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Pain Management

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Question 1
Free
Multiple Choice

An oriented patient has recently had surgery. Which action is best for the nurse to take to assess this patient's pain?

Choose correct answer/s
A

Assess the patient's body language.

B

Ask the patient to rate the level of pain.

C

Observe the cardiac monitor for increased heart rate.

D

Have the patient describe the effect of pain on the ability to cope.

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Question 2
Free
Multiple Choice

A nurse is caring for a patient who recently had abdominal surgery and is experiencing severe pain. The patient's blood pressure is 110/60 mm Hg, and heart rate is 60 beats/min. Additionally, the patient does not appear to be in any distress. Which response by the nurse is most therapeutic?

Choose correct answer/s
A

"Your vitals do not show that you are having pain; can you describe your pain?"

B

"OK, I will go get you some narcotic pain relievers immediately."

C

"What would you like to try to alleviate your pain?"

D

"You do not look like you are in pain."

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Question 3
Free
Multiple Choice

A nurse teaches the patient about the gate control theory. Which statement made by a patient reflects a correct understanding about the relationship between the gate control theory of pain and the use of meditation to relieve pain?

Choose correct answer/s
A

"Meditation controls pain by blocking pain impulses from coming through the gate."

B

"Meditation alters the chemical composition of pain neuroregulators, which closes the gate."

C

"Meditation will help me sleep through the pain because it opens the gate."

D

"Meditation stops the occurrence of pain stimuli."

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Question 4
Free
Multiple Choice

A nurse is planning care for an older-adult patient who is experiencing pain. Which statement made by the nurse indicates the supervising nurse needs to follow up?

Choose correct answer/s
A

"As adults age, their ability to perceive pain decreases."

B

"Older patients may have low serum albumin in their blood, causing toxic effects of analgesic drugs."

C

"Patients who have dementia probably experience pain, and their pain is not always well controlled."

D

"It is safe to administer opioids to older adults as long as you start with small doses and frequently assess the patient's response to the medication."

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Question 5
Free
Multiple Choice

The nurse is caring for two patients; both are having a hysterectomy. The first patient is having the hysterectomy after a complicated birth. The second patient has uterine cancer. What will most likely influence the experience of pain for these two patients?

Choose correct answer/s
A

Meaning of pain

B

Neurological factors

C

Competency of the surgeon

D

Postoperative support personnel

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Question 6
Multiple Choice

The nurse is preparing pain medications. To which patient does the nurse anticipate administering an opioid fentanyl patch?

Choose correct answer/s
A
A 15-year-old adolescent with a fractured femur
B
A 30-year-old adult with cellulitis
C
A 50-year-old patient with prostate cancer
D
An 80-year-old patient with a broken hip
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Question 7
Multiple Choice

A patient is receiving opioid medication through an epidural infusion. Which action will the nurse take?

Choose correct answer/s
A
Restrict fluid intake.
B
Label the tubing that leads to the epidural catheter.
C
Apply a gauze dressing to the epidural catheter insertion site.
D
Ask the nursing assistive personnel to check on the patient at least once every 2 hours.
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Question 8
Multiple Choice

A woman is in labor and refuses to receive any sort of anesthesia medication. Which alternative treatment is best for this patient?

Choose correct answer/s
A
Transcutaneous electrical nerve stimulation (TENS)
B
Herbal supplements with analgesic effects
C
Pudendal block (regional anesthesia)
D
Relaxation and guided imagery
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Question 9
Multiple Choice

A nurse is teaching a patient about patient-controlled analgesia (PCA). Which statement made by the patient indicates to the nurse that teaching is effective?

Choose correct answer/s
A
"I will only need to be on this pain medication."
B
"I feel less anxiety about the possibility of overdosing."
C
"I can receive the pain medication as frequently as I need to."
D
"I need the nurse to notify me when it is time for another dose."
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Question 10
Multiple Choice

A nurse is caring for a patient who is experiencing pain following abdominal surgery. Which information is important for the nurse to share with the patient when providing patient education about effective pain management?

Choose correct answer/s
A
"To prevent overdose, you need to wait to ask for pain medication until you begin to experience pain."
B
"You should take your medication after you walk to make sure you do not fall while you are walking."
C
"We should work together to create a schedule to provide regular dosing of medication."
D
"When you experience severe pain, you will need to take oral pain medications."
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Question 11
Multiple Choice

A nurse is caring for a patient who recently had spinal surgery. The nurse knows that patients usually experience acute pain following this type of surgery. The patient refuses to get up and walk and is not moving around in the bed. However, the patient is stoic and denies experiencing pain at this time. What most likely explains this patient's behavior?

Choose correct answer/s
A
The surgery successfully cured the patient's pain.
B
The patient's culture is possibly influencing the patient's experience of pain.
C
The primary health care provider did not prescribe the correct amount of medication.
D
The nurse is allowing personal beliefs about pain to influence pain management at this time.
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Question 12
Multiple Choice

A nurse is providing discharge teaching for a patient with a fractured humerus. The patient is going home with hydrocodone. Which important patient education does the nurse provide?

Choose correct answer/s
A
"You need to drink plenty of fluids and eat a diet high in fiber."
B
"Narcotics can be addictive, so do not take them unless you are in severe pain."
C
"Be sure to eat a meal high in fat before taking the medication, to avoid a stomach ulcer."
D
"As your pain severity lessens, you will begin to give yourself once-daily intramuscular injections."
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Question 13
Multiple Choice

A patient arrives at the emergency department experiencing a headache and rates the pain as 7 on a 0 to 10 pain scale. Which nonpharmacological intervention does the nurse implement for this patient while awaiting orders for pain medication from the health care provider?

Choose correct answer/s
A
Reassures the patient that the provider will come to the emergency department soon
B
Softly plays music that the patient finds relaxing
C
Frequently reassesses the patient's pain scores
D
Teaches the patient how to do yoga
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Question 14
Multiple Choice

A patient who has had type 2 diabetes for 26 years is beginning to experience peripheral neuropathy in the feet and lower leg. The nurse is providing education to the patient to prevent injury to the feet by wearing shoes or slippers when walking. Which statement made by the nurse best explains the rationale for this instruction?

Choose correct answer/s
A
"Wearing shoes blocks pain perception and helps you adapt to pain, which ends up protecting your feet."
B
"Shoes provide nonpharmacological pain relief to people with diabetes and peripheral neuropathy."
C
"The neurological gates open when wearing shoes, which protects your feet."
D
"If you step on something without shoes, you might not feel it; this could possibly cause injury to your foot."
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Question 15
Multiple Choice

A nurse is assessing a patient who started to have severe pain 3 days ago. When the nurse asks the patient to describe the pain, the patient states, "The pain feels like it is in my stomach. It is a burning pain, and it spreads out in a circle around the spot where it hurts the most." Which type of pain does the nurse document the patient is having at this time?

Choose correct answer/s
A
Superficial pain
B
Idiopathic pain
C
Chronic pain
D
Visceral pain
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Question 16
Multiple Choice

A patient who had a motor vehicle crash 2 days ago is experiencing pain and is receiving patient-controlled analgesia (PCA). Which assessment finding indicates effective pain management with the PCA?

Choose correct answer/s
A
The patient is sleeping and is difficult to arouse.
B
The patient rates pain at a level of 2 on a 0 to 10 scale.
C
The patient has sufficient medication left in the PCA syringe.
D
The patient presses the control button to deliver pain medication.
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Question 17
Multiple Choice

The nurse is caring for a patient to ease modifiable factors that contribute to pain. Which areas did the nurse focus on with this patient?

Choose correct answer/s
A
Age and gender
B
Anxiety and fear
C
Culture and ethnicity
D
Previous pain experiences and cognitive abilities
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Question 18
Multiple Choice

The nurse is evaluating the effectiveness of guided imagery for pain management as used for a patient who has second- and third-degree burns and needs extensive dressing changes. Which finding best indicates the effectiveness of guided imagery?

Choose correct answer/s
A
The patient's facial expressions are stoic during the procedure.
B
The patient rates pain during the dressing change as a 6 on a scale of 0 to 10.
C
The patient's need for analgesic medication decreases during the dressing changes.
D
The patient asks for pain medication during the dressing changes only once throughout the procedure.
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Question 19
Multiple Choice

A nurse is providing medication education to a patient who just started taking ibuprofen. Which information will the nurse include in the teaching session?

Choose correct answer/s
A
Ibuprofen helps to depress the central nervous system to decrease pain perception.
B
Ibuprofen reduces anxiety, which will help you cope with your pain.
C
Ibuprofen binds with opiate receptors to reduce your pain.
D
Ibuprofen inhibits the production of prostaglandins.
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Question 20
Multiple Choice

The nurse has brought a patient the scheduled pain medication. The patient asks the nurse to wait to give pain medication until the time for the dressing change, which is 2 hours away. Which response by the nurse is most therapeutic?

Choose correct answer/s
A
"This medication will still be providing you relief at the time of your dressing change."
B
"OK, swallow this pain pill, and I will return in a minute to change your dressing."
C
"Would you like medication to be given for dressing changes in addition to your regularly scheduled medication?"
D
"Your medication is scheduled for this time, and I can't adjust the time for you. I'm sorry, but you must take your pill right now."
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