Pain Fundamentals
Opioids & High-Alert Safety
Priority Nursing Decisions
Non-Opioid & Adjunct Meds
Opioid Effects & Monitoring
Special Risks & Drug Effects
100

Pain is best described as this type of experience.

What is subjective?

100

Opioids are classified as high-alert because:

What is high risk for harm if given incorrectly?

100

After giving an opioid, reassess pain within:

What is 1 hour?

100

This drug can cause liver toxicity in high doses.

What is acetaminophen?

100

A common side effect of opioids requiring monitoring is:

What is constipation?

100

Pentazocine requires monitoring of this system.

What is cardiac system?

200

Pain is actually perceived in this location.

What is the brain?

200

The priority life-threatening side effect of opioids is:

What is respiratory depression?

200

A patient has RR 10 after opioid. FIRST action?

What is check oxygen saturation?

200

This drug class reduces inflammation at the injury site.

What are NSAIDs or corticosteroids?

200

To reduce nausea from opioids, patients should:

What is take with food?

200

Methocarbamol commonly causes:

What is urinary retention?

300

A patient sleeping after pain medication means:

What is pain may still be present?

300

Alcohol use with opioids increases risk for:

What is severe CNS and respiratory depression?

300

Naloxone should be given when:

What is respiratory compromise is confirmed?

300

Tramadol works by:

What is altering CNS neurotransmitters?

300

Older adults need lower opioid doses because:

What is decreased metabolism and excretion?

300

Fentanyl and hydromorphone are compared to morphine as:

What is more potent?

400

A patient with spinal cord injury feels no pain in their foot wound because:

What is signal cannot reach the brain?

400

Morphine is used as this comparison standard.

What is the benchmark opioid?

400

A patient with low RR but normal O2 sat should:

What is be awakened and reassessed?

400

Cyclobenzaprine can cause this serious complication.

What is cardiac dysrhythmias?

400

Patients should take opioids on schedule because:

What is prevent severe pain escalation?

400

Which drugs can help with certain types of pain besides opioids?

What are antidepressants and anticonvulsants?

500

Why is patient self-report the MOST reliable pain assessment?

What is pain cannot be measured objectively?

500

A patient receives the wrong opioid dose. FIRST action?

What is notify RN immediately for assessment?

500

Why is checking O2 sat before naloxone critical?

What is to confirm true respiratory compromise?

500

A patient with liver disease asks about acetaminophen. What is your concern?

What is increased risk of liver toxicity?

500

Why is waiting until pain is severe a problem?

What is harder to control pain once escalated?

500

A patient on pentazocine reports chest discomfort. Priority action?

What is assess cardiac status immediately?