CRRN Pain Management in Rehabilitation Nursing 2

Question 1

Which class of medication is considered first-line pharmacological treatment for neuropathic pain in rehabilitation patients?

Accepted Answer

Anticonvulsants (gabapentinoids)

Answer

Opioid analgesics

Answer

Non-steroidal anti-inflammatory drugs (NSAIDs)

Answer

Skeletal muscle relaxants

Question 2

A rehabilitation patient is receiving scheduled opioid analgesics for moderate-to-severe pain. Which nursing assessment finding requires immediate intervention?

Accepted Answer

Respiratory rate of 8 breaths per minute with decreased arousal

Answer

Mild constipation requiring a bowel regimen

Answer

Mild nausea after morning dose

Answer

Dry mouth reported during medication teaching

Question 3

What is the maximum recommended daily dose of acetaminophen for a healthy adult patient in a rehabilitation setting?

Accepted Answer

4,000 mg/day

Answer

2,000 mg/day

Answer

3,000 mg/day

Answer

6,000 mg/day

Question 4

A rehabilitation patient prescribed methadone for chronic pain management requires close monitoring because methadone:

Accepted Answer

Has a long and variable half-life that increases risk of accumulation

Answer

Has a short and predictable half-life of 2 to 4 hours

Answer

Is approved only for opioid use disorder and not for pain

Answer

Does not cause respiratory depression at therapeutic doses

Question 5

A rehabilitation nurse is teaching a patient about the risks of long-term NSAID use. Which adverse effect is of greatest concern for patient safety?

Accepted Answer

Gastrointestinal bleeding and peptic ulcer formation

Answer

Hyperkalemia leading to cardiac dysrhythmia

Answer

Hyperglycemia requiring insulin adjustment

Answer

Peripheral neuropathy causing sensory deficits

Question 6

Tricyclic antidepressants (TCAs) such as amitriptyline are sometimes prescribed for rehabilitation patients with chronic pain primarily because they:

Accepted Answer

Have demonstrated analgesic properties for neuropathic and central pain

Answer

Work exclusively as antidepressants to improve mood and pain tolerance

Answer

Significantly increase opioid receptor sensitivity to reduce opioid doses

Answer

Eliminate the need for participation in physical therapy

Question 7

A patient in rehabilitation is using a fentanyl transdermal patch for chronic pain management. Which instruction is most important for the nurse to include in patient education?

Accepted Answer

Apply the patch to a clean, dry, non-irritated flat skin surface

Answer

Apply the patch to a hairy area of skin to improve absorption

Answer

Change the patch every 12 hours for consistent pain control

Answer

Applying a heating pad over the patch will not affect drug absorption