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Understanding Pharmacology: Essentials for Medication Safety

M. Linda Workman; Linda A. LaCharity

Chapter 7

Drugs for Pain Control - all with Video Answers

Educators

Chapter Questions

01:02

Problem 1

Which type of pain drug has the highest risk for development of physical or psychological dependence?
A. Opioids
B. NSAIDs
C. Antidepressants
D. Nonopioids

Jessica Reyna
Jessica Reyna
Numerade Educator
01:01

Problem 2

Which opioid drug should be avoided for older adults?
A. Morphine
B. Methadone
C. Demerol
D. Oxycodone

Narayan Hari
Narayan Hari
Numerade Educator

Problem 3

Which vital sign is most important to monitor after giving a patient a dose of morphine for severe pain?
A. Blood pressure
B. Heart rate
C. Respiratory rate
D. Oral temperature

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Problem 4

For which common side effect must you monitor on a daily basis for any patient taking any opioid drug for pain?
A. Confusion
B. Constipation
C. Tachycardia
D. Diarrhea

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Problem 5

How can you assess pain in an infant?
A. Use a number-based pain scale.
B. Ask the parents if they think the infant is in pain.
C. Monitor the infant using the FLACC scale.
D. Use a pain scale with faces to determine severity of the pain.

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Problem 6

Which side effects or adverse effects are associated with opioid analgesics? (Select all that apply.)
A. Aggression
B. Slow, shallow respirations
C. Constipation
D. Widely dilated pupils
E. High blood glucose levels
F. Nausea and vomiting
G. Irregular heartbeat
H. Liver failure

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Problem 7

Which teaching point is essential for older adults prescribed an opioid drug for pain control?
A. Report the presence of constipation to the prescriber.
B. Take any prescribed stool softeners at bedtime.
C. Increase room lighting to decrease the risk of falling.
D. Always take this drug on an empty stomach.

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01:01

Problem 8

Why is morphine categorized in the United States as a schedule II drug rather than a schedule I drug?
A. It has a high potential for abuse.
B. It has a currently accepted use for treatment.
C. It is a synthetic product rather than a naturally occurring substance.
D. It is usually combined with nonopioid drugs when used for pain control.

Narayan Hari
Narayan Hari
Numerade Educator

Problem 9

What is the most important action to take after administering any drug for pain?
A. Ask the patient whether the pain interferes with sleep.
B. Assess the patient's susceptibility for drug abuse.
C. Ask the patient to rate his or her level of pain relief.
D. Remind the patient that dependence is possible.

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01:01

Problem 10

Which opioid analgesic has the lowest normal recommended dosages?
A. Codeine (Paveral)
B. Morphine (Duramorph)
C. Meperidine (Demerol)
D. Hydromorphone (Dilaudid)

Narayan Hari
Narayan Hari
Numerade Educator

Problem 11

For which class of drug used for pain control in a small child should an apnea monitor and pulse oximetry be used to assess for respiratory depression?
A. Aspirin
B. Opioids
C. Acetaminophen
D. Nonsteroidal anti-inflammatory drugs

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01:17

Problem 12

Which drug is available as an oral lozenge or lollipop?
A. Codeine
B. Tramadol
C. Fentanyl
D. Hydrocodone

Lottie Adams
Lottie Adams
Numerade Educator

Problem 13

What is the most important precaution to teach the parents of a 1-year-old child taking acetaminophen (Tylenol) for pain?
A. "Watch your child closely for slowing of the rate and depth of breathing."
B. "Be sure to call the prescriber if your child develops tremors of the hand."
C. "Read the label carefully for the correct amount of liquid drug to give your child."
D. "Check your child's pain level using the FACES pain scale before and after you give the drug."

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Problem 14

What is the most important precaution to teach a patient taking acetaminophen orally for pain?
A. Drink 8 ounces of water with each tablet.
B. Avoid drinking alcohol while on this drug.
C. Avoid driving or operative heavy equipment while on this drug.
D. Be sure to wear sunscreen, a hat, and protective clothing when outdoors.

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02:29

Problem 15

A 3-year-old child is to receive $250 \mathrm{mg}$ of acetaminophen (Tylenol). The liquid you have on hand has a drug concentration of $160 \mathrm{mg} / 5 \mathrm{~mL}$.
A. How many milliliters is the correct dose for this child? _____________$\mathrm{mL}$
B. How many milliliters is the correct dose if the liquid has a concentration of $100 \mathrm{mg} / 5 \mathrm{~mL}$ ? _______________$\mathrm{mL}$

Gokul R Nair
Gokul R Nair
Numerade Educator
00:46

Problem 16

An adult patient is prescribed to receive $750 \mathrm{mcg}$ of hydromorphone intravenously. The IV solution you have on hand has a concentration of $1 \mathrm{mg} / \mathrm{mL}$. How many milliliters is the correct dose for this patient? ______________$\mathrm{mL}$

Liuxi Sun
Liuxi Sun
Numerade Educator