ABPANC ABPANC Pain Management 3

Question 1

A patient is receiving IV morphine in the PACU. Which assessment finding would indicate the development of opioid-induced respiratory depression?

Accepted Answer

Respiratory rate of 8 and pinpoint pupils

Answer

Respiratory rate of 18 and SpO2 of 97%

Answer

Heart rate of 88 and blood pressure of 120/76

Answer

Pain score of 3 and patient alert

Question 2

Which route of administration provides the most rapid onset of analgesia in the immediate post-operative period?

Accepted Answer

Intravenous

Answer

Oral

Answer

Intramuscular

Answer

Transdermal

Question 3

A patient reports itching after receiving IV morphine. What is the most likely cause?

Accepted Answer

Histamine release from opioid administration

Answer

Allergic reaction requiring epinephrine

Answer

Wound infection

Answer

Latex sensitivity

Question 4

Which nursing intervention best reduces the risk of opioid-related respiratory depression in the PACU?

Accepted Answer

Titrating opioids to the lowest effective dose with continuous monitoring

Answer

Avoiding all opioids and using only ibuprofen

Answer

Keeping the patient NPO for 12 hours postoperatively

Answer

Applying supplemental oxygen before any analgesic is given, regardless of SpO2

Question 5

A patient undergoing a total hip replacement receives a femoral nerve block preoperatively. Which assessment parameter is most important to monitor postoperatively?

Accepted Answer

Motor function and sensation of the affected extremity

Answer

Serum potassium levels

Answer

Intraocular pressure

Answer

Bowel sounds

Question 6

A post-cesarean patient reports pain of 7/10 and requests more analgesic, but her last dose of IV hydromorphone was given 20 minutes ago within ordered parameters. What should the nurse do next?

Accepted Answer

Reassess using non-pharmacological comfort measures and notify provider if unrelieved

Answer

Administer another dose immediately to prevent suffering

Answer

Document the request and wait 2 hours

Answer

Discontinue the IV analgesic and switch to oral medications only