
Funds 2 TB Exam Chapter 28
Quiz by Darwin
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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