NSG 6005 Week 6 Pharmacology Quiz – Flashcards

Patients with RA who are on chronic low-dose prednisone will need co-treatment with which medications to prevent further adverse effects? A. A bisphosphonate B. Calcium supplementation C. Vitamin D D. All of the above

Amber is a twenty-four-year-old who has had migraines for ten years. She reports a migraine on average of once a month. The migraines are effectively aborted with naratriptan (Amerge). When refilling Amber's naratriptan education would include which of the following? A. Naratriptan will interact with antidepressants, including selective serotonin reuptake inhibitors and St John's Wort, and she should inform any providers she sees that she has migraines. B. Continue to monitor her headaches; if the migraine is consistently happening around her menses, then there is preventive therapy available. C. Pregnancy is contraindicated when taking a triptan. D. All the given options are correct.

Kirk sprained his ankle and is asking for pain medication for his mild-to-moderate pain. The appropriate first-line medication would be __________. A. ibuprofen (Advil) B. acetaminophen with hydrocodone (Vicodin) C. oxycodone (OxyContin) D. oral morphine (Roxanol)

Sallie has been taking 10 mg of prednisone per day for the past six months. She should be assessed for ________. A. gout B. iron deficiency anemia C. osteoporosis D. renal dysfunction

Henry is eighty-two years old and takes two aspirin every morning to treat the arthritis pain in his back. He states that the aspirin helps him to "get going" each day. Lately, he has had some heartburn from the aspirin. After ruling out an acute GI bleed, what would be an appropriate course of treatment for Henry? A. Add an H2 blocker such as ranitidine to his therapy. B. Discontinue the aspirin and switch him to Vicodin for the pain. C. Decrease the aspirin dose to one tablet daily. D. Have Henry take an antacid fifteen minutes before taking the aspirin each day.

Juanita presents to clinic with a complaint of headaches off and on for months. She reports she feels like someone is "squeezing" her head. She occasionally takes Tylenol for the pain but usually just "toughs it out." Initial treatment for tension headache includes asking her to keep a headache diary and a prescription for ________. A. sumatriptan (Imitrex) B. naproxen (Aleve) C. ergotamine (Ergostat) D. Tylenol with codeine (Tylenol #3)

Narcotics are exogenous opiates. They act by ______. A. inhibiting pain transmission in the spinal cord B. attaching to receptors in the afferent neuron to inhibit the release of substance P C. blocking neurotransmitters in the midbrain D. increasing beta-lipoprotein excretion from the pituitary

Which of the following statements is true about age and pain? A. Use of drugs that depend heavily on the renal system for excretion may require dosage adjustments in very young children. B. Among the NSAIDs, indomethacin is the preferred drug because of lower adverse effects profiles than other NSAIDs. C. Older adults who have dementia probably do not experience much pain due to loss of pain receptors in the brain. D. Acetaminophen is especially useful in both children and adults because it has no effect on platelets and has fewer adverse effects than NSAIDs.

Which of the following is the goal of treatment of acute pain? A. Pain at a tolerable level where patient may return to activities of daily living B. Reduction of pain with a minimum of drug adverse effects C. Reduction or elimination of pain with minimum adverse reactions D. Adequate pain relief without constipation or nausea from the drugs

Age is a factor in different responses to pain. Which of the following age-related statements about pain is not true? A. Preterm and newborn infants do not yet have functional pain pathways. B. Painful experiences and prolonged exposure to analgesic drugs during pregnancy may permanently alter neuronal organization in the child. C. Increases in pain threshold in older adults may be related to peripheral neuropathies and changes in skin thickness. D. Decreases in pain tolerance are evident in older adults.

Vicky, age fifty-six years, comes to clinic requesting a refill of her Fiorinal (aspirin and butalbital) that she takes for migraines. She has been taking this medication for over two years for migraine and states one dose usually works to abort her migraine. What is the best care for her? A. Switch her to sumatriptan (Imitrex) to treat her migraines. B. Assess how often she is using Fiorinal and refill medication. C. Switch her to a beta-blocker such as propranolol to prevent her migraine. D. Request her to return to the original prescriber of Fiorinal as you do not prescribe butalbital for migraines.

Pain assessment to determine adequacy of pain management is important for all patients. This assessment is done to determine which of the following options? A. If the diagnosis of source of pain is correct B. If the current regimen is adequate or different combinations of drugs and nondrug therapy are required C. If the patient is willing and able to be an active participant in his or her pain management D. All the given options

When prescribing any headache therapy, appropriate use of medications needs to be discussed to prevent medication-overuse headaches. The clinical characteristics of medication-overuse headaches include ________. A. headaches increasing in frequency B. headaches increasing in intensity C. headaches recurring when medication wears off D. headaches beginning to "cluster" into a pattern

When prescribed an opioid analgesic such as acetaminophen and codeine (Tylenol #3), which of the following instructions should the patient follow? A. The medication may cause sedation, so the patient should not drive. B. Constipation is a common side effect, so the patient should increase fluids and fiber. C. The patient should not take any other acetaminophen-containing medications at the same time. D. All the given options are correct.

Chronic pain is a complex problem. Some specific strategies to deal with it include ________. A. telling the patient to "let pain be your guide" to using treatment therapies B. prescribing pain medication on a pro re nata (PRN) basis to keep down the amount used C. scheduling return visits on a regular basis rather than waiting for poor pain control to drive the need for an appointment D. All the given options

Henry presents to clinic with a significantly swollen, painful great toe and is diagnosed with gout. Of the following, which would be the best treatment for Henry? A. High-dose colchicines B. Low-dose colchicines C. High-dose aspirin D. Acetaminophen with codeine

The Pain Management Contract is appropriate for which of the following cases? A. Patients with a history of chemical dependency or possible inappropriate use of pain medications B. All patients with chronic pain who will require long-term use of opiates C. Patients who have a complex drug regimen D. Patients who see multiple providers for pain control

Different areas of the brain are involved in specific aspects of pain. The reticular and limbic systems in the brain influence ______. A. the sensory aspects of pain B. the discriminative aspects of pain C. the motivational aspects of pain D. the cognitive aspects of pain