Nursing 1220- Pain
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16 questions
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- Q1Which of the following nursing interventions for a client in pain is based on gate-control theory?Giving the patient a back massageGiving the patient pain medicationChanging the patient's position in bedLimiting the number of visitors60s
- Q2A priority nursing intervention when caring for a client who is receiving an epidural infusion for pain is tomonitor vital signs every 15 minutesLabel the port as an epidural catheterAvoid supplemental doses of sedativesUse aseptic technique60s
- Q3The nurse should describe pain that is causing the client a "burning sensation in the epigastric region" asradiatingreferreddeep or visceralsuperficial or cutaneous60s
- Q4Which of the following is most appropriate when the nurse assesses the intensity of the client's pain?ask about what precipitates the painquestion the client about the location of the painuse open-ended questions to find out about the sensationoffer the client a pain scale60s
- Q5The nurse on the post-operative care unit is assessing the quality of the client's pain. In order to obtain this specific information about the pain experience from the client, the nurse should askwhat does your discomfort feel like?how much does it hurt on a scale of 1-10how much discomfort are you able to tolerate?what activities make the pain worse?60s
- Q6When a client's husband questions how a patient-controlled-analgesia (PCA) pump works, the nurse explains that the clientcontrols the route for administering the medicationmay request the type of medication receivedhas control over the frequency of the IV analgesiacan choose the dosage of the drug received60s
- Q7An older client with mild musculoskeletal pain is being seen by the primary care provider. The nurse anticipates that treatment of this client's level of discomfort will includeacetaminophenfentanylmeperidine hydrochloridediazepam60s
- Q8The nurse knows that a PCA pump would be most appropriate for the client whorecently experienced a CVAis recovering from a total hip replacementexperiences renal dysfunctionhas psychogenic discomfort60s
- Q9A client with chronic back pain has an order for a transcutaneous electrical nerve stimulation unit (TENS) for pain control. The nurse should instruct the client touse the therapy without medicationremove the electrodes at bedtimeuse the unit when pain is perceivedkeep the unit on high60s
- Q10The nurse caring for a terminally ill patient with liver cancer understands which of the following goals would be most appropriate?withhold analgesics because they are not effective in relieving discomfortincreasingly administer narcotics to oversedate the client and thereby decrease the painadapt the analgesics as the nursing assessment reveals the need for specific medicationscontinue to change the analgesics until the right narcotic is found that completely alleviates the pain60s
- Q11The client is experiencing breakthrough pain while receiving opioids. An order is written for the client to receive a transmucosal fentanyl unit. In teaching about this medication. the nurse should instruct the clientallow the unit to dissolve slowly in the mouth over 15 minutes or morenot to chew the unit after administrationtake no more than two units per episode of discomfortswab the unit over cheeks60s
- Q12Which of the following statements by the nurse reflects a need for immediate follow-up regarding the physical effects of chronic pain on bodily function?please take his pulse and blood pressure and let me know if they are elevated above his normal baselinesunmanaged pain usually manifests itself in both an elevated pulse and blood pressurehis pulse and blood pressure are within normal limits so I'm sure the pain medication is workingif his pulse and blood pressure are above his normal baseline, let me know and I will medicate him for pain60s
- Q13The greatest barrier to a 3 year old client's ability to self-assess her pain isincreased separation anxietya limited vocabularyinability to grasp the concept of painreluctance to talk to strangers60s
- Q14The home care nurse notes that a 67 year old female diabetic client's blood glucose level has been elevated since she strained her back the previous week. The client states that she cannot understand why her blood glucose level is elevated. The nurse suspects that the most likely cause isparasympathetic stimulation from the body's normal response to painthe client may not be taking her medication as orderedthe client is consuming more food as a comfort measurethe decreased activity level of the client since the injury60s
- Q15In creating a plan of care for a newly diagnosed breast cancer client, the nurse is concerned about pain control. The client has expressed an interest in relaxation therapy as a complimentary pain therapy. The nurse knows that the best time to teach the client iswhen the client is comfortableimmediately preceding surgerybefore giving pain medication to evaluate if the complimentary therapy worksimmediately following the client's mastectomy60s