The Pain Management Quiz! Trivia
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- 1.Opioids do what for pain?
- A.
Alter stimuli response and perception
- B.
Make a pt sleep through pain
- C.
Bind to the MU receptor
- D.
CNS depression
- E.
Decrease prostiglandin production
- 2.Agonist/Antagonists have a potential for:
- A.
Increased HR
- B.
Hypertension
- C.
Withdrawl
- D.
Depressed Immune Response
- 3.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?
- A.
Morphine
- B.
Fentanyl
- C.
Dilaudid
- D.
Demerol
- 4.Upon assessment of James, the nurse discovers that James is not easily aroused and is having apnea. What medication could cause this problem?
- A.
Morphine
- B.
Fentanyl
- C.
Hydrocodone
- D.
Demerol
- 5.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?
- A.
Renal Failure
- B.
MI
- C.
Depressed Respiration
- D.
CHF
- 6.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?
- A.
Michael may have withdrawl from the morphine.
- B.
The pump must be DC'd and removed before administering the oxycodone.
- C.
Michael may carry extra risk for respiratory depression.
- D.
Michael will need to be assessed for apnea.
- 7.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?
- A.
Give the pt 2 tabs corresponding to therapy times.
- B.
Give the pt morphine before therapy times.
- C.
Give the pt fentanyl before therapy times.
- D.
Give the pt demerol before therapy times.
- 8.Kim is recovering from surgery. Her pain was controlled with stadol. Kim is now having a reaction. What could the reaction be?
- A.
Respiratory depression
- B.
Sweating
- C.
Hallucinations
- D.
Apnea
- 9.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:
- A.
Apnea
- B.
Clammy skin
- C.
Hallucinations
- D.
Seizures
- 10.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?
- A.
Karen will come out of her respiratory depression in excruciating pain.
- B.
Karen could become afrebile.
- C.
Karen could have hallucinations.
- D.
Karen will come out her respiratory depression with nausea.
- 11.NSAIDs carry common potential side effect such as
- A.
Anaphylaxis
- B.
GI Bleeding
- C.
Nausea
- D.
Constipation
- 12.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:
- A.
Elderly need their dose decreased 35%-50%
- B.
Elderly need their dose decreased 20% - 40%.
- C.
Elderly need their dose increased by 25%-50%.
- D.
None of the above.
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