Term
| what receptors are activated by noxious stimuli (mechanical, thermal, and chemical) in peripheral tissues. |
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Definition
| Nociceptors (sensory pain receptors) |
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Term
| drug classes for treating mild pain |
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Definition
| nonopioid (acetaminophen, NSAIDs [aspirin, Motrin, Advil] q6h) |
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Term
| drug classes for treating moderate pain |
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Definition
| combination of nonopioid and opioid (oxycodone 5 mg and acetaminophen 325 mg q4h) |
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Term
| drug classes for treating severe pain |
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Definition
| potent opioid (morphine 15 mg q4h) |
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Term
| Nonopioid analgesics examples |
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Definition
| aspirin, acetaminophen, ibuprofen, naproxen |
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Term
| what is defined as a psychological and physical dependence upon a substance |
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Definition
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Term
| opioid use is contraindicated in patients with |
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Definition
| head injury, respratory distress, people with very low BP |
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Term
| all opioids are measured for strength in comparison to |
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Definition
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Term
| what medications act on the peripheral nerves and CNS by inhibiting spontaneous neuronal firing. |
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Definition
| Anticonvulsant medications |
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Term
| Anticonvulsant medications are used for neuropathic pain and the prevention of |
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Definition
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Term
| characterized by a unilateral throbbing head pain accompanied by nausea, vomiting, and photophobia. |
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Definition
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Term
| what are caused by inflammation and dilation of the blood vessels in the cranium. |
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Definition
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Term
| Foods such as cheese, chocolate, and red wine can trigger a |
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Definition
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Term
| The two types of migraine are |
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Definition
| (1) classic migraines, which are associated with an aura that occurs minutes to 1 hour before onset, and (2) common migraines, which are not associated with an aura. |
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Term
| what are characterized by a severe unilateral nonthrobbing pain usually located around the eye. |
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Definition
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Term
| what type of headaches are not associated with an aura and do not cause nausea and vomiting. |
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Definition
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Term
| Preventive treatment for migraines includes |
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Definition
1) beta- adrenergic blockers such as propranolol (Inderal) and atenolol (Tenormin);
(2) anticonvulsants such as valproic acid (Depakote) and gabapentin (Neurontin);
(3) tricyclic antidepressants such as amitriptyline (Elavil) and imipramine (Tofranil). |
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Term
| Drugs used to treat migraines include |
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Definition
| analgesics, opioid analgesics, ergot alkaloids, and selective serotonin1 (5-HT) receptor agonists, also known as triptans. |
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Term
1. The nurse knows that which medication will cause the least gastrointestinal distress?
a. aspirin
b. ketorolac
c. celecoxib
d. ibuprofen |
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Definition
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Term
2. A client states during a medical history that he takes several acetaminophen tablets throughout the day. The nurse teaches the client that the dosage should not exceed which amount?
a. 1 g/day
b. 2 g/day
c. 4 g/day
d. 6 g/day |
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Definition
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Term
3. For the client receiving periodic morphine IV push, which is most critical for the nurse to monitor?
a. Fever
b. Diarrhea
c. Respirations
d. White blood cell count |
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Definition
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Term
3. For the client receiving periodic morphine IV push, which is most critical for the nurse to monitor?
a. Fever
b. Diarrhea
c. Respirations
d. White blood cell count |
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Definition
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Term
5. Assessing a client following IV morphine administration, the nurse notes cold, clammy skin; a pulse of 40 beats/min; respirations of 10 breaths/min; and constricted pupils. Which medication will the client likely need next?
a. naloxone (Narcan)
b. meloxicam (Mobic)
c. pentazocine (Talwin)
d. propoxyphene (Darvon) |
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Definition
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Term
6. For the client who is taking acetaminophen (Tylenol), what should the nurse do? (Select all that apply.)
a. Monitor routine liver enzyme tests.
b. Encourage the client to check package labels of OTC drugs to avoid overdosing.
c. Teach the diabetic client taking acetaminophen to check blood glucose more frequently.
d. Teach the female client that oral contraceptives can increase the effect of acetaminophen.
e. Teach the client that caffeine decreases the effects of acetaminophen. |
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Definition
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Term
7. For the client who is taking nalbuphine (Nubain), what should the nurse do? (Select all that apply.)
a. Monitor any changes in respirations.
b. Instruct the client to report bradycardia.
c. Administer IV nalbuphine undiluted.
d. Explain to the client to expect an excessive amount of urine output.
e. Instruct the client to avoid alcohol when taking nalbuphine to avoid respiratory depression. |
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Definition
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Term
8. The nurse should know that which drugs are used to treat migraine attacks?
a. Triptans
b. Anticonvulsants
c. Tricyclic antidepressants
d. Beta-adrenergic blockers |
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Definition
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