PHARM CH. 11 & 12

A patient diagnosed with migraine headache is experiencing what type of pain?

An 18-year-old basketball player fell and twisted his ankle during a game. Which type of analgesic is he likely to be given?

A patient is in the recovery room following abdominal surgery. He is groggy but reports severe pain around his incision. What is the most important factor for the nurse to consider during her patient assessment before administering a dose of morphine sulphate?

A 78-year-old patient is in the recovery room after lengthy hip surgery. While gradually awakening, the patient requests pain medication. Within 10 minutes after receiving a dose of morphine sulphate, the patient is very lethargic; respiration is shallow, at a rate of nine respirations per minute. What necessary action may the nurse need to perform?

A patient will be discharged with a 1-week supply of an opioid analgesic for pain management after his abdominal surgery. What should the nurse teach this patient in regard to this drug?

A patient has been taking an opioid for a long time, saying that the dose being used is not helping as much, and says that taking more medication is needed for the same pain relief. What is this patient experiencing?

A 38-year-old male has arrived at the urgent care centre with severe hip pain after falling from a ladder at work. He has taken several pain pills over the past few hours but cannot remember how many he has taken. He hands the nurse an empty bottle of acetaminophen (Tylenol®). What is the most serious toxic effect of acute acetaminophen overdose?

The drug pentazocine (Talwin®) is a narcotic agonist-antagonist. Which statement describes a characteristic of this type of medication?

A 57-year-old patient has been on a transdermal narcotic analgesic as part of the management of pain for end-stage breast cancer. Lately, she has experienced "breakthrough" pain. How should this pain be addressed?

For which situation is the herb feverfew commonly used?

A patient is to receive acetylcysteine as part of treatment for an acetaminophen overdose. Which action by the nurse is appropriate when administering this medication?

Pain associated with peripheral neuropathy is best treated with what type of drug?

A patient has been diagnosed with shingles and is experiencing postherpetic neuralgia. What would the nurse expect to administer for pain relief?

After piercing a finger with a fish hook during a fishing trip, a patient is now at an emergency department to have the hook removed. What type of anaesthesia will be used for this procedure?

A patient is to receive local anaesthesia for removal of a lymph node from the groin. Why does the physician add epinephrine to the local anaesthetic during the preparation?

During the postoperative recovery period, what should be the nurse's immediate main concern?

While monitoring a patient who had surgery under general anaesthesia 2 hours earlier, the nurse notes a sudden elevation in body temperature. What does this sudden elevation in body temperature indicate?

Which individual is at high risk for an altered response to anaesthesia?

Which nursing diagnosis is most applicable to a patient who is undergoing general anaesthesia?

When administering a neuromuscular drug such as pancuronium, what does the nurse need to remember?

A patient has been given succinylcholine (Quelicin®) after a severe injury that necessitated controlled ventilation. The physician now wants to reverse the paralysis. The nurse would expect to use which drug to reverse the succinylcholine?

A patient is being prepared for an oral endoscopy, and the nurse reminds him that he will be awake during the procedure but probably will not remember it. What type of anaesthetic technique is used in this situation?

Which symptom may occur if a patient is taking ginger and requires an anaesthetic?

When a neuromuscular blocking drug is given, the effects occur in a certain order. Put the following drug effects in the proper order of occurrence

Nalbupine ( nubbin) is a partial opioid agonist. What characterizes this type of medication.

Vascular Pain

Analgesic for Ankle Injury

Post-operative Pain Assessment (Opioids)

Naloxone (Narcan)

Opioid Analgesics Patient Teaching

Opioid Tolerance

Acetaminophen (Tylenol) Toxicity

Narcotic Agonist-Antagonist

Addressing Breakthrough Pain

Feverfew Uses

Acetylcysteine Administration

Anticonvulsants for Pain

Transdermal Lidocaine for Shingles

Nalbuphine (Nubain) Characteristics

Infiltration Anesthesia

Local Anesthesia and Epinephrine

Postoperative Recovery Concerns

Malignant Hyperthermia

Risk Factors for Anesthesia Response

Nursing Diagnosis for Anesthesia

Neuromuscular Blocking Agents (NMBAs)

Reversing Paralysis

Oral Endoscopy Anesthetic

Risks of Ginger

Order of Effect on Neuromuscular Blocking Agents (1)

Order of Effect on Neuromuscular Blocking Agents (2)

Order of Effect on Neuromuscular Blocking Agents (3)