N 106-109

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Author:
ndarlenebeck
ID:
291447
Filename:
N 106-109
Updated:
2014-12-13 14:09:51
Tags:
comfort
Folders:
comfort 2
Description:
comfort2 test
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  1. Non-narcotic drugs are appropriate for:
    A) Moderate acute pain
    B) Deep pain
    C) Mild superficial pain
    D) Chronic pain
    C) Mild superficial pain
    (this multiple choice question has been scrambled)
  2. The following NSAIDs are appropriate to treat inflammatory process EXCEPT:
    A) Ibuprofen
    B) Naproxen Sodium
    C) Acetaminophen
    D) Fenoprofen
    C) Acetaminophen
    (this multiple choice question has been scrambled)
  3. Aspirin and NSAIDs relieve pain by inhibiting the synthesis of:
    A) Enkephalin
    B) Endorphins
    C) Bradykinin
    D) Prostaglandins
    D) Prostaglandins
    (this multiple choice question has been scrambled)
  4. Aspirin is not recommended for the treatment in:
    A) Viral infection
    B) Bacterial infection
    C) Inflammations
    d) All of the above
    A) Viral infection
    (this multiple choice question has been scrambled)
  5. NSAIDs should be taken:
    a) with food
    b) at mealtime
    c) with a full glass or fluid
    d) any of the above
    any of the above
  6. Serious result of an overdose of Tylenol that extends beyond several days is:
    A) hepatonecrosis
    B) heart failure
    C) retinal degeneration
    d) all of the above
    A) hepatonecrosis
    (this multiple choice question has been scrambled)
  7. Narcotics act primarily on the ___ nervous system at the pain receptor sites:
    A) peripheral
    B) autonomic
    C) central
    d) none of the above
    C) central
    (this multiple choice question has been scrambled)
  8. Non-narcotic analgesics act on the ___ nervous system at the pain receptor sites:
    A) autonomic
    B) central
    C) peripheral
    d) none of the above
    C) peripheral
    (this multiple choice question has been scrambled)
  9. Narcotics suppress:
    a) Pain impulses
    b) respirations
    c) coughing
    d) all of the above
    d) all of the above
  10. The effects of narcotics - relieve pain, antitussive and:
    A) expectorant
    B) antidiarrheals
    C) antihypotensive
    D) antipyretic
    B) antidiarrheals
    (this multiple choice question has been scrambled)
  11. Narcotics are contraindicated for use in patients with head injury and:
    A) elderly
    B) respiratory depression
    C) pain associated with a non-specific injury
    d) all of the above
    B) respiratory depression
    (this multiple choice question has been scrambled)
  12. What is the usual dose of Demerol post-op?
    A) 25-100mg q 6 hours
    B) 50-100mg daily PRN
    C) 50-100mg q 3-4 hours PRN
    D) 50mg q 3 hours
    C) 50-100mg q 3-4 hours PRN
    (this multiple choice question has been scrambled)
  13. With Meperidine administration, frequent monitoring of ___ is required
    A) blood pressure
    B) temperature
    C) urine output
    D) pulse
    A) blood pressure
    (this multiple choice question has been scrambled)
  14. Which of the following is an adverse effect of Meperidine:
    A) constricted pupils
    B) urinary retention
    C) constipation
    D) tachycardia
    A) constricted pupils
    (this multiple choice question has been scrambled)
  15. Client teaching for patient taking Demerol would include:
    a) prevention of constipation
    b) report side effects
    c) do not use alcohol and CNS depressants while taking
    d) all of the above
    d) all of the above
  16. Based on your knowledge of analgesia, what if most relevant to the relief of chronic pain?
    a) narcotic analgesics
    b) use of drugs with long half-lives
    c) use of injectable drugs
    d) PRN medications
    b use of drugs with long half-lives
  17. Narcotic antagonist used for overdose of morphine - like substance:
    A) Probenecid/Benemid
    B) Pentazocine/Talwin
    C) Naloxone/Narcan
    D) Ibuprofen/Motrin
    C) Naloxone/Narcan
    (this multiple choice question has been scrambled)
  18. Mixed narcotic agonist-antagonists were developed to decrease:
    A) renal failure
    B) pain
    C) respiratory depression
    D) narcotic abuse
    D) narcotic abuse
    (this multiple choice question has been scrambled)
  19. Withdrawal symptoms usually start ___ hours after the last narcotic dose:
    A) 24-48
    B) 8-16
    C) 48-72
    D) 72-96
    A) 24-48
    (this multiple choice question has been scrambled)
  20. What is the recommended maintenance dose of methadone?
    A) 10-35 mg/day
    B) 2-10 mg/day
    C) 100-150 mg/day
    D) 40-120 mg/day
    D) 40-120 mg/day
    (this multiple choice question has been scrambled)
  21. The reason elderly patients require a reduction in narcotic dosage to avoid side effects is:
    a) decreased excretion of the drug
    b) polypharmacy
    c) decreased metabolism of drug
    d) all of the above
    d) all of the above
  22. Which drug tends to be more toxic in the elderly?
    A) Acetaminophen
    B) Morphine
    C) Demerol
    D) Codeine
    C) Demerol
    (this multiple choice question has been scrambled)
  23. Pain management for a child may be more successful if you do which of the following:
    a) Use "ouch scale"
    b) discuss child's response with parents
    c) Use age appropriate communication skills
    d) all of the above
    d) all of the above
  24. Food-drug interactions that occur with Tylenol include:
    A) increase effect with caffeine and diflunisal
    B) decrease effect of antibiotics
    C) increase effects with oral contraceptives
    D) increase effect of alcohol
    A) increase effect with caffeine and diflunisal
    (this multiple choice question has been scrambled)
  25. The half-life of cortecosteroids is greater than:
    A) 48 hours
    B) 36 hours
    C) 24 hours
    D) 72 hours
    C) 24 hours
    (this multiple choice question has been scrambled)
  26. Vascular phase of inflammation is associated with:
    A) Leukocyte and protein infiltration to inflamed tissue
    B) Vasoconstriction and fluid influx to interstitial space
    C) Vasodilation with increased capillary permeability
    D) Vasoconstriction with leukocyte infiltration to inflamed tissue
    C) Vasodilation and increased capillary permeability
    (this multiple choice question has been scrambled)
  27. All are among the 8 groups of NSAIDs EXCEPT:
    A) Macrolides
    B) Indoles
    C) Oxicams
    D) Fenamates
    A) Macrolides
    (this multiple choice question has been scrambled)
  28. All are properties of anti-inflammatory agents EXCEPT:
    A) analgesic
    B) Antihypertensive
    C) Antipyretic
    D) Anticoagulant
    B) Antihypertensive
    (this multiple choice question has been scrambled)
  29. A common side effect of NSAIDs is:
    A) Heartburn
    B) Polyuria
    C) GI distress
    D) Tachycardia
    C) GI distress
    (this multiple choice question has been scrambled)
  30. An analgesic drug that SHOULD NOT BE GIVEN to a child with a virus of flu:
    A) Acetaminophen
    B) Ibuprofen
    C) Aspirin
    D) Indocin
    C) Aspirin
    (this multiple choice question has been scrambled)
  31. Ibuprofen is a rapid-acting NSAID that inhibits prostaglandin synthesis - it is classified as:
    A) antranilic acid derivative
    B) Propionic acid derivative
    C) Paraaminophenol derivative
    D) Indoles/indenes derivative
    B) Propionic acid derivative
    (this multiple choice question has been scrambled)
  32. Ibuprofen is usually scheduled to be taken:
    A) 3-4 times a day
    B) daily
    C) 2-3 times a day
    D) q 2 hours
    A) 3-4 times a day
    (this multiple choice question has been scrambled)
  33. The usual adult dosage of Ibuprofen is:
    A) 100-200 mg
    B) 300-800 mg
    C) 800-1200 mg
    D) 400-1200 mg
    B) 300-800 mg
    (this multiple choice question has been scrambled)
  34. Ibuprofen:
    A) Causes less GI upset than other NSAIDs
    B) Has a long half-life of 20-30 hours
    C) Has severe side effects including hypertension, deafness and renal insufficiency
    D) Should be taken between meals with water
    A) Causes less GI upset than other NSAIDs
    (this multiple choice question has been scrambled)
  35. The advantage of Feldene (Piroxicam) over other agents is:
    A) It is well-tolerated
    B) It's low incidence of toxic problems
    C) It's long half-life
    D) It is fast acting
    C) It's long half-life
    (this multiple choice question has been scrambled)
  36. All the following are true of Ketoralac EXCEPT:
    A) It is effective for short term pain management
    B) It has an efficacy equal to morphine
    C) It can be administered intramuscularly
    D) It has a usual adult dose of 30-60 mg q 6 hours
    B) It has an efficacy equal to morphine
    (this multiple choice question has been scrambled)
  37. Celebrex(celecoxib) is associated with what characteristics:
    a) avoid during third trimester pregnancy
    b) relieves pain and inflammation without GI distress
    c) not to be used for cardiac precautions like ASA
    d) all of the above
    d) all of the above
  38. Patient teaching for those on gold therapy include all EXCEPT:
    A) desired clinical effect may take 3-4 months
    B) adherence to scheduled lab tests is essential
    C) meticulous dental hygiene is required
    D) measures to control constipation are needed
    D) measures to control constipation are needed
    (this multiple choice question has been scrambled)
  39. Colchicines used for gout, act by:
    A) re-absorbing uricĀ acid from distal tubules of the kidney
    B) inhibiting the final steps of uric acid biosynthesis
    C) blocking re-absorption of uric acid excretion
    D) inhibiting migration of leukocytes to the inflamed area
    D) inhibiting migration of leukocytes to the inflamed area
    (this multiple choice question has been scrambled)
  40. Patient teaching for anti-gout drugs includes all EXCEPT:
    A) Increasing fluid intake
    B) Taking large does of Vitamin C
    C) Avoid food high in Purine
    D) Avoiding alcohol and caffeine
    B) Taking large does of Vitamin C
    (this multiple choice question has been scrambled)
  41. Probenecid (Benemid) - used in treatment of gout promotes
    A) uric acid excretion via the sweat glands
    B) re-absorption of urates from the kidney
    C) uric acid excretion by the kidney
    D) retention of urate crystals in the body
    C) uric acid excretion by the kidney
    (this multiple choice question has been scrambled)
  42. Side effect of Benemid:
    A) Sore gums and headache
    B) Flushed skin and Oliguria
    C) Constipation and edema
    D) Blurred vision and urinary retention
    A) sore gums and headache
    (this multiple choice question has been scrambled)
  43. A factor that would NOT affect a child's tolerance for pain is:
    A) His cultural values and beliefs
    B) The pain duration
    C) His pain threshold
    D) The method by which narcotics are administered
    C) His pain threshold
    (this multiple choice question has been scrambled)
  44. The most important factor affecting a child's perception and expression of pain is:
    A) Her developmental stage
    B) Her coping strategies
    C) Cultural influences
    D) Previous pain experiences
    A) Her developmental stage
    (this multiple choice question has been scrambled)
  45. Which statements about pain in children is true?
    A) Narcotic use in children is dangerous because of the increased risk of addiction and respiratory depression
    B) Infants have the capacity to respond to a painful stimulus
    C) Immaturity of the nervous system in young children provides them with increased thresholds for pain.
    D) Recovery from pain experience occurs at a faster rate in children than in adults.
    B) Infants have the capacity to respond to a painful stimulus
    (this multiple choice question has been scrambled)
  46. Research indicates that a physiological response to pain in children under 1 year includes:
    A) Increased 02 saturation
    B) Increased vagal tone
    C) Increased heart rate
    D) Decreased respiratory rate
    C) Increased heart rate
    (this multiple choice question has been scrambled)
  47. A common fear shared by parents regarding the administration of morphine to a child is the fear of:
    A) A medication error
    B) Psychological depression
    C) Respiratory depression
    D) Injury due to drowsiness
    B) Psychological depression
    (this multiple choice question has been scrambled)
  48. The use of distraction to interrupt a child's perception of pain can be evaluated as effective if the child:
    A) Report that the pain has decreased
    B) Is able to focus on something other than the pain
    C) Asks to go to the playroom with other children
    D) Ceases to request analgesic medication
    B) Is able to focus on something other than the pain
    (this multiple choice question has been scrambled)
  49. Which non-pharmacological interventions used to help pain involves teaching children to use their imagination to create pleasant images?
    A) Relaxation
    B) Hypnosis
    C) Distraction
    D) Guided imagery
    D) Guided imagery
    (this multiple choice question has been scrambled)
  50. When discontinuing steroid therapy, the dose should to tapered over how many days?
    A) 3-5
    B) 1-3
    C) 4-7
    D) 5-10
    D) 5-10
    (this multiple choice question has been scrambled)

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