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PharmacologyandtheNursingProcess:8thEditionTestBank–Lilley
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Pharmacology and the Nursing Process: 8th Edition Test Bank – LilleyChapter 10: Analgesic Drugs
Lilley: Pharmacology and the Nursing Process, 8th Edition
MULTIPLE CHOICE
1. A patient was diagnosed with pancreatic cancer last month, and has complained of
a dull ache in the abdomen for the past 4 months. This pain has been gradually
increasing, and the pain relievers taken at home are no longer effective. What type
of pain is the patient experiencing?
a. Acute pain
b. Chronic pain
c. Somatic pain
d. Neuropathic pain
ANS: B
Chronic pain is associated with cancer and is characterized by slow onset, long duration,
and dull, persistent aching. The patient’s symptoms are not characteristics of acute pain,
somatic pain, or neuropathic pain.
, Pharmacology and the Nursing Process: 8th Edition Test Bank – Lilley
DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: p. 145
TOP: NURSING PROCESS: Assessment
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
2. An 18-year-old basketball player fell and twisted his ankle during a game. The
nurse will expect to administer which type of analgesic?
a. Synthetic opioid, such as meperidine (Demerol)
b. Opium alkaloid, such as morphine sulfate
c. Opioid antagonist, such as naloxone HCL (Narcan)
d. Nonopioid analgesic, such as indomethacin (Indocin)
ANS: D
Somatic pain, which originates from skeletal muscles, ligaments, and joints, usually
responds to nonopioid analgesics such as nonsteroidal anti-inflammatory drugs
(NSAIDs). The other options are not the best choices for somatic pain.
DIF: COGNITIVE LEVEL: Applying (Application) REF: pp. 145-146
TOP: NURSING PROCESS: Assessment
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
, Pharmacology and the Nursing Process: 8th Edition Test Bank – Lilley
3. A patient is recovering from abdominal surgery, which he had this morning. He is
groggy but complaining of severe pain around his incision. What is
the most important assessment data to consider before the nurse administers a
dose of morphine sulfate to the patient?
a. His pulse rate
b. His respiratory rate
c. The appearance of the incision
d. The date of his last bowel movement
ANS: B
One of the most serious adverse effects of opioids is respiratory depression. The nurse
must assess the patient’s respiratory rate before administering an opioid. The other
options are incorrect.
DIF: COGNITIVE LEVEL: Applying (Application) REF: p. 153
TOP: NURSING PROCESS: Assessment
MSC: NCLEX: Physiological Integrity: Reduction of Risk Potential
4. A 78-year-old patient is in the recovery room after having a lengthy surgery on his
hip. As he is gradually awakening, he requests pain medication. Within 10 minutes
after receiving a dose of morphine sulfate, he is very lethargic and his respirations
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