3.Strong pain medications will produce a state of analgesia which is described as a
(1 Point)
loss of consciousness due to the depression of the central nervous system (CNS)
temporary relief of pain and other bodily sensations
general state of pain relief without the loss of consciousness
altered pain sensation due to multiple induced nerve blocks
4.Opioids can be agonists or antagonists. Opioid agonists are those that
(1 Point)
bind to pain receptors and do not produce an analgesic response
produce more pain receptors
attach themselves to pain receptors and activate them to produce analgesia
deactivate or destroy the antagonist receptors
5.Because of their strong effect on the CNS, many opioids should be used with caution and not all patients can be given especially those with known history of
(1 Point)
myocardial infarction
asthma
arthritis
pulmonary edema
6.Morphine is administered IV every 4 hours to a patient post-operative. Before the administration of the next dose, the nurse observed that the patient’s respirations are 8-9 breaths/min. The nurse should
(1 Point)
administer 10 liters per minute of oxygen by face mask
withhold the medication and immediately refer to the doctor
put the patient in semi-Fowler’s position to ease breathing
administer the dose but monitor the patient’s vital signs every 15 minutes
7.A male patient was rushed to the Emergency Department following an opioid overdose. On assessment, the nurse would most likely find that the patient is (SELECT ALL THAT APPLY)
(1 Point)
unconscious
aggressive
with pinpoint pupils
having labored, shallow breathing
8.In order to reverse the effects of opioid overdose on the patient in item #7, the doctor will order and the nurse will administer
(1 Point)
Naltrexone
Nalbuphine
Nalidixic acid
Naloxone
9.Mr. Jip See is admitted with acute seizure due to epilepsy. Diazepam 10 mg IV stat was ordered. Diazepam was given in order to
(1 Point)
make the patient sleep after the seizure
stop the seizure
make the seizure last less than 5 minutes
prevent another seizure to occur
10.The nurse monitors Mr. Jip See for the common side-effect of Diazepam which is
(1 Point)
confusion
amnesia
hypotension
tachycardia
11.Mr. Jip See is ordered discharge after 3 days. The doctor orders a home medication of Phenytoin (Dilantin) 50 mg per orem TID, an anti-convulsant. The nurse teaches the patient correctly when she says
(1 Point)
“do not miss a dose and continue to take your doses every day as the doctor ordered”
“make sure to take the drug twice a week after meals”
“take the drug only when you feel you are going to have a seizure attack”
“take the medication at night in order to help you feel relaxed and sleep easily”
12.Long term use of anti-convulsants can lead to
(1 Point)
psychological dependence
Parkinson’s disease
bone marrow suppression
urinary incontinence
13.Which of the following drugs affecting the CNS would specifically depress the brainstem or the reticular formation area?
(1 Point)
barbiturates
benzodiazepines
non-benzodiazepines
dopamine adrenergic agents
14.Barbiturates should never be administered with benzodiazepines because the combination can lead to
(1 Point)
severe respiratory depression
extreme excitability or agitation
severe bleeding
inhibition of benzodiazepine action
15.Ms. Santos is admitted for abdominal surgery. She is very anxious and cannot focus due to worrying. The doctor ordered Diazepam 5 mg tab stat. After 30 minutes, she became relaxed and calm. The drug has acted as a/an
(1 Point)
anti-convulsant
sedative
anti-depressant
stimulant
16.After 6 hours, Ms. Santos had another panic attack. She learned that her officemate was positive for the COVID virus and was worried she had been infected. She was given Diazepam 5 mg IV stat. She develops an expected side effect of Diazepam when she
(1 Point)
started having seizures
has a blood pressure of 90/60 mmHg from the usual 110/70 mmHg
sleeps more than her usual sleeping time
continues to vomit even after 6 hours after drug administration
17.Ms. Santos was able to manage her anxiety and is ready to be educated about her upcoming abdominal surgery. The anesthesiologist informed that she will be put under general anesthesia. This means that
(1 Point)
she will be awake during the procedure but would not feel pain
a stronger dose of sedatives will be given to make her sleep throughout the surgery
she will be in a drug-induced state of loss of consciousness during the procedure
the pain she feels during the surgery is very mild
18.The anesthesiologist asked Ms. Santos if she is taking anti-hypertensive drugs. This is important to ask because anti-hypertensive medications will
(1 Point)
speed up the excretion of anesthetics
require an increased dose of anesthetics
increase the CNS depressive effects of anesthetics
act as antagonists to the effects of anesthetics
19.Compared to general anesthesia, a regional anesthesia
(1 Point)
produces unconsciousness in only specific parts of the brain
acts purely on the spinal cord than the brain
puts the patient into deep sleep during the procedure
does not affect or alter consciousness
20.The main mechanism with which local or regional anesthetics act is by
(1 Point)
‘depressing specific areas of the CNS
blocking nerve transmissions to specific parts of the body
blocking opiate receptors in the brain
stimulating the release of endorphins or happy hormones
21.Ms. Santos’ abdominal surgery was performed uneventfully and she is now 14 hours post-surgery. She is given Meperidine hydrochloride (Demerol), 50 mg IV for severe pain. The nurse appropriately instructs Ms. Santos by saying
(1 Point)
“Avoid eating by now because soon you will be vomiting from the drug effects”
“Remain in bed and slowly change position to avoid dizziness and falling over”
“Do not rely too much on this medication – you can become addicted”
“Go to the bathroom if you feel the urge to urinate – that way, you avoid urinary retention”
22.An elderly male patient is admitted for Parkinson’s disease. An expected drug to be given to manage the patient’s low dopamine levels is
(1 Point)
Phenobarbital
Diazepam
Levodopa
Morphine
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