Chapter 12 Medical Surgical Nursing Preparation For Practice 2nd Edition By Osborn

Chapter 12 Medical Surgical Nursing Preparation For Practice 2nd Edition By Osborn

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Question 1

Type: MCSA

Which statement explains why the nurse should assess each patient’s pain response individually in every situation?

1. Everyone has a unique tolerance to pain.
2. Everyone has the same pain threshold.
3. Everyone perceives painful stimuli at the same intensity.
4. Most people have the same pain response to surgery.

Correct Answer: 1

Rationale 1: Each person’s pain tolerance is different and should be assessed on an individual basis.

Rationale 2: Everyone does not have the same pain threshold.

Rationale 3: Everyone perceives pain at a different intensity.

Rationale 4: Different people have a different pain response, even to the same surgery.

Global Rationale:

 

Cognitive Level: Analyzing

Client Need: Physiological Integrity

Client Need Sub: Physiological Adaptation

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 12-1

 

Question 2

Type: MCSA

A patient is being treated for chronic pain. The nurse realizes that which characteristic is typical of chronic pain?

1. The pain rating may be inconsistent with the underlying pathology.
2. Chronic pain usually has a clear, physiologic cause.
3. Chronic pain typically lasts 2 months or less.
4. The pain reported is usually less severe than acute pain.

Correct Answer: 1

Rationale 1: The patient might not exhibit signs of pain such as elevations in vital signs, grimacing, writhing, or moaning.

Rationale 2: There may not be an identified physiologic cause for chronic pain.

Rationale 3: Chronic pain is typically persistent beyond 3 to 6 months.

Rationale 4: There is no indication that chronic pain is less severe than acute pain, although in some instances it may be more diffuse.

Global Rationale:

 

Cognitive Level: Analyzing

Client Need: Physiological Integrity

Client Need Sub: Physiological Adaptation

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 12-3

 

Question 3

Type: MCMA

The nurse is managing care for a group of patients with pain. The nurse plans care for acute pain for which patient?

Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Standard Text: Select all that apply.

1. A patient who had a cholecystectomy this morning
2. A patient with phantom limb pain
3. A patient with a compound femur fracture that occurred 5 days ago
4. A patient with degenerative joint disease
5. A patient being treated for a burn that occurred 8 months ago

Correct Answer: 1,3,5

Rationale 1: Pain associated with surgery, such as gallbladder removal, is of relatively short duration and is considered acute pain.

Rationale 2: The neuropathic pain associated with amputation, phantom limb pain, may not begin immediately and may become a chronic problem lasting more than 6 months.

Rationale 3: A patient with a compound femur fracture will experience acute pain. The pain will still be considered acute 5 days after injury.

Rationale 4: Degenerative joint disease is associated with chronic rather than acute pain.

Rationale 5: The treatment is current, so pain is acute.

Global Rationale:

 

Cognitive Level: Analyzing

Client Need: Physiological Integrity

Client Need Sub: Physiological Adaptation

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 12-3

 

Question 4

Type: MCSA

The nurse is planning care for a patient with chronic pain. What would be the most appropriate pain control goal for this patient?

1. The patient will reduce the focus on pain.
2. The patient will require minimal analgesic medications.
3. The patient will be completely pain free.
4. The patient will report that the pain is bearable.

Correct Answer: 1

Rationale 1: Pain management goals for the patient with chronic pain include reducing the focus on pain; optimizing comfort; increasing participation in activities of daily living, work, and relationships; and restoring a sense of joy and purpose.

Rationale 2: The goal should not be to use minimal analgesics; the patient should be provided with the amount required to control pain.

Rationale 3: Being completely pain free might be an unattainable goal for a patient with chronic pain.

Rationale 4: The goal is to make the patient comfortable, not to reduce pain simply to bearable levels.

Global Rationale:

 

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub: Physiological Adaptation

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 12-7