The Pain Management Quiz! Trivia

1. Chuck c/o 9/10 pain. He received 15 mg of morphine 4 hrs ago with an order for 10-15 mg q 4 hrs for pain. A rapid response was called for Chuck. What would the rapid response mostly likely be for?

Renal Failure

MI

Depressed Respiration

CHF

The rapid response would most likely be for depressed respiration. This is because Chuck is experiencing severe pain (9/10) and has received a relatively high dose of morphine (15 mg) 4 hours ago. Morphine is a potent opioid analgesic that can cause respiratory depression as a side effect. Therefore, it is important to assess and address any signs or symptoms of depressed respiration promptly to prevent further complications.

Explanation

The rapid response would most likely be for depressed respiration. This is because Chuck is experiencing severe pain (9/10) and has received a relatively high dose of morphine (15 mg) 4 hours ago. Morphine is a potent opioid analgesic that can cause respiratory depression as a side effect. Therefore, it is important to assess and address any signs or symptoms of depressed respiration promptly to prevent further complications.

2. NSAIDs carry common potential side effect such as

Anaphylaxis

GI Bleeding

Nausea

Constipation

Toradol does not carry a side effect of nausea or constipation. Aspirin does not carry anaphylaxis.

Explanation

Toradol does not carry a side effect of nausea or constipation. Aspirin does not carry anaphylaxis.

3. Linda is on her 3rd day of recovering from a hip replacement. She has reported that her pain is 5/10 when lying still, but when she has to do her physical therapy it goes to an 8/10. She has been on hydrocodone 1 tab q 4 hours, but her therapy is always cut short due to pain. Therapy comes twice a day. Once mid-morning and once in the late afternoon. What would the nurse do?

Give the pt 2 tabs corresponding to therapy times.

Give the pt morphine before therapy times.

Give the pt fentanyl before therapy times.

Give the pt demerol before therapy times.

The nurse would give the patient 2 tabs of hydrocodone corresponding to therapy times. This is because the patient's pain increases during physical therapy, and her therapy sessions are always cut short due to pain. By giving the patient 2 tabs of hydrocodone before therapy times, it can help manage her pain more effectively and allow her to complete her therapy sessions without discomfort.

Explanation

The nurse would give the patient 2 tabs of hydrocodone corresponding to therapy times. This is because the patient's pain increases during physical therapy, and her therapy sessions are always cut short due to pain. By giving the patient 2 tabs of hydrocodone before therapy times, it can help manage her pain more effectively and allow her to complete her therapy sessions without discomfort.

4. Karen is an 84-year-old woman recovering from a double hip replacement. She has an order for 10-15mg morphine q 4 hrs. The nurse gave Karen 12.5 mg 30 minutes ago. Karen has gone into respiratory depression. What is the consequence of giving Karen Narcan?

Karen will come out of her respiratory depression in excruciating pain.

Karen could become afrebile.

Karen could have hallucinations.

Karen will come out her respiratory depression with nausea.

Narcan reverses narcotics but also will leave the pt with the full feeling of pain for 45 minutes until the Narcan wears off.

Explanation

Narcan reverses narcotics but also will leave the pt with the full feeling of pain for 45 minutes until the Narcan wears off.

5. Michael 's PCA pump is being DC'd. He was on a morphine infusion. He has been reporting steady 8/10 pain. The nurse has an order for oxycodone 2 tabs q 4 hrs for Michael. Michael has been sleeping and aroused but not easily. What concern would the nurse have transitioning Michael from morphine to oxycodone?

Michael may have withdrawl from the morphine.

The pump must be DC'd and removed before administering the oxycodone.

Michael may carry extra risk for respiratory depression.

Michael will need to be assessed for apnea.

The nurse would have concern transitioning Michael from morphine to oxycodone because Michael may carry extra risk for respiratory depression. This is because both morphine and oxycodone are opioids, and opioids can cause respiratory depression as a side effect. Therefore, the nurse would need to closely monitor Michael's respiratory status and titrate the dose of oxycodone carefully to prevent any respiratory complications.

Explanation

The nurse would have concern transitioning Michael from morphine to oxycodone because Michael may carry extra risk for respiratory depression. This is because both morphine and oxycodone are opioids, and opioids can cause respiratory depression as a side effect. Therefore, the nurse would need to closely monitor Michael's respiratory status and titrate the dose of oxycodone carefully to prevent any respiratory complications.

6. Agonist/Antagonists have a potential for:

Increased HR

Hypertension

Withdrawl

Depressed Immune Response

Agonist/antagonists have the potential for withdrawal symptoms. This means that when someone stops taking these drugs, they may experience a range of physical and psychological symptoms as their body adjusts to the absence of the drug. Withdrawal symptoms can vary depending on the specific drug, but common symptoms include cravings, irritability, anxiety, depression, nausea, and insomnia. It is important for individuals who have been taking agonist/antagonists to slowly taper off the medication under medical supervision to minimize the severity of withdrawal symptoms.

Explanation

Agonist/antagonists have the potential for withdrawal symptoms. This means that when someone stops taking these drugs, they may experience a range of physical and psychological symptoms as their body adjusts to the absence of the drug. Withdrawal symptoms can vary depending on the specific drug, but common symptoms include cravings, irritability, anxiety, depression, nausea, and insomnia. It is important for individuals who have been taking agonist/antagonists to slowly taper off the medication under medical supervision to minimize the severity of withdrawal symptoms.

7. Nick is recovering from surgery and has been given nubain. The nurse understands the unique side effects of nubain when the nurse states that nubain could cause:

Apnea

Clammy skin

Hallucinations

Seizures

Nubain is a medication commonly used for pain relief. One of the possible side effects of Nubain is clammy skin. Clammy skin refers to skin that feels cool, moist, and slightly sticky to the touch. This side effect occurs due to the medication's effect on the body's blood vessels and sweat glands. It is important for the nurse to be aware of this potential side effect in order to monitor the patient's condition and provide appropriate care.

Explanation

Nubain is a medication commonly used for pain relief. One of the possible side effects of Nubain is clammy skin. Clammy skin refers to skin that feels cool, moist, and slightly sticky to the touch. This side effect occurs due to the medication's effect on the body's blood vessels and sweat glands. It is important for the nurse to be aware of this potential side effect in order to monitor the patient's condition and provide appropriate care.

8. Maggie has come back from surgery and has begun to have a seizure. She has no history of seizure. What medication could be the problem?

Morphine

Fentanyl

Dilaudid

Demerol

Demerol could be the problem medication causing Maggie's seizure. Seizures are a potential side effect of Demerol, a narcotic pain medication. Since Maggie has no history of seizures and the seizure occurred after her surgery, it is possible that the administration of Demerol could be the cause. The other options, Morphine, Fentanyl, and Dilaudid, are also narcotic pain medications, but they are not commonly associated with seizures as a side effect.

Explanation

Demerol could be the problem medication causing Maggie's seizure. Seizures are a potential side effect of Demerol, a narcotic pain medication. Since Maggie has no history of seizures and the seizure occurred after her surgery, it is possible that the administration of Demerol could be the cause. The other options, Morphine, Fentanyl, and Dilaudid, are also narcotic pain medications, but they are not commonly associated with seizures as a side effect.

9. Nina is 69 years old. She has an order for 8-10 mg of morphine. The nurse understands morphine and the elderly when the nurse states:

Elderly need their dose decreased 35%-50%

Elderly need their dose decreased 20% - 40%.

Elderly need their dose increased by 25%-50%.

None of the above.

They need to be DECREASED by 25%-50%.

Explanation

They need to be DECREASED by 25%-50%.

10. Upon assessment of James, the nurse discovers that James is not easily aroused and is having apnea. What medication could cause this problem?

Morphine

Fentanyl

Hydrocodone

Demerol

Fentanyl is a potent opioid analgesic that can cause respiratory depression and sedation. These effects can lead to difficulty in arousal and apnea, which are the symptoms observed in James. Therefore, Fentanyl is the medication that could cause this problem.

Explanation

Fentanyl is a potent opioid analgesic that can cause respiratory depression and sedation. These effects can lead to difficulty in arousal and apnea, which are the symptoms observed in James. Therefore, Fentanyl is the medication that could cause this problem.

11. Kim is recovering from surgery. Her pain was controlled with stadol. Kim is now having a reaction. What could the reaction be?

Respiratory depression

Sweating

Hallucinations

Apnea

The reaction Kim is experiencing after surgery could be hallucinations. Hallucinations are sensory experiences that seem real but are not actually happening. They can occur as a side effect of certain medications, including stadol, which is used for pain control. It is possible that Kim's body is reacting to the medication, causing her to have hallucinations.

Explanation

The reaction Kim is experiencing after surgery could be hallucinations. Hallucinations are sensory experiences that seem real but are not actually happening. They can occur as a side effect of certain medications, including stadol, which is used for pain control. It is possible that Kim's body is reacting to the medication, causing her to have hallucinations.

12. Opioids do what for pain?

Alter stimuli response and perception

Make a pt sleep through pain

Bind to the MU receptor

CNS depression

Decrease prostiglandin production

Opioids have multiple effects on pain. They alter stimuli response and perception by reducing the brain's ability to perceive and respond to pain signals. They also bind to the MU receptor, which is involved in pain modulation, leading to analgesic effects. Additionally, opioids cause CNS depression, which further contributes to pain relief by reducing the activity of the central nervous system.

Explanation

Opioids have multiple effects on pain. They alter stimuli response and perception by reducing the brain's ability to perceive and respond to pain signals. They also bind to the MU receptor, which is involved in pain modulation, leading to analgesic effects. Additionally, opioids cause CNS depression, which further contributes to pain relief by reducing the activity of the central nervous system.

Submit