A nurse is preparing to give an infusion of acetaminophen (Ofirmev). The pharmacy delivers a bag containing 50 mL of normal saline and the Ofirmev. At what rate does the nurse set the IV pump to deliver this dose? (Record your answer using a whole number.
ANS: ____ mL/hr
Question 2A client is to receive 4 mg morphine sulfate IV push. The pharmacy delivers 5 mg in a 2-mL vial. How much should the nurse administer for one dose? (Record your answer using a decimal rounded to the nearest tenth.) ____ mL
ANS:
Question 3A client reports a great deal of pain following a fairly minor operation. The surgeon leaves a prescription for the nurse to administer a placebo instead of pain medication. What actions by the nurse are most appropriate? (Select all that apply.)
a. Consult with the prescriber and voice objections.
b. Delegate administration of the placebo to another nurse.
c. Give the placebo and reassess the client's pain.
d. Notify the nurse manager of the physician's request.
e. Tell the client what the prescriber ordered.
Question 4A nurse on the postoperative unit administers many opioid analgesics. What actions by the nurse are best to prevent unwanted sedation as a complication of these medications? (Select all that apply.)
a. Avoid using other medications that cause sedation.
b. Delay giving medication if the client is sleeping.
c. Give the lowest dose that produces good control.
d. Identify clients at high risk for unwanted sedation.
e. Use an oximeter to monitor clients receiving analgesia.
Question 5A nursing student is studying pain sources. Which statements accurately describe different types of pain? (Select all that apply.)
a. Neuropathic pain sometimes accompanies amputation.
b. Nociceptive pain originates from abnormal pain processing.
c. Deep somatic pain is pain arising from bone and connective tissues.
d. Somatic pain originates from skin and subcutaneous tissues.
e. Visceral pain is often diffuse and poorly localized.
Question 6A student nurse learns that there are physical consequences to unrelieved pain. Which factors are included in this problem? (Select all that apply.)
a. Decreased immune response
b. Development of chronic pain
c. Increased gastrointestinal (GI) motility
d. Possible immobility
e. Slower healing
Question 7A client with a broken arm has had ice placed on it for 20 minutes. A short time after the ice was removed, the client reports that the effect has worn off and requests pain medication, which cannot be given yet.
What actions by the nurse are most appropriate? (Select all that apply.)
a.
Ask for a physical therapy consult.
b.
Educate the client on cold therapy.
c.
Offer to provide a heating pad.
d.
Repeat the ice application.
e.
Teach the client relaxation techniques.
Question 8A postoperative client has an epidural infusion of morphine and bupivacaine (Marcaine). What actions does the nurse delegate to the unlicensed assistive personnel (UAP)? (Select all that apply.)
a. Ask the client to point out any areas of numbness or tingling.
b. Determine how many people are needed to ambulate the client.
c. Perform a bladder scan if the client is unable to void after 4 hours.
d. Remind the client to use the incentive spirometer every hour.
e. Take and record the client's vital signs per agency protocol.
Question 9A faculty member explains the concepts of addiction, tolerance, and dependence to students. Which information is accurate? (Select all that apply.)
a. Addiction is a chronic physiologic disease process.
b. Physical dependence and addiction are the same thing.
c. Pseudoaddiction can result in withdrawal symptoms.
d. Tolerance is a normal response to regular opioid use.
e. Tolerance is said to occur when opioid effects decrease.
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