Fundamental Nursing Skills and Concept 10th Edition Timby
Fundamental Nursing Skills and Concept 10th Edition Timby
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Chapter 20- Pain Management
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 1. | A nurse is caring for a client who was administered opioids. The client complains of constipation. What other potential side effect of opioids should the nurse assess for? | |
| A) | Sedation | |
| B) | Anxiety | |
| C) | Diarrhea | |
| D) | Insomnia | |
| Ans: | A | |
| Feedback: | ||
| Opioids and opiates cause sedation, nausea, constipation, and respiratory depression, which are the main side effects to watch for with narcotics. Opioids and opiates do not as commonly lead to anxiety, diarrhea, or insomnia in clients. | ||
| 2. | A nurse is caring for a client who has undergone a surgical intervention in which the pain pathways in his spinal cord have been interrupted to control pain in his back. Which of the following treatments does the nurse know that the client has undergone? | |
| A) | Cordotomy | |
| B) | Tubectomy | |
| C) | Rhizotomy | |
| D) | Osteotomy | |
| Ans: | A | |
| Feedback: | ||
| The client has undergone a cordotomy, which is the surgical interruption of pain pathways in the spinal cord to control pain. A tubectomy, in general terms, means the cutting of the fallopian tubes. A rhizotomy is the surgical sectioning of a nerve root close to the spinal cord. It prevents sensory impulses from entering the spinal cord and traveling to the brain. An osteotomy is a surgical operation whereby a bone is cut to shorten, lengthen, or change its alignment. | ||
| 3. | A nurse is caring for a middle-aged client with acute abdominal pain at a health care facility. The physician has ordered a regimen of narcotics but the client is unable to take the medication orally due to a tracheostomy. What other delivery route might the physician prescribe? | |
| A) | Sublingual route | |
| B) | Inhaled route | |
| C) | Dermal route | |
| D) | Transdermal route | |
| Ans: | D | |
| Feedback: | ||
| Opioids are available for administration by the transdermal, oral, rectal, or parenteral route. Dermal, inhaled, and sublingual administration are not typically used for opioids. | ||
| 4. | A nurse is caring for a client whose injured cells are releasing chemicals such as substance P, prostaglandins, bradykinin, histamine, and glutamate. Which phase of pain is the client experiencing? | |
| A) | Transduction | |
| B) | Transmission | |
| C) | Modulation | |
| D) | Perception | |
| Ans: | A | |
| Feedback: | ||
| The client is going through the transduction phase, which is the first phase of pain in which injured cells release chemicals such as substance P, prostaglandins, bradykinin, histamine, and glutamate. The client is not going through the transmission, perception, or modulation phase of pain. Transmission is the phase during which stimuli move from the peripheral nervous system toward the brain. Perception occurs when the pain threshold is reached. Modulation is the last phase of pain impulse transmission, during which the brain interacts with the spinal nerves to alter the pain experience. | ||
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