should instruct the client to report which of the following adverse effects? (Select all that apply)

Sore throat Vertigo Bruising Vision changes

Which of the following instructions should the health care provider give the client regarding the use of aspirin prior to the surgery?

Stop taking one week before surgery.

A nurse is reviewing the medical record of a client who has a new prescription for celecoxib. The nurse should identify that which of the following conditions is a contraindication to celecoxib?

Sulfamide allergy

Client is about to start taking oral morphine to treat acute pain from an injury. Which of the following instructions should you include when talking with the client about taking morphine? (Select all that apply)

Take it with food Rise slowly from sitting or reclining Increase fluid and fiber intake Do not take it before driving

A nurse is caring for a client who is receiving morphine to relieve severe pain. The nurse should monitor the client for which of the following adverse drug reactions? (Select al that apply.)

Urinary retention Respiratory depression Sedation Orthostatic hypotension

Butorphanol is an unsafe analgesic choice for clients who

Use a fentanyl patch for chronic pain

A nurse is caring for a client who is a opioid dependent and has a new prescription for butorphanol. The nurse should monitor the client for which of the following manifestations. (Select all that apply.)

Vomiting Abdominal cramps Hypertension

A nurse is reviewing the drug list form a client who has a new prescription for allopurinol. The nurse should identify that which of the following drugs interact with allopurinol?

Warfarin

Because the client is taking celecoxib (Celebrex) for osteoarthritis, he knows to watch for and report which of the following possible indications of an adverse reaction to celecoxib?

Weight Gain

A nurse is caring for a patient who has a prescription for aspirin to treat an ankle sprain. The nurse should instruct the client to report which of the following adverse drug reactions?

Weight gain

several patients have standing orders for acetaminophen as needed for pain. while reviewing their history and assessments, the nurse discovers that one of the patients has a contradiction to acetaminophen therapy. which patient should receive an alternate medication?

a patient admitted with severe hepatitis

While admitting a patient for treatment of an acetaminophen (Tylenol) overdose, the nurse prepares to administer which medication to prevent toxicity? Naloxone (Narcan) Phytonadione (vitamin K) Acetylcysteine (Mucomyst) Methylprednisolone (Solu-Medrol)

acetlycysteine

a patient is receiving an opioid via a PCA pump as part of his postop pain management program. during rounds, the nurse finds him unresponsive, with respirations of 8 breaths/min and blood pressure of 102/58 mm Hg. after stopping the opioid infusion, what should the nurse do next?

administer an opiate antagonist per standing orders

for best results when treating severe pain associated with pathological spinal fractures related to metastatic bone cancer, the nurse should remember that the best type of dosage schedule is to admin the pain med?

around the clock, with additional doses as needed for breakthrough pain

When assessing a patient for adverse effects related to morphine sulfate (MS Contin), which clinical findings is the nurse MOST likely to find? (Select all that apply.) Diarrhea Weight gain Constipation Inability to void Excessive bruising

constipation inability to void

intravenous morphine is prescribed for a patient who has had surgery. the nurse informs the patient that which common adverse effects can occur with this med

constipation pruritus nausea

A patient with a diagnosis of pneumonia asks the nurse, "Why am I receiving codeine when I have no pain?" The nurse's response is based on knowledge that codeine also has what effect? Expectorant Bronchodilation Cough suppressant Increases sputum production

cough suppressant

The nurse teaches a patient prescribed the fentanyl (Duragesic) transdermal delivery system to change the patch at what interval? Once a week Every 24 hours Every 72 hours When pain recurs

every 72 hours

In developing a plan of care for a patient receiving morphine sulfate (MS Contin), which nursing diagnosis has the highest priority? Acute pain related to metastatic tumor cancer Impaired gas exchange related to respiratory depression Constipation related to decreased GI motility Risk for injury related to CNS adverse effects

impaired gas exchange related to respiratory depression

A patient is prescribed an opioid analgesic for chronic pain. Which information should the nurse discuss with the patient to minimize the GI adverse effects? Avoid eating foods high in lactobacilli. Increase fluid intake and fiber in the diet. Take the medication on an empty stomach. Take diphenoxylate-atropine (Lomotil) with each dose

increase fluid intake and fiber in the diet

A patient receiving narcotic analgesics for chronic pain can minimize the GI side effects by: taking Lomotil with each dose. eating foods high in lactobacilli. taking the medication on an empty stomach. increasing fluid and fiber in the diet.

increasing fluid and fiber in the diet

The nurse plans pharmacologic management for a patient with pain. The nurse should administer the pain medication based on what dosage schedule? Pain relief is best obtained by administering analgesics around the clock. Administer the analgesic when the pain level reaches a "6" on a scale of 1 to 10. Opioid analgesics should not be used for more than 24 hours to prevent drug addiction. Analgesics should be administered as needed (prn) to minimize adverse effects.

pain relief is best obtained by administering analgesics around the clock

The health care provider prepares to give the client morphine IV for pain. Knowing the adverse drug reactions of morphine, she should monitor the client for which of the following?

respiratory depression

When assessing for the MOST serious adverse effect to an opioid analgesic, what does the nurse monitor for in this patient? Heart rate Mental status Blood pressure Respiratory rate

respiratory rate

an opioid analgesic is prescribed for a patient. the nurse checks the patients med history, knowing this med is contradicted in which disorder?

severe asthma

The nurse is preparing to administer an intravenous injection of morphine to a patient. The nurse assesses a respiratory rate of 10 breaths/min. Which action should the nurse perform? Administer the next prescribed dose intramuscularly. Administer a smaller dose and document in the patient's record. Withhold the medication and notify the health care provider. Check the pulse oximeter reading and reevaluate respiratory rate in 1 hour.

withhold the med and notify the health care provider

A health care professional should advise a patient who has which of the following to stop taking ibuprofen (Advil) to treat an occasional headache or muscle strain? A) Penicillin allergy ​B) Peptic ulcer disease C) Dysmenorrhea D) Hyperthyroidism

​B) Peptic ulcer disease