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Funds 2 TB Exam Chapter 28

Quiz by Darwin

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47 questions
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  • Q1

    A patient suddenly develops right-lower-quadrant pain, nausea, vomiting, and rebound tenderness. How should the nurse classify this patient’s pain?

    Acute

    Chronic

    Intractable

    Neuropathic

    60s
  • Q2

    How should the nurse classify pain that a patient with lung cancer is experiencing?

    Cutaneous

    Deep somatic

    Visceral

    Neuropathic

    60s
  • Q3

    A patient who underwent left above-the-knee amputation reports pain in the left foot. The nurseshould document this finding as what type of pain?

    Psychogenic

    Phantom

    Referred

    Radiating

    60s
  • Q4

    A nurse is working in nursery and observes an infant crying after a procedure. Which action would be appropriate for the nurse to take?

    Nothing, newborns are not as sensitive.

    Place the infant under a warmer

    Administer oral sucrose

    Give a pain injection

    60s
  • Q5

    In which process do peripheral nerves carry the pain message to the dorsal horn of the spinal cord?

    Transduction

    Transmission

    Perception

    Modulation

    60s
  • Q6

    A patient reports using music therapy to help control the chronic pain. Music therapy works byprompting the release of endogenous opioids during which stage of the pain process?

    Perception

    Transduction

    Transmission

    Modulation

    60s
  • Q7

    The nurse is assessing an intubated patient who returned from coronary artery bypass surgery 3hours ago. Which assessment finding might indicate that this patient is experiencing pain?

    Blood pressure 160/82 mm Hg

    Temperature 100.6°F (38.1°C)

    Heart rate 80 beats/min

    Oxygen saturation 95%

    30s
  • Q8

    A patient who sustained rib fractures in a motor vehicle accident is stating that the pain medicationis ineffective. Inadequate pain control places this patient at risk for which complication?

    Metabolic alkalosis

    Overventilation

    Pneumonia

    Hypocarbia

    30s
  • Q9

    When should the nurse assess pain?

    With a change in the patient’s condition

    After the nurse finishes charting

    Every 4 hours for the first 2 days after surgery

    Only when the patient reports pain

    30s
  • Q10

    A patient who had surgery is receiving patient-controlled analgesia (PCA). Which statement by thepatient indicates an understanding of PCA use?

    “I will not push the button too many times, so I won’t get overdosed.”

    “I will need to be careful not to roll over the button when I sleep.”

    “I will be the only one that presses the button.”

    “I will use this button to help me sleep better.”

    30s
  • Q11

    A nurse is preparing to administer pain medications to a client. Which statement by the nurse indicates correct understanding of the guidelines for pain management?

    “I will administer the pain medication around the clock.”

    “I will encourage the client to wait as long as possible between doses.”

    “I will wait to give pain medication until the client shows signs of pain.”

    “I will assess the need for medication only if the client reports pain.”

    30s
  • Q12

    The nurse administers acetaminophen 325 mg and codeine 30 mg orally to a patient reporting asevere headache. When should the nurse reassess the patient’s pain?

    15 minutes after administration

    30 minutes after administration

    90 minutes after administration

    Immediately before the next dose is due

    30s
  • Q13

    After receiving ibuprofen 800 mg orally for right hip pain, the patient states that the pain is 8 outof 10 on the numerical pain scale. Which action should the nurse take next?

    Use nonpharmacological therapy while waiting 3 more hours before the next dose

    Administer an additional 800 mg oral dose of ibuprofen right away

    Do nothing because the patient’s facial expression indicates an absence of pain

    Notify the prescriber that the current pain management plan is ineffective

    30s
  • Q14

    The nurse is teaching a client who sustained an ankle injury about cold application. Whichinstruction should the nurse include in the teaching plan?

    Place the cold pack directly on the skin over the ankle.

    Apply the cold pack to the ankle for 30 minutes at a time.

    Check the skin frequently for extreme redness.

    Keep the cold pack in place for at least 24 hours.

    30s
  • Q15

    The nurse plays music for a child with leukemia who is experiencing pain. Which painmanagement technique is this nurse using?

    Distraction

    Guided imagery

    Sequential muscle relaxation

    Hypnosis

    30s

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