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WorksheetsPharm - Musc/Pain Post Assess
Total questions: 18
Worksheet time: 9mins
A nurse is preparing to administer morphine 4mg IV to post-op patient. Which assessment is the priority before administering the medication?
Pain level
Blood pressure
Respiratory rate
Level of consciousness
A nurse gives morphine IV to a client for severe pain. Ten minutes later, the client's respiratory rate is 8 breaths/minute and difficult to arouse. What is the priority nursing action?
Notify HCP
Administer naloxone
Apply oxygen via nasal cannula
Reassess patient in 15 minutes
Which statement by a client taking morphine PO indicates a need for further teaching?
"I should take a stool softener while on this medicine."
"I can drive as soon as I know how it affects me."
"I should avoid drinking alcohol while taking this."
"I might feel drowsy or lightheaded at first."
The nurse is teaching a client about allopurinol. Which statement indicates the client understands the teaching?
"I will take this medication when I have a gout attack."
"I should drink plenty of fluids when taking this medication."
"I can stop taking once my pain goes away."
"This medication increases uric acid excretion."
A client prescribed allopurinol for chronic gout reports mild nausea and wants to stop this medication. What is the nurse's best response?
"You can take it only when you have symptoms."
"Try taking it after meals to reduce GI upset."
"Stop taking it until symptoms resolve."
"Unfortunately, this must be taken on an empty stomach."
A nurse is reviewing the medication administration record for a client with chronic gout who takes allopurinol daily. The client also reports taking ampicillin for a recent UTI. Which finding requires immediate nursing intervention?
The client reports mild nausea after meals.
The client reports a new, itchy skin rash on the chest and arms.
The client's uric acid level decreased from 9mg/dL to 6mg/dL.
The client states they drink 2 liters of water daily.
Which of the following client statements indicates an understanding of methotrexate?
"I will take methotrexate every day with breakfast."
"I should avoid people that are sick while taking this medication."
"It is safe to drink alcohol while taking this medication."
A nurse is preparing to administer methotrexate to a 34 y/o patient with RA. The patient reports drinking several beers each night. Which action should the nurse take first?
Hold the medication and notify the provider.
Administer the medication with food to decrease GI upset.
Encourage the patient to limit alcohol to weekends only.
A nurse is assessing a patient who has been taking methotrexate for several months. Which of the following findings should the nurse recognize as an adverse reaction?
Mild joint stiffness in the morning.
Mouth ulcers and sores.
Increased appetite and weight gain.
Ibuprofen belongs to which medication class, and what is its primary therapeutic effect?
Opioid analgesic; sedation and pain relief
NSAID; pain relief and reduction of inflammation
Corticosteroid; suppression of immune response
Antipyretic; treatment of infection
A nurse is administering ibuprofen 400mg PO every 6 hours PRN pain. Which finding should the nurse report to the provider immediately?
Mild headache
Nausea after taking the dose
Black, tarry stools
Slight drowsiness
A client with asthma and GERD states they take OTC ibuprofen daily for joint pain. Which nursing action is most appropriate?
Encourage the client to continue if pain relief is effective.
Suggest taking ibuprofen with milk to protect the stomach.
Notify the provider, as ibuprofen can worsen asthma and GERD symptoms.
Instruct the client to take a double dose if pain persists.
The nurse is reviewing a prescription for raloxifene. Which statement best describes the therapeutic effect of this medication?
Increases bone resorption to prevent calcium loss.
Mimics estrogen's effect on bone tissue to reduce bone loss.
Inhibits vitamin D absorption strengthen bones.
Stimulates osteoclast activity to promote bone remodeling.
A nurse is caring for a postmenopausal women taking raloxifene for osteoporosis prevention. Which finding requires immediate action from the nurse?
The patient reports mild hot flashes
The patient complains of calf pain and swelling.
The patient reports occasional dizziness
The patient states she takes calcium and vitamin D daily
The nurse is teaching a post menopausal patient about raloxifene therapy. Which statement by the patient indicates a need for further teaching?
"I should avoid sitting for long periods to reduce my risk of blood clots."
"I will continue taking calcium and vitamin D supplements."
"I should stop this medication 3 days before any surgery or long trips."
"This medication will help relieve my hot flashes."
The nurse is evaluating the effectiveness of celecoxib prescribed for a patient with osteoarthritis. Which patient statement best indicates that the medication is having the desired therapeutic effect?
"I haven't noticed as much swelling in my joints, but I still have stomach pain after meals."
"I can walk to my mailbox and back without my usual knee pain."
"I haven't had any headaches since I started taking this medication."
"My blood pressure has been lower since I have been taking this medication."
The nurse is teaching a patient who has been prescribed celecoxib for chronic joint pain. Which patient statement indicates the need for further teaching about the medications adverse effects?
"I will call my HCP if I develop chest pain or shortness of breath."
"I will report any swelling in my legs or sudden weight gain."
"I will take this medication with food to help prevent stomach upset."
"I can stop taking my blood pressure medication now that I am on celecoxib."
The nurse is reinforcing teaching for a patient prescribed celecoxib for osteoarthritis. Which statement by the patient indicates a need for further teaching?
"I will take this medication with food to help protect my stomach."
"I should notify my HCP if I notice black, tarry stools."
"It is safe to take celecoxib with my daily aspirin to protect my heart."
"I will report any swelling in my ankles or sudden weight gain."
