NUR 108 Acute Pain

NUR 108 Acute Pain
1. The average dose of morphine is 10mg IV. Based on the guidelines for elderly patients, what
dose should be used initially?
A. 4mg
B. 6mg
C. 8mg
D. 10mg
Answer
B. 6mg - fits in the range of 25-50% reduction for elderly
2. Unrelieved pain and narcotics can cause all of the following except
A. Mental Confusion
B. Urinary Retention
C. Hypotension
D. Decreased GI motility
Answer
C.Hypotension - would become hypertensive with unrelieved pain
3. A patient who had a total knee replacement 5 days ago rates his pain at 5/10. Which drug is
appropriate?
A. morphine IV
B. ibuprofen (Advil) PO
C. oxycodone/acetaminophen (Percocet) oral
D. ketorolac (Toradol) IV
Answer
C. Percocet - moderate pain level on the WHO ladder calls for that combination of drugs for a
5/10 pain
4. A patient who had abdominal surgery earlier in the day and complains of pain 4/10.The
patientsleeps when undisturbed and has difficulty staying away during your physical assessment.
The patient is still NPO.
A. morphine IV
B. oxy/acetamin (Percocet) oral
C. hydrocodone/aceta (Vicodin) oral
D. ketorolac (Toradol) IV