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NCLEX-RN Analgesics & Neuro Flashcards

Master 19 analgesics & neuro concepts for the NCLEX-RN.

Question

What is the priority assessment data to obtain before administering morphine?


Question

A patient receiving hydromorphone becomes unresponsive with a respiratory rate of 6 breaths/min and pinpoint pupils. What is the priority nursing action?


Question

Which instruction is critical for the safe use and disposal of a fentanyl transdermal patch?


Question

What is the earliest subjective sign of aspirin toxicity (salicylism)?


Question

A 7-year-old child presents with flu-like symptoms and fever. Which medication is contraindicated due to the risk of Reye's syndrome?


Question

What is the primary gastrointestinal risk associated with NSAID use (e.g., ibuprofen, naproxen), and what should patients report?


Question

Select the correct mechanism and contraindication for NSAIDs:


NSAIDs inhibit, which maintain renal blood flow. Consequently, NSAIDs are contraindicated in patients with .

Question

What is the maximum recommended daily dose of acetaminophen for a healthy adult?


Question

What is the antidote for acetaminophen overdose?


Question

What is the therapeutic serum range for phenytoin?


Question

Which instruction is essential for a client taking phenytoin to prevent a common adverse effect?


Question

A client taking carbamazepine should immediately report fever and sore throat. What serious adverse effect does this suggest?


Question

Complete the teaching regarding Levodopa-Carbidopa:


Levodopa-Carbidopa increases brain levels. Absorption is delayed or reduced by a high- diet.

Question

A patient taking haloperidol develops muscle rigidity and a shuffling gait. Which PRN medication should the nurse administer?


Question

Which history finding requires the nurse to question a prescription for sumatriptan?


Question

Select the major toxicity and pregnancy risk associated with Valproic Acid:


Valproic acid carries a Black Box Warning for toxicity. In pregnancy, it is highly teratogenic, specifically causing defects.

Question

Select the correct administration requirements for IV Phenytoin:


IV Phenytoin is compatible ONLY with . Administration requires an in-line to capture precipitates.

Question

A patient's spouse asks if they can push the PCA button while the patient is sleeping. What is the correct nursing response?


Question

What is the primary clinical indication for gabapentin?