Introductory Medical Surgical Nursing 11th Edition by Barbara K. Tim
Introductory Medical Surgical Nursing 11th Edition by Barbara K. Tim
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Chapter 11, Pain Management
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 1. | A client is being taught to self-administer a narcotic analgesic by means of an intravenous pump system. Which of the following functions is designed to help prevent the patient from unintentionally overdosing? | |
| A) | Reducing the dosage of the narcotic analgesic | |
| B) | Reducing the frequency of administration of the narcotic analgesic | |
| C) | Programming the dosage and time interval into the device | |
| D) | Drawing up a schedule chart for the client | |
| Ans: | C | |
| Feedback: | ||
| When the client is being taught to self-administer a narcotic analgesic, the dosage and time interval between doses are programmed into the intravenous pump system to prevent accidental overdose. The frequency or dosage of the narcotic analgesic need not be reduced. Although a schedule chart is useful to the client, it does not effectively prevent accidental overdose. | ||
| 2. | Which of the following nursing interventions contributes to achieving a client’s pain relief? | |
| A) | Minimize the client’s description of pain or need for pain relief. | |
| B) | Collaborate with the client about his or her goal for a level of pain relief. | |
| C) | Use all forms of available pain management techniques. | |
| D) | Prevent the client from self-administering analgesics. | |
| Ans: | B | |
| Feedback: | ||
| The nurse should collaborate with each client about his or her goal for a level of pain relief; this helps implement interventions for achieving the goal. The client’s description of pain or need for pain relief should never doubted or minimized. The client need not refrain from self-administering analgesics; providing a client with equipment to self-administer analgesics promotes a more consistent level of pain relief. The nurse should also inform the client of available pain management techniques and incorporate any preferences or objections to interventions for pain management that the client may have when establishing a plan of care; using all forms of available pain management techniques is not necessary. | ||
| 3. | How should the administration of analgesics be scheduled to provide a uniform level of pain relief to a client? | |
| A) | Administering the analgesics on a regular basis, as per physician’s order | |
| B) | Administering the analgesics intravenously | |
| C) | Administering the analgesics on an as-needed basis | |
| D) | Administering analgesics with increased dosage | |
| Ans: | A | |
| Feedback: | ||
| Scheduling the administration of analgesics every 3 hours, rather than on an as-needed basis, often affords a uniform level of pain relief. Administering the analgesics intravenously or with increased dosage is not advisable unless prescribed by the physician. | ||
| 4. | A client is prescribed pain medications. Which of the following interventions will enable the client to consume an adequate meal during treatment? | |
| A) | Administer the medication with plenty of fruit juice. | |
| B) | Administer the medication intravenously. | |
| C) | Administer the medication 30 to 45 minutes before meals. | |
| D) | Administer the medication 30 to 45 minutes after meals. | |
| Ans: | C | |
| Feedback: | ||
| Some pain medications may cause nausea or sedation. However, pain medications administered 30 to 45 minutes before meals may enable the client to consume enough food. Administering the medication with plenty of fruit juice, intravenously, or 30 to 45 minutes after meals does not minimize the risk for imbalanced nutrition in a client with pain. | ||
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