CRNI Pain Management and Analgesic Infusion Therapy 2

Question 1

When preparing medications for administration through an epidural catheter, which standard is most critical?

Accepted Answer

Only preservative-free medications and solutions must be used

Answer

The medication must be diluted in bacteriostatic normal saline

Answer

A 0.22-micron filter must be used for all infusions

Answer

The solution must be warmed to body temperature before administration

Question 2

Which opioid is most widely used as the standard agent for IV patient-controlled analgesia in postoperative patients?

Accepted Answer

Morphine

Answer

Hydromorphone

Answer

Fentanyl

Answer

Meperidine

Question 3

What is the maximum recommended duration of continuous IV ketorolac (Toradol) therapy in adults?

Accepted Answer

5 days

Answer

24 hours

Answer

7 days

Answer

14 days

Question 4

Multimodal analgesia is a strategy that improves pain control by:

Accepted Answer

Combining agents with different mechanisms of action to achieve additive or synergistic effects

Answer

Using one analgesic at the maximum tolerated dose to achieve complete pain relief

Answer

Rotating between different opioids every 24 hours to prevent tolerance

Answer

Using only non-pharmacological interventions to reduce opioid exposure

Question 5

Opioid tolerance in a patient receiving chronic analgesic infusion therapy is best described as:

Accepted Answer

A need for progressively higher doses to achieve the same level of analgesia

Answer

Increased sensitivity to the sedating side effects of opioids over time

Answer

Development of psychological dependence and addiction

Answer

Decreased risk of respiratory depression with long-term opioid use

Question 6

A patient's pain is inadequately controlled with demand doses alone on PCA, with no basal infusion running. The appropriate first nursing action is to:

Accepted Answer

Contact the prescriber to reassess and modify the pain management plan

Answer

Independently increase the programmed demand dose

Answer

Independently add a continuous basal infusion to the PCA

Answer

Decrease the lockout interval without changing the demand dose

Question 7

Which medication is the pharmacological antidote for opioid-induced respiratory depression?

Accepted Answer

Naloxone (Narcan)

Answer

Flumazenil (Romazicon)

Answer

Protamine sulfate

Answer

Physostigmine