According to the Gate Control Theory, what interventions by the nurse could help to block pain impulses? A. Administration of opioid medications B. Administration of narcotic agonist-antagonists C. Back massage D. Acupuncture Ans-C. Back massage -Before administering an opiate medication, what will the nurse assess? A. The patient's weight B. The patient's heart rate C. The patient's respiratory rate D. The patient's drug tolerance Ans-C. The patient's respiratory rate -The home care nurse administers oral morphine to the patient with cancer pain. When will the nurse expect this medication to reach peak activity? A. 10 minutes B. 30 minutes C. 45 minutes D. 60 minutes Ans-D. 60 minutes -The nurse administers a narcotic analgesic to the postoperative patient. What is the best way for the nurse to evaluate response to the medication? A. Observe the patient without her awareness. B. Use a pain assessment tool before and 30 minutes after administration. C. Assess vital signs. D. Measure oxygen saturation. Ans-B. Use a pain assessment tool before and 30 minutes after administration. -The nurse is administering morphine to a trauma patient for acute pain. Before administering the morphine, what common adverse effect should the nurse inform the patient about? A. Paresthesia in lower extremities B. Occipital headache C. Increased intracranial pressure D. Drowsiness Ans-D. Drowsiness -What drug might the nurse administer for both analgesic and antitussive effects? A. Codeine B. Aspirin C. Ibuprofen D. Acetaminophen Ans-A. Codeine -The nurse is caring for a patient who is receiving an opioid analgesic. What are the nurse's priority assessments? A. Pain intensity and blood glucose level B. Level of consciousness and respiratory rate C. Respiratory rate and electrolytes D. Urine output and pain intensity Ans-B. Level of consciousness and respiratory rate -The pediatric patient has a fever and the nurse is preparing to administer an antipyretic. What drug would be the best choice for this patient? A. Balsalazide (Colazal) B. Naproxen (Naprosyn) C. Indomethacin (Indocin) D. Aspirin Ans-B. Naproxen (Naprosyn) Rationel Naproxen is approved for pediatric use and has antipyretic properties. Balsalazide is used to treat ulcerative colitis and would not be appropriate for treating a fever. Indomethacin has anti-inflammatory effects but does not have antipyretic effects. Aspirin would not be appropriate for treating a child with a fever of unknown origin due to risk of Reye's syndrome. -The patient has been diagnosed with rheumatoid arthritis. She also reports pain in various muscle groups secondary to a diagnosis of fibromyalgia and dysmenorrhea with painful cramping during menses. What drug would be most effective in treating all three of this patient's problems? A. Naproxen (Naprosyn) B. Acetaminophen (Tylenol) C. Etanercept (Enbrel) D. Sodium hyaluronate (Hyalgan) Ans-A. Naproxen (Naprosyn) Rationel Naproxen is effective in treating muscle pain, arthritis, and dysmenorrhea. Acetaminophen has no antiinflammatory effects and would not be helpful for treating arthritis or dysmenorrhea other than some pain relief. Etanercept is useful only for treating rheumatoid arthritis; sodium hyaluronate is used to treat rheumatoid arthritis when other traditional treatment has been ineffective and the condition continues to worsen. -The nurse teaches a patient with rheumatic disease who is being prescribed salicylate therapy to monitor himself or herself for what? A. Tinnitus B. Visual changes C. Stomatitis D. Hirsutism Ans-A. Tinnitus Rationel Tinnitus is associated with salicylates. The disease-modifying antirheumatic drug (DMARD) category of antimalarials may cause visual changes, GI upset, skin rash, headaches, photosensitivity, and bleaching of hair. Eighth cranial nerve damage and stomatitis are associated with gold therapy. Hirsutism is associated with corticosteroid therapy. -A mother has brought her 6-year-old child to the clinic. The child has a fever of 102.8ºF and is diagnosed with the flu. What medication will the nurse suggest for this child? A. Etanercept (Enbrel) B. Penicillamine (Depen) C. Acetaminophen (Tylenol) D. Aspirin (Bayer) Ans-C. Acetaminophen (Tylenol)