Nokea
Fill in the blank. The natural body chemicals produced by the brain in response to pleasant thoughts or feelings, exercise, laughter, sex, and massage and that act similarly to morphine and produce feelings of euphoria, well-being, and pleasure are known as
- A. endorphins
- B. prostaglandins
- C. substance P
- D. dopamine
Correct Answer: A
Rationale: Endorphins are natural chemicals produced by the brain that act like morphine, reducing pain and promoting feelings of euphoria and well-being.
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Who is the best judge of the severity of a patient's pain?
- A. The patient who is experiencing the pain
- B. The surgeon who performed the surgery
- C. The nurse who is monitoring the patient
- D. The spouse of the patient who is staying with the patient
Correct Answer: A
Rationale: The patient experiencing the pain is the best judge of its severity, as pain is subjective and individual.
Which medication would you administer for a patient with decreased level of consciousness and respiratory rate of 8?
- A. Morphine
- B. Narcan
- C. Naproxen
- D. Dilaudid
Correct Answer: B
Rationale: Narcan (naloxone) is used to reverse opioid overdose, which can cause decreased consciousness and low respiratory rate, as seen in this patient.
Your 98-year-old patient has severe diabetes and, as a result of complications, had his left leg amputated above the knee several months ago. He is confused and combative. When he reports to you that his left foot hurts, you know that this is known as
- A. Radiating pain
- B. Nonexistent pain
- C. Phantom limb pain
- D. Intractable pain
- E. Chronic pain
Correct Answer: C
Rationale: Phantom limb pain is the sensation of pain in a limb that has been amputated, as experienced by the patient in this scenario.
Fill in the blank. The term for chronic inability to fall asleep or stay asleep is
- A. insomnia
- B. narcolepsy
- C. sleep apnea
- D. bruxism
Correct Answer: A
Rationale: Insomnia refers to the chronic difficulty in falling or staying asleep, leading to poor sleep quality.
Which of the following are not classified as controlled substance drugs?
- A. Naproxen
- B. Meperidine
- C. Dilaudid
- D. Morphine
- E. Fentanyl
Correct Answer: A
Rationale: Naproxen is a nonsteroidal anti-inflammatory drug (NSAID) and not a controlled substance, unlike the opioids meperidine, Dilaudid, morphine, and fentanyl.