ABPANC Pain Management Flashcards
6 cards from real ABPANC practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 ABPANC Pain Management flashcards as text
A patient is receiving IV morphine in the PACU. Which assessment finding would indicate the development of opioid-induced respiratory depression?
Answer: Respiratory rate of 8 and pinpoint pupils
A respiratory rate of 8 with pinpoint pupils (miosis) are classic signs of opioid-induced respiratory depression requiring immediate intervention.
Which route of administration provides the most rapid onset of analgesia in the immediate post-operative period?
Answer: Intravenous
Intravenous administration bypasses absorption barriers and delivers analgesic directly into the bloodstream, providing the fastest onset of action.
A patient reports itching after receiving IV morphine. What is the most likely cause?
Answer: Histamine release from opioid administration
Opioids, especially morphine, trigger mast cell histamine release causing pruritis, which is a common side effect rather than a true allergy.
Which nursing intervention best reduces the risk of opioid-related respiratory depression in the PACU?
Answer: Titrating opioids to the lowest effective dose with continuous monitoring
Titrating opioids to the lowest effective dose while continuously monitoring respiratory rate and SpO2 minimizes the risk of respiratory depression.
A patient undergoing a total hip replacement receives a femoral nerve block preoperatively. Which assessment parameter is most important to monitor postoperatively?
Answer: Motor function and sensation of the affected extremity
Monitoring motor function and sensation ensures the nerve block is working as intended and identifies any complications such as nerve injury.
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?
Answer: Reassess using non-pharmacological comfort measures and notify provider if unrelieved
After confirming no additional opioid can be safely given, the nurse should offer non-pharmacological measures and notify the provider for additional orders if pain remains uncontrolled.