Pain Management

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Question 1
Free
Multiple Choice

The nurse is caring for a patient who is recovering from knee replacement surgery. The patient complains of severe pain in the knee after receiving hydrocodone with acetaminophen (Vicodin) 2 hours previously. What is the nurse's best action?

Choose correct answer/s
A

Administer another dose of Vicodin.

B

Apply ice packs to the knee.

C

Apply heat packs to the knee.

D

Perform gentle range of motion.

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Question 2
Free
Multiple Choice

The nurse is checking on the patient after administering pain medication 30 minutes previously. Which assessment finding best indicates to the nurse that the pain medication was effective?

Choose correct answer/s
A

The patient is sleeping quietly.

B

The patient states that she has no pain.

C

The patient's respirations are slow and regular.

D

The patient's blood pressure has returned to baseline.

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Question 3
Free
Multiple Choice

The nurse is caring for a patient who has severe abdominal pain caused by acute cholecystitis. What type of pain is this patient experiencing?

Choose correct answer/s
A

Visceral pain

B

Somatic pain

C

Radiating pain

D

Referred pain

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Question 4
Free
Multiple Choice

Which is the best pain medication option for a patient to manage severe long-term cancer pain at home?

Choose correct answer/s
A

Duragesic 50 mcg transdermal patch q 72 hours

B

Meperidine (Demerol) 50 mg IM q 6 hours

C

Hydromorphone (Dilaudid) 0.2 mg q 10 minutes IV via PCA pump

D

Hydromorphone (Dilaudid) 0.08 mg/hour infusion through epidural catheter

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Question 5
Free
Multiple Choice

The nurse is caring for a patient with severe chronic pain. The nurse applied the first 50 mcg transdermal fentanyl (Duragesic) patch 2 hours ago. The patient states that the pain is presently rated at 9 on a 1-10 scale. What is the nurse's best action?

Choose correct answer/s
A

Instruct the patient that the Duragesic patch will start to work soon.

B

Administer a short-acting narcotic medication like morphine liquid (Roxanol).

C

Give the patient a gentle back rub and encourage guided imagery.

D

Apply a second 25-mcg transdermal fentanyl (Duragesic) patch now.

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Question 6
Multiple Choice

The nurse is caring for a patient who has been taking ibuprofen (Advil, Motrin) 800 mg TID for the last several months to relieve arthritis pain in her knees. Which assessment finding must be reported to the physician promptly?

Choose correct answer/s
A
The patient has abdominal pain and pale skin.
B
The patient has constipation and takes stool softeners daily.
C
The patient enjoys a glass of wine every Friday and Saturday evening.
D
The patient has gained 15 lb in the last 3 months.
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Question 7
Multiple Choice

The nurse is caring for a patient who just underwent laparoscopic appendectomy. The patient tells the nurse that she is experiencing severe postoperative pain between her shoulder blades. Which term best describes the pain that this patient is having?

Choose correct answer/s
A
Referred pain
B
Phantom pain
C
Neuropathic pain
D
Psychogenic pain
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Question 8
Multiple Choice

The nurse administered 100 mcg sublingual fentanyl spray (Subsys) at 10:00 A.M. to a patient experiencing severe breakthrough pain. At what time will the nurse ask the patient if pain relief was obtained?

Choose correct answer/s
A
10:30 A.M.
B
11:00 A.M.
C
11:30 A.M.
D
12:00 noon
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Question 9
Multiple Choice

The nurse is caring for a patient who will be using a hydromorphone (Dilaudid) PCA analgesia pump following surgery. Which intervention is the highest priority for the nurse to include in the patient's care plan for the diagnosis: Readiness for enhanced knowledge r/t appropriate management of PCA pump?

Choose correct answer/s
A
Assess the patient's respiratory status every 30 minutes after PCA pump started.
B
Review patient's medication profile to check for interactions with hydromorphone.
C
Teach the patient how to use PCA pump when awake and aware and pain level is tolerable.
D
Keep naloxone (Narcan) available at the bedside in case of respiratory suppression.
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Question 10
Multiple Choice

The nurse is caring for a 6-month-old infant who has just undergone surgery. The infant's facial muscles are tight with a furrowed brow and the infant's respirations are shallow and irregular. The infant is mildly fussy and softly crying without muscular rigidity in the arms and legs. What score will the nurse give to the infant on the Neonatal Infant Pain Scale?

Choose correct answer/s
A
2
B
3
C
4
D
5
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Question 11
Multiple Choice

The nurse is caring for a patient who is recovering from thoracotomy surgery. The patient's respirations are regular but very shallow. Which intervention is the highest priority for the nurse to include in the patient's care plan for the diagnosis: Ineffective breathing pattern r/t fatigue and pain?

Choose correct answer/s
A
Encourage the patient to use incentive spirometer after administration of pain medication.
B
Ask the patient to describe prior pain experiences and effectiveness of methods used to manage pain.
C
Help the patient to understand that comfort is a priority goal of nursing care in the postoperative period.
D
Assist the patient to minimize the effects of pain on interpersonal relationships with family members.
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Question 12
Multiple Choice

The nurse is caring for a patient with rheumatoid arthritis who is in constant severe pain. Which nursing diagnosis is the highest priority for this patient?

Choose correct answer/s
A
Impaired walking r/t patient's need to use a cane or walker with ambulation
B
Readiness for enhanced comfort r/t sedentary lifestyle and poor physical condition
C
Effective therapeutic regimen management r/t mistrust of health care personnel
D
Chronic pain r/t ongoing inflammatory tissue damage and joint destruction
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Question 13
Multiple Choice

The nurse is caring for a cancer patient with ongoing pain from widespread metastasis to her bones. The nurse notes that the patient's morphine dosage had to be increased to sufficiently manage her discomfort. What is the nurse's interpretation of this assessment finding?

Choose correct answer/s
A
The patient became tolerant to the previous morphine dosage.
B
The patient is becoming addicted to her pain medication.
C
The patient has been abusing her prescribed pain medications.
D
The patient is seeking to end her life with an overdose of morphine.
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Question 14
Multiple Choice

Which patient is best suited for PCA analgesia?

Choose correct answer/s
A
A patient who is confused after a head injury
B
A patient recovering from total hysterectomy surgery
C
A patient who has severe psychogenic pain
D
A patient with arthritis who is unable to push the nurse call button
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Question 15
Multiple Choice

What is the priority nursing assessment for a patient who his receiving postoperative epidural analgesia with hydromorphone (Dilaudid)?

Choose correct answer/s
A
Respiratory rate, depth, and pattern
B
Skin underneath the epidural dressing
C
Bladder scanning to check for urinary retention
D
Itching on the trunk and/or extremities
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Question 16
Multiple Choice

The nurse is caring for a diabetic patient who has painful neuropathy in her feet. The patient asks why the nurse is administering gabapentin (Neurontin) when she does not have a history of seizure disorder. What is the nurse's best response?

Choose correct answer/s
A
"Neurontin will help you sleep at night so you can deal with the pain more effectively."
B
"Long-term diabetes can put patients at risk for certain type of seizures."
C
"Neurontin can help relieve your anxiety from being admitted to the hospital."
D
"Neurontin works on the nervous system to help relieve the burning pain in your feet."
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Question 17
Multiple Choice

The nurse is caring for a patient who has a PCA pump following total hysterectomy surgery. The nurse sees the visitor push the PCA button while the patient is sleeping quietly. What is the best response of the nurse?

Choose correct answer/s
A
"Thank you for pushing the button for her to help keep her comfortable after surgery."
B
"Please do not push the button for the patient-she could receive more medication than she needs."
C
"You can push the button for her now, but please have her do it herself when she awakens."
D
"PCA pumps are great because she doesn't have to wait for me to administer her pain medication."
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Question 18
Multiple Choice

Which assessment question helps the nurse determine the character of the patient's pain?

Choose correct answer/s
A
"What does the pain feel like, i.e. stabbing, burning or throbbing?"
B
"When did the pain first start?"
C
"What interventions make the pain better?"
D
"Is there any pattern to when the pain occurs?"
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Question 19
Multiple Choice

The nurse is caring for a patient who only speaks a foreign language. What is the best method for the nurse to assess the patient's pain level?

Choose correct answer/s
A
Perform a pain assessment using a translator.
B
Check the patient's vital signs and pulse oximetry.
C
Check the patient's respiratory rate, depth, and rhythm.
D
Look to see if the patient appears to be resting comfortably.
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Question 20
Multiple Choice

The nurse is caring for a trauma patient with the nursing diagnosis of Acute pain r/t fracture and muscle spasms. Which is an appropriate goal for this nursing diagnosis?

Choose correct answer/s
A
The patient will experience less pain when participating in physical therapy.
B
The patient will describe meditation techniques that can be used to cope with pain.
C
Nursing staff will explain the ordered pain management approach to the patient.
D
The patient will feel less pain each day when range-of-motion therapy is performed.
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