Drug Classes
Hydromorphone belongs to which class?
A. NSAID
B. Opioid analgesic
C. Benzodiazepine
D. Antidepressant
NSAID
Hydromorphone is primarily used for:
A. Fever
B. Severe pain
C. Anxiety
D. Infection
Severe pain
Common side effect of hydromorphone:
A. Diarrhea
B. Constipation
C. Hypertension
D. Rash
Constipation
Before giving hydromorphone, assess:
A. Blood glucose
B. Pain level
C. Vision
D. Hearing
Pain level
Take medication:
A. Only at bedtime
B. As prescribed
C. Double dose if pain
D. With alcohol
As prescribed
Oxycodone is best classified as a:
A. Synthetic opioid
B. Semisynthetic opioid
C. Non-opioid analgesic
D. Barbiturate
Semisynthetic opioid
Oxycodone is prescribed for:
A. Mild itching
B. Moderate to severe pain
C. Hypertension
D. Diabetes
Moderate to severe pain
Which is most serious?
A. Nausea
B. Sedation
C. Respiratory depression
D. Dry mouth
Sedation
Hold opioid if RR is:
A. 20
B. 16
C. 10
D. 24
16
Risk of driving while on opioids:
A. Increased focus
B. Sedation
C. Weight gain
D. Hunger
Sedation
Which receptor do hydromorphone and oxycodone primarily act on?
A. Dopamine
B. Mu-opioid
C. Serotonin
D. GABA
Mu-opioid
Which patient is most appropriate for hydromorphone?
A. Mild headache
B. Post-surgical severe pain
C. Seasonal allergies
D. Insomnia
Post-surgical severe pain
Early sign of overdose:
A. Tachycardia
B. Pinpoint pupils
C. Fever
D. Hypertension
Pinpoint pupils
Monitor for:
A. Hypertension
B. Respiratory depression
C. Hyperactivity
D. Fever
Respiratory depression
Store medication:
A. Open area
B. Locked place
C. Bathroom
D. Car
Bathroom
These drugs are derived from:
A. Coca plant
B. Opium alkaloids
C. Synthetic chemicals only
D. Cannabis
Synthetic chemicals only
Hydromorphone IV is often used for:
A. Emergency pain control
B. Long-term depression
C. Blood pressure control
D. Sedation only
Long-term depression
Long-term use may lead to:
A. Immunity
B. Dependence
C. Resistance
D. Allergy
Dependence
Priority assessment after administration:
A. Skin color
B. Respiratory status
C. Urine output
D. Appetite
Respiratory status
If a dose is missed (extended-release):
A. Double next dose
B. Take when remembered (if safe timing)
C. Stop medication
D. Take with alcohol
Stop medication
Oxycodone combination products often include:
A. Aspirin or acetaminophen
B. Insulin
C. Warfarin
D. Lidocaine
Insulin
Extended-release oxycodone is used for:
A. Breakthrough pain only
B. Around-the-clock pain
C. Fever reduction
D. Sleep disorders
Around-the-clock pain
Combining opioids with alcohol increases risk of:
A. Hypertension
B. Liver failure only
C. Respiratory depression
D. Rash
Liver failure only
For IV hydromorphone, nurse should:
A. Push rapidly
B. Dilute and give slowly
C. Mix with insulin
D. Give IM only
Dilute and give slowly
To prevent overdose:
A. Share meds
B. Follow dosing schedule
C. Take extra doses
D. Skip instructions
Take extra doses