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Flashcards in test 2- analgesic drugs Deck (70):
1

pain

-whatever the pt says it is
-exists whenever the pt says it does
--personal/individual experience

2

pain threshold

level of stimulus needed to produce the perception of pain

3

pain tolerance

the amount of pain a person can endure without it interfering with normal function

4

analgesics

medication that relieve pain without causing loss of consciousness (opioids, non-opioids, NSAIDs)

5

adjuvant drugs

assist primary drugs in relieving pain

6

acetaminophen

analgesic and antipyretic effects, little to no anti-inflammatory effects

7

long term ingestion of acetaminophen

hepatotoxicity and/or nephropathy

8

antidote for acetaminophen

mucomyst

9

acetaminophen should not be taken in the presence of:

drug allergy, liver dysfunction, possible liver failure, hepatitis, TB medications

10

opioid

any drug, natural or synthetic that has actions similar to those of morphine

11

overdose of morphine causes:

coma, respiratory depression, pinpoint pupils

12

antidote for morphine
given when?

naloxone (NARCAN)
RR less than 10

13

what nursing implementation must be done when giving opioids?

the six rights!!

14

antidote for NMBDs

dantrolene/Dantrium

15

allopurinol (Zyloprim) used for?

reduce production of uric acid
(for gout)

16

misoprostol (Cytotc) used for?

prevent gastric ulcers by decreasing gastric acid that may occur in pts taking NSAIDs

17

A patient needs to switch analgesic drugs secondary to an adverse reaction to the present regimen. The patient is concerned that he will not receive an effective dose of a new drug to control pain. The nurse responds based on knowledge that potencies of analgesics are determined using an equianalgesic table comparing doses of these drugs with what prototype?

morphine

18

A patient is admitted to the psychiatric unit for treatment of narcotic addiction. The nurse would anticipate administration of which medication?

methadone

19

A patient has been admitted after overdosing on acetaminophen (Tylenol), with a total ingested dose of 14 g over a period of 1 hour. The nurse plane to monitor this patient for development of which of the following signs and symptoms related to the overdose?

acute hepatic necrosis

20

While admitting a patient for treatment of an acetaminophen overdose, the nurse prepares to administer which medication to prevent toxicity?

acetylcyseine (Mucomyst)

21

Massage therapy is ordered as adjunct treatment for a patient with musculoskeletal pain. The patient asks the nurse how "rubbing my muscles" will help the pain go away. The nurse responds based on the knowledge that

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

22

When assessing for the most serious adverse reaction to a narcotic analgesic, what does the nurse monitor for in the patient?

respiratory rate

23

which medication is used to treat a patient suffering from severe adverse effects of a narcotic analgesic?

naloxone (Narcan)

24

a pt admitted to the hospital with a diagnosis of pneumonia asks the nurse why she is receiving codeine when she does not have any pain. the nurse's response based on knowledge that codeine also has what effect?

cough suppressant

25

in monitoring a pt for adverse effects related to morphine sulfate, the nurses assess for stimulation of

the chemoreceptor trigger zone

26

the nurse is preparing to administer an injection of morphine to a patient. assessment notes a respiratory rate of 10 breaths/min. which action with the nurse perform?

notify the physician and delay drug administration

27

a pt receiving narcotic analgesics for chronic pain can minimize the gastrointestinal side effects by

increasing fluid and fiber in the diet

28

the nurse teaches a patient prescribed the fentanyl (Duragesic) transdermal delivery system to change the patch at what interval?

every 72 hours

29

the nurse plans pharmacologic therapy for a patient with pain based on the knowledge that

pain relief is best obtained by administering analgesics around the clock

30

in developing a plan of care for a pt receiving morphine sulfate, which nursing diagnosis is a priority?

impaired gas exchange related to respiratory depression

31

when assessing a patient for adverse effects related to morphine sulfate, which effects would the nurse expect to find? (check all the apply)

decreased peristalsis, delayed gastric emptying, urinary retention

32

while completing preoperative patient teaching, the nurse explains that general anesthesia

produces deep muscle relaxation and loss of consciousness

33

a pt expresses fear of nausea and vomiting postoperatively from the anesthesia. which is the nurse's best response?

"nausea and vomiting occur much less frequently than in the past related to the use of a balanced approach to anesthesia

34

an intubated, mechanically ventilated patient in the intensive care unit is becoming increasingly restless and anxious. the nurse expects to administer which intravenous anesthetic drug?

porpofol (Diprivan)

35

which postoperative nursing action will help the patient recover from the effects of anesthesia

turning, coughing, and deep breathing every 2 hours

36

immediate postoperative assessment of a patient reveals a body temperature of 102F. which action will the nurse perform?

notify the physician

37

a patient questions the sue of epinephrine for repair of a laceration stating, "I thought that was the drug they use in the emergency room for patients who are coding." which is the nurses best response?

Vasoconstriction caused by epinephrine enhances the duration of action for lidocaine and minimizes bleeding at the laceration site

38

A mechanically ventilated patient reviewing a neuromuscular blocking drug has hearing in the eyes and increased heart rate and blood pressure. the nurse interprets that the

patients level of sedation is adequate

39

while taking a patient's history prior to surgery for a cardiac problem, the patient informs the nurse he is addicted to cocaine. the nurse alerts the anesthesiologist of the finding because the nurse knows the use of cocaine can cause which effe when a pt is under anesthesia

anestetic-induced complications

40

most nonsteroidal anti-inflammatory drugs (NSAIDs) work by

inhibiting prostaglandin production

41

when teaching a patient about potential side effects of NSAID therapy, the nurse will teach the patient to promptly report which effect?

black tarry stools (indicative of GI bleed)

42

the nurse is administering probenecid (Benemid) to a patient with recurrent strep throat. the nurse teaches the patient that the most likely reason for taking this medication is to

prolong the effectiveness of penicillin therapy

43

The advantage of cyclooxygenase-2 (COX-2) inhibitors over other NSAIDs is that they

do not decrease the cytoprotective lining of the stomach

44

the patient questions a nurse about herbal treatments for arthritic pain. what is the nurse's best response?

Glucosamine sulfate with chondroitin has demonstrated promising results in the treatment of joint stiffness and pain. Discuss this with your heath care provider.

45

the nurse assess for therapeutic effects of colchicine based on the knowledge that colchicine

increases process of phagocytosis

46

assessment of the patient taking colchicine should include consideration of which nursing diagnoses?

deficient fluid volume related to side effects of nausea, vomiting, and diarrhea

47

Patient teaching for a patient receiving allopurinol (Zylorprim) should include which information

increase your fluid intake to 3 L per day

48

the nurse would questions an order to administer misoprostol (cytotec) to a patient with which condition?

pregnancy

49

the nurse should question a border written to administer aspirin to which patient

a 14 year old boy with a history of flu like symptoms

50

which NSAID would the nurse anticipate administering parenterally for treatment of acute postoperative pain?

ketorolac (Torodol)

51

the acetic acid derivative indomethacin (Indochina) has which properties?

antiinflammatory, antirhermatic, antipyretic

52

pain that is thought to account for most migraine headaches

vascular

53

pain that relates to a body part that has been removed

phantom

54

pain that originates from the skin or mucous membranes

superficial

55

pain that occurs with tumors, trauma, or inflammation of the brain

central

56

pain that originates from the organs or smooth muscles

visceral

57

pain that originates from the skeletal muscles, ligaments or joints

somatic

58

during a marathon, a runner had to drop out after 16 miles because of sever muscle spasms. what type of pain is this?

somatic

59

a young man has been taken to the ED because of a suspected overdose of morphine. the nurse prepares to administer which drug?

Narcan

60

an anticonvulsant drug has been ordered as part of a patient's pain management program. the nurse explains to the patient that the purpose of the anticonvulsant is to

relieve neuropathic pain

61

moderate ot severe pain is best treated with which of these medications

fentanyl

62

the nurse is preparing to administer an opioid analgesic. which factors should be assessed before the dose is given? (check all that apply)

the level of pain rated on a scale
prior analgesic use
allergies

63

a type of anesthetic that is applied directly to the skin and mucous membranes

topical

64

a commonly used, long-acting, non depolarizing NMBD

Pancuronium

65

the term for anesthetic drugs that alter the CNS, resulting in loss of consciousness and deep muscle relaxation

General

66

the type of anesthetic drug that reduces pain sensations at the level of the peripheral nerves

local

67

dugs used in combination with anesthetics for anesthesia initiation, sedation, reduction of anxiety, and amnesia

adjunctive

68

the term for dugs that depress the CNS; used for surgical procedures

Anesthetics

69

the practice of using combinations of drugs to produce general anesthesia rather than using a single dose

balanced

70

an anticholinergic dug given preoperatively to dry secretions

atropine