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Drugs Used for Pain Management > Pharmacology
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Total Questions : 15
Showing 15 questions, Sign in for moreA patient is taking aspirin for arthritis. Which adverse reaction should the nurse teach the patient to report to the health care provider?
The nurse is teaching a patient about taking aspirin. Which are important points for the nurse to include? Select all that apply
A patient requires a nonopioid medication. The nurse knows that which medication will cause the least gastrointestinal distress?
A patient states during a medical history that he takes several acetaminophen tablets throughout the day. The nurse teaches the patient that the dosage should not exceed which amount?
A patient is admitted to the emergency department in respiratory depression following self-injection with hydromorphone. The admitting nurse knows that which drug will reverse respiratory depression caused by opioid overdose?
Assessing a patient following IV morphine administration, the nurse notes cold, clammy skin; a pulse of 40 beats/min; respirations of 10 breaths/min; and constricted pupils. Which medication will the patient likely need next?
For the patient who is taking acetaminophen (Tylenol), what should the nurse do? Select all that apply
For the patient who is taking nalbuphine (Nubain), what should the nurse do? Select all that apply
A patient is receiving an opioid via a PCA pump as part of his postoperative pain management program. During rounds, the nurse finds him unresponsive, with respirations of 8 breaths/min and blood pressure of 102/58 mm Hg. After stopping the opioid infusion, what should the nurse do next?
A patient with bone pain caused by metastatic cancer will be receiving transdermal fentanyl patches. The patient asks the nurse what benefits these patches have. The nurse's best response includes which of these features?
Intravenous morphine is prescribed for a patient who has had surgery. The nurse informs the patient that which common adverse effects can occur with this medication? Select all that apply
Several patients have standard orders for acetaminophen as needed for pain. While reviewing their histories and assessments, the nurse discovers that one of the patients has a contraindication to acetaminophen therapy. Which patient should receive an alternate medication?
The nurse is administering an intravenous dose of morphine sulfate to a 48-year-old postoperative patient. The dose ordered is 3 mg every 3 hours as needed for pain. The medication is supplied in vials of 4 mg/mL. How much will be drawn into the syringe for this dose?
Explanation
Accurate dosage calculation is essential in nursing practice to ensure patient safety and effective pain management. When administering intravenous medications like morphine sulfate, the nurse must carefully convert the ordered dose into the correct volume based on the supplied concentration.
Rationale for correct answers:
Step-by-Step Calculation
To determine the volume of medication to administer, you can use the following formula:
Volume(mL)=ConcentrationSupplied(mg/mL)DoseOrdered(mg)​
- Identify the ordered dose: The order is for 3 mg of morphine sulfate.
- Identify the concentration supplied: The vial is supplied as 4 mg/mL.
- Calculate the volume: Volume(mL)=4mg/mL3mg​=0.75mL
Therefore, the nurse will draw 0.75 mL into the syringe for this dose.
Take-home points:
- Always use the formula: Volume (mL) = (Dose Ordered ÷ Dose on Hand) × Volume on Hand.
- Double-check the medication concentration on the vial before calculating to avoid errors.
- Correctly calculated, a 3 mg dose from a 4 mg/mL supply equals 0.75 mL to be drawn.
An opioid analgesic is prescribed for a patient. The nurse checks the patient's medical history knowing this medication is contraindicated in which disorder? Select all that apply
While preparing aspirin for a patient, the nurse reviewed which of the pharmacologic effects of salicylates? Select all that apply
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