Clients With Pain

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Question 1
Free
Multiple Choice

To provide the best care to a client having pain, the nurse must assess which information in addition to using a pain measuring scale?

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A

A record of any healing taking place in damaged tissue

B

Objective measurements of the tissue damage

C

The client's perception of the pain

D

The type of pain fibers conducting the pain

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Question 2
Free
Multiple Choice

An elderly client has mild dementia and the nurse feels the client may be in pain. The best way for the nurse to assess this client for pain is by

Choose correct answer/s
A

asking direct questions about pain.

B

changing the way the nurse phrases the questions.

C

having the client rate pain with a 1-10 scale.

D

using the FACES pain scale.

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Question 3
Free
Multiple Choice

A client's leg was pinned under a piece of heavy equipment in the workplace for several hours, during which he was in severe pain. The physiologic response that the occupational health nurse could have assessed in this situation is

Choose correct answer/s
A

a wide pulse pressure.

B

constricted pupils.

C

dry, cold skin.

D

tachycardia.

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Question 4
Free
Multiple Choice

The nurse caring for a client with suspected appendicitis knows that the pain associated with appendicitis is

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A

cutaneous pain.

B

somatic pain.

C

superficial pain.

D

visceral pain.

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Question 5
Free
Multiple Choice

A client with end-stage cancer is on a continuous IV of morphine to control intractable pain. The family is concerned that the client has a decreasing level of consciousness and has shallow respirations. Which action by the nurse is most appropriate?

Choose correct answer/s
A

Call the physician and report the family's concerns.

B

Prepare to administer naloxone (Narcan).

C

Review the goals of end-of-life care with the family.

D

Slow the rate of the IV infusion.

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Question 6
Multiple Choice

A client is in the hospital with an exacerbation of a chronic pain condition. Orders are for prn morphine IV push. When the primary nurse left for the weekend, the client's pain was under control. When the nurse returns to work, the client is reporting wild swings in pain control, being oversedated at some times and having extreme pain at other times. Which action by the primary nurse would best get this client's pain under control?

Choose correct answer/s
A
Ask the physician to order the pain medication on a round-the-clock schedule.
B
Observe the client for behaviors that might indicate possible addiction.
C
Plan to administer the maximum amount of pain medication the next time it is due.
D
Question the client about the pain to determine if he/she is exaggerating.
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Question 7
Multiple Choice

The most effective way for the nurse to administer pain medication to a client who is experiencing severe pain related to metastatic liver cancer is to

Choose correct answer/s
A
administer medication only when other methods of pain relief are ineffective.
B
dispense pain medications on a regular basis.
C
give only intravenous pain medications.
D
respond promptly to as-needed (prn) pain requests.
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Question 8
Multiple Choice

A client who has been dealing with chronic pain for the past 2 years would like to try biofeedback as a method of pain relief. The statement that indicates that the client understands this method of treatment is

Choose correct answer/s
A
"I want to give my attention to something other than my pain."
B
"I work really well with groups. I think that support will be just what I need."
C
"I'm willing to try to control how blood flows to different parts of my body."
D
"It will be nice to try something that won't cost me anything."
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Question 9
Multiple Choice

A client who has been in chronic pain after an automobile accident successfully reduces his pain through a combination of biofeedback and meditation. The conclusion the nurse may draw from his success is that the

Choose correct answer/s
A
pain was acute in nature.
B
pain was psychological in nature.
C
placebo effect occurred.
D
therapy caused physiologic changes.
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Question 10
Multiple Choice

A client has chronic back pain from an injury several years ago. The client is in the doctor's office, complaining of insomnia with fatigue and dissatisfaction with the previous physician who "did nothing to help the pain." The client has a blunt affect and relates no longer being able to do many things that once were enjoyable. The nurse working with an interdisciplinary team to manage this client's pain understands the client

Choose correct answer/s
A
has adapted a sick role out of frustration with the situation and health care.
B
is probably malingering to get workers' compensation.
C
might be addicted to drugs and should have a urine drug screen.
D
would not be so irritable after getting some sleep.
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Question 11
Multiple Choice

The nurse reminds a group of student nurses that the most significant problem associated with the use of "demand" or nurse-administered analgesia is

Choose correct answer/s
A
determination of the difference between pain control and addiction.
B
inability of heavily assigned nurses to respond in a timely manner.
C
pain medications being administered too close to one another.
D
the nurse's underestimation of the need for medication.
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Question 12
Multiple Choice

A client is receiving an opioid analgesic through an epidural catheter. The nurse places the highest priority on

Choose correct answer/s
A
assessing for respiratory depression.
B
assisting the client with frequent position changes.
C
establishing a baseline laboratory profile.
D
performing hourly inspection of the catheter insertion site.
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Question 13
Multiple Choice

A client is having a small wart removed from his index finger. The nurse assisting with this procedure would question the use of

Choose correct answer/s
A
lidocaine.
B
Novocain with epinephrine.
C
procaine.
D
Xylocaine.
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Question 14
Multiple Choice

The nurse practitioner (NP) infiltrates with lidocaine the area around a lesion to be incised. For optimal anesthesia, the NP should anticipate a waiting period of

Choose correct answer/s
A
5 to 10 minutes.
B
(1/4) to (1/2) hour.
C
no significant time.
D
optimally, 1 hour.
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Question 15
Multiple Choice

A client is receiving intravenous morphine every hour for severe pain. The nurse assesses the client and notes a blood pressure of (90/70) mm Hg, pulse rate of 90 beats/min, and respirations of 6 breaths/min. Which action by the nurse takes priority? The nurse should

Choose correct answer/s
A
administer the next dose of morphine when it is due.
B
notify the physician about the patient's hypotension.
C
prepare to administer naloxone (Narcan).
D
return in 1 hour so the client can get some uninterrupted sleep.
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Question 16
Multiple Choice

The teaching plan for an individual receiving transcutaneous electrical nerve stimulation (TENS) should include the information that

Choose correct answer/s
A
one electrode only is used over the painful site.
B
the client can adjust both voltage and pulsation.
C
the electrode wires should be visible to detect early problems.
D
this therapy is useful for very few clients.
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Question 17
Multiple Choice

A client with metastatic cancer is being dismissed to home health care. The client's orders include both a long-acting opioid analgesic and a short-acting analgesic for breakthrough pain. In addition, the client will be taking an NSAID every 8 hours. The client's spouse is very upset with these directions and voices concern to the nurse that the client "will become an addict." Which information will best help the spouse and client maintain the medication schedule? The nurse should

Choose correct answer/s
A
call the physician and ask him/her to come speak to the family.
B
help them understand the need for such strong medications.
C
inform them that in time, the medications can be decreased.
D
initiate a referral to a pain specialist.
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Question 18
Multiple Choice

The client who had a right below-the-knee amputation 2 days ago is requesting pain medication for pain in his right foot. The nurse should

Choose correct answer/s
A
administer the prescribed analgesic.
B
elevate the stump on pillows and apply ice.
C
offer an alternative therapy such as a massage.
D
tell the client that he cannot be medicated for pain in the absent foot.
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Question 19
Multiple Choice

The nurse instructs the client taking ibuprofen that the drug is effective for pain relief because it acts to

Choose correct answer/s
A
interfere with the relay of pain information through the dorsal horn.
B
interrupt the transmission of pain impulses.
C
reduce inflammation and block prostaglandins.
D
slow painful stimuli through type A-delta pain fibers.
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Question 20
Multiple Choice

The client with neuropathic pain develops allodynia, which

Choose correct answer/s
A
can be relieved by daily doses of opioids.
B
is a vague pain that is difficult for the client to describe.
C
is pain due to a stimulus that does not normally cause pain.
D
responds to NSAIDs taken several times a day.
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