A patient's pain score improves after starting an opioid, but sleep and daily activities have not improved. Does the improved score alone confirm that treatment goals have been met?
3 Opioid Analgesics and Safe Use Online Quiz Questions
Use this free practice quiz with 20 questions to review 3 Opioid Analgesics and Safe Use, test your knowledge, and prepare for your next test or exam.
A clinician determines that an opioid is appropriate for a patient who is starting opioid therapy. Which formulation approach is recommended for a new start?
- A
Start with an extended-release opioid so the dose lasts longer.
- B
Use an immediate-release opioid formulation.
- C
Choose an extended-release opioid for occasional, as-needed pain.
- D
Select a formulation without considering the clinical situation.
What term describes the possibility of withdrawal symptoms if a regularly used opioid is stopped suddenly?
A patient has acute pain severe enough to warrant an opioid. Which prescribing approach best limits unnecessary exposure while addressing the possibility that pain may persist?
- A
Provide a routine long-term supply so the patient will not need reassessment.
- B
Continue the acute prescription automatically if pain persists.
- C
Limit the quantity and duration to what is needed for the expected period of severe pain, and reassess persistent pain.
- D
Prescribe enough medication to cover any possible future pain.
When a patient uses an opioid combination product that contains acetaminophen, check the patient's .
A patient and clinician are planning multimodal care for pain. Which options could appropriately be considered as components of the plan? Select all that apply.
- A
Consider acetaminophen or an NSAID when appropriate and not contraindicated.
- B
Consider physical therapy, movement, heat or cold, or another condition-specific nonpharmacologic approach.
- C
Use an opioid as the only treatment for every type of pain.
- D
Consider a selected antidepressant or anticonvulsant for neuropathic pain.
If reducing long-term opioid therapy is appropriate, an individualized taper should generally be planned collaboratively rather than abruptly stopping or rapidly reducing the medication.
- A
True
- B
False
For subacute or chronic pain, reassess benefits and risks within after starting an opioid or increasing its dose.
Before increasing a patient's total daily opioid dose to a higher level, at what value in MME does CDC recommend pausing to reassess individual benefits and risks?
A clinician is considering whether to offer or discuss naloxone with a patient receiving opioids. Which factors are specifically identified as reasons to consider it because they can indicate elevated overdose risk? Select all that apply.
- A
A history of overdose.
- B
Concurrent benzodiazepine use.
- C
Sleep-disordered breathing.
- D
Occasional mild nausea after a dose.
- E
Higher opioid dosage.
A patient develops constipation while receiving opioid therapy. Which response best reflects safe ongoing care?
- A
Assume it will resolve without attention because it is a common effect.
- B
Anticipate and manage it according to the patient's needs and clinical plan.
- C
Increase the opioid dose to counter the constipation.
- D
Stop all pain treatment immediately without reassessment.
A person taking an opioid is difficult to awaken and is breathing very slowly. What is the best immediate response?
- A
Let the person sleep and check again later.
- B
Give another opioid dose to restore alertness.
- C
Call 911, give naloxone if available, support breathing according to training and emergency instructions, and stay with the person.
- D
Give naloxone if available, then leave once the person begins to respond.
A patient has an opioid order with an unclear route and appears drowsy before the scheduled dose. Describe what should be done before administering the medication and what should be reassessed if a dose is given after the order is clarified.
A patient has developed tolerance to a regularly used opioid. Is tolerance, by itself, enough to establish opioid use disorder?
- A
True
- B
False
What is the term for needing a different opioid dose to produce the same effect?
Which statement about extended-release opioid products is correct?
- A
Use an extended-release opioid for occasional pain because it lasts longer.
- B
Do not use extended-release products for occasional or as-needed pain.
- C
Use an extended-release opioid whenever pain is unpredictable.
- D
Choose an extended-release product without considering the clinical situation.
A patient with pain may benefit from more than one type of treatment. Which plan best reflects multimodal pain management?
- A
Use two opioid medicines as the entire plan, regardless of the patient's other risks.
- B
Choose a treatment based only on the pain score, without considering its likely mechanism.
- C
Consider suitable treatments with different mechanisms, such as a nonopioid analgesic and physical therapy.
- D
Avoid nonpharmacologic approaches whenever medication is used.
After an opioid dose, a patient reports less pain but is dizzy and has not resumed a meaningful daily activity. What is the best way to assess the treatment response?
- A
Reassess pain, function, and adverse effects together.
- B
Use the pain score alone because it captures treatment benefit and safety.
- C
Stop assessing function once the patient reports less pain.
- D
Increase the dose automatically if the patient's target activity has not resumed.
When prescribing an opioid for acute pain, which instruction approach is appropriate when it fits the patient's situation?
- A
Use scheduled instructions in every case, regardless of the patient's situation.
- B
Use as-needed instructions when appropriate.
- C
Allow the acute prescription to continue automatically if pain persists.
- D
Tell the patient to take doses more often than prescribed if pain worsens.
What should MME not be used for when changing from one opioid to another?
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