Pharmacology for Canadian Health Care Practice 3rd Edition Lilley Test Bank
Chapter 11: Analgesic Drugs Lilley: Pharmacology for Canadian Health Care Practice, 3rd Canadian Edition MULTIPLE CHOICE 1. A patient diagnosed with migraine headache is experiencing what type of pain? a. Acute pain b. Persistent pain c. Vascular pain d. Phantom pain ANS: C
Vascular pain is thought to account for a large percentage of migraine headaches. It is believed to originate from vascular or perivascular tissues. It is characterized by persistent and recurring pain lasting 3 to 6 months. Acute pain is sudden and usually subsides when treated. Phantom pain occurs in the area of a body part that has been removed—surgically or traumatically—and is often described as burning, itching, tingling, or stabbing. It can also occur in paralyzed limbs following spinal cord injury. DIF: Cognitive Level: Comprehension
REF: p. 196
2. An 18-year-old basketball player fell and twisted his ankle during a game. Which type of
analgesic is he likely to be given? a. A synthetic opioid, such as meperidine hydrochloride b. An opium alkaloid, such as morphine sulphate c. An opioid antagonist, such as naloxone hydrochloride (Suboxone®) N R I G B.C M O d. A non-opioid analgesic, suU ch aS s traNmaT dol ANS: D
Pain originating from skeletal muscles, ligaments, and joints usually responds to non-opioid analgesics such as nonsteroidal anti-inflammatory drugs (NSAIDs). All drugs in the NSAID class are especially useful for pain associated with inflammatory conditions because these drugs have analgesic and anti-inflammatory effects. DIF: Cognitive Level: Application
REF: p. 207
3. A patient is in the recovery room following abdominal surgery. He is groggy but reports
severe pain around his incision. What is the most important factor for the nurse to consider during her patient assessment before administering a dose of morphine sulphate? a. Temperature b. Respiration rate c. Appearance of the incision d. Time of last bowel movement ANS: B
One of the most serious side effects of opioids is respiratory depression, so respiration must be assessed prior to administering a dose of morphine. DIF: Cognitive Level: Analysis
REF: p. 220
