Chapter 15: Pain Management

Chapter 15: Pain Management

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. The length of time that a nurse should leave heat to an injured hip of a patient is no longer than:

a.	15 minutes.
b.	20 minutes.
c.	30 minutes.
d.	1 hour.

 

 

ANS:  C

If a heating device is left on more than 30 minutes, the effectiveness of the treatment is diminished, and injury to the tissues may occur.

 

DIF:    Cognitive Level: Comprehension     REF:   p. 223             OBJ:   8

TOP:   Timing of Heat Application             KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Physiological Integrity: Basic Care and Comfort

 

2. A patient with an extensive abdominal surgical procedure is assessed by the nurse as having predictable pain. How often should the nurse administer analgesics to this patient to be most effective?

a.	As needed (PRN)
b.	Once a day
c.	Twice a day
d.	Around the clock

 

 

ANS:  D

Using a preventive approach for managing this patient’s pain management is the best plan for the nurse because the pain is predictable and major.

 

DIF:    Cognitive Level: Application           REF:   p. 224             OBJ:   1 | 8

TOP:   Predictable Pain and Analgesic Administration

KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Physiological Integrity: Pharmacological Therapies

 

3. What sympathetic responses to pain might be assessed by the nurse?

a.	Increased blood pressure, increased pulse, and increased respiratory rate
b.	Decreased blood pressure, decreased pulse, and increased respiratory rate
c.	Increased blood pressure, decreased pulse, and increased respiratory rate
d.	Decreased blood pressure, decreased pulse, and decreased respiratory rate

 

 

ANS:  A

The sympathetic nervous system controls blood pressure, pulse, and respiration; it is stimulated during pain.

 

DIF:    Cognitive Level: Comprehension     REF:   p. 215             OBJ:   2 | 7

TOP:   Sympathetic Response to Pain          KEY:  Nursing Process Step: Assessment

MSC:  NCLEX: Physiological Integrity: Physiological Adaptation

 

4. A health care provider has prescribed both heat and cold treatments for an older adult patient with a leg injury. The nursing care plan reflects secondary diagnoses of peripheral vascular disease (PVD), diabetes, and an allergy to latex. Which of the prescribed treatments should the nurse administer and why?

a.	The nurse will use cold treatment because patients with diabetes and a latex allergy cannot tolerate heat.
b.	The nurse will use cold treatment for this patient with a fracture because cold will help set the cast.
c.	The nurse will use heat treatment because cold is contraindicated for patients with PVD.
d.	The nurse will use heat treatment because heat will increase circulation and increase the threat of infection in the injured part.

 

 

ANS:  C

Patients with PVD have blood flow problems that physiologically slow circulation. This problem would be exacerbated by cold. Heat will increase the circulation, which would be a desired effect.

 

DIF:    Cognitive Level: Application           REF:   p. 222-223      OBJ:   6

TOP:   Thermal Applications with Secondary Diagnosis

KEY:  Nursing Process Step: Planning

MSC:  NCLEX: Physiological Integrity: Reduction of Risk

 

5. A nurse notices that a patient seems calm and peaceful despite an assessment that the patient’s injuries might be causing severe pain. The patient tells the nurse that using yoga and meditation lessens the perceptions of pain to tolerable levels. Which other alternative intervention should the nurse suggest to help relax this patient for pain relief?

a.	Indulging in a favorite food
b.	Music by a favorite artist
c.	Reading exciting science fiction
d.	Self-administration of drugs

 

 

ANS:  B

Alternate methods of pain relief are effective for many patients. Activities such as yoga, meditation, and listening to music are helpful and relaxing.

 

DIF:    Cognitive Level: Application           REF:   p. 223-224      OBJ:   3

TOP:   Alternate Methods of Pain Relief     KEY:  Nursing Process Step: Assessment

MSC:   NCLEX: Physiological Integrity: Physiological Adaptation