The category of drugs that have greater capacity for addiction and abuse is regulated by law. The correct terminology for these drugs is which of the following?
- A. Controlled substances
- B. Prescription drugs
- C. Injectable drugs
- D. Analgesic drugs
Correct Answer: A
Rationale: Controlled substances are drugs with a high potential for addiction and abuse, regulated by law.
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Fill in the blank. Repetitive gentle, gliding stroking of your fingertips over the surface of the skin for the purpose of pain relief is called
- A. effleurage
- B. acupressure
- C. massage
- D. reflexology
Correct Answer: A
Rationale: Effleurage is a technique involving gentle, gliding strokes over the skin to promote relaxation and pain relief.
Your patient seems to be having a lot more postoperative pain today than he did yesterday, whichsurprises you because he has been progressing so well since his surgery 4 days ago. As you are critically thinking about factors that can increase pain, you identify data that could explain why he is having an increase in pain today. Which of the following pieces of data might provide you with this understanding?
- A. His wife, who is a strong part of his support system, was here to visit this morning for several hours.
- B. In the report, the night nurse noted that he slept only a couple of hours last night.
- C. His medical chart indicates that he is from a culture in which some with traditional views feel that pain should be suffered in silence.
- D. Earlier this morning, the patient's wife mentioned that the patient is really missing their oldest daughter, who was unable to come for the surgery because she lives in Europe.
Correct Answer: B,D
Rationale: Lack of sleep (B) can lower pain tolerance, increasing perceived pain. Emotional distress, such as missing a loved one (D), can also heighten pain perception. A supportive visit (A) and cultural beliefs (C) are less likely to directly cause an increase in pain.
Which of the following are types of nociceptive pain?
- A. Cutaneous pain from a paper cut
- B. Soft tissue pain caused by injury to the thigh muscle and subcutaneous tissue
- C. Deep somatic pain from arthritis or a bone fracture
- D. Deep visceral pain from hysterectomy postoperative pain
Correct Answer: A,B,C,D
Rationale: Nociceptive pain arises from tissue damage and includes cutaneous pain (A), soft tissue pain (B), deep somatic pain (C), and deep visceral pain (D).
Fill in the blank. The patient usually snores, accompanied by periods of apnea lasting from 10 seconds to 2 minutes; this can be life-threatening. This inability to maintain breathing while sleeping is known as
- A. sleep apnea
- B. insomnia
- C. narcolepsy
- D. restless legs syndrome
Correct Answer: A
Rationale: Sleep apnea is characterized by snoring and periods of apnea (paused breathing) during sleep, which can be life-threatening if untreated.
Common aspirin has more than one classification and is used for different problems. Which of the following is(are) not a classification of aspirin?
- A. Antipyretic
- B. Analgesic
- C. Antihistamine
- D. Antiplatelet
- E. Anti-inflammatory
Correct Answer: C
Rationale: Aspirin is classified as an antipyretic, analgesic, antiplatelet, and anti-inflammatory drug, but not as an antihistamine.
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