Chapter 31: Pain, Comfort, and Sleep

Chapter 31: Pain, Comfort, and Sleep

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. The nurse assesses a patient’s sleep for NREM (non–rapid eye movement) sleep because this sleep has the characteristics of:

a.	daytime activity.
b.	offering the most rest.
c.	irregular respirations.
d.	increased heart rate.

 

 

ANS:   B

NREM sleep is the stage of sleep when the body receives the most rest.

 

DIF:    Cognitive Level: Comprehension      REF:    p. 609              OBJ:    Theory #5

TOP:    NREM Sleep                                      KEY:   Nursing Process Step: Assessment

MSC:   NCLEX: Physiological Integrity: Basic Care and Comfort

 

2. A patient experiencing discomfort because of severe arthritis would be described as having _______ pain.

a.	acute
b.	chronic
c.	phantom
d.	episodic

 

 

ANS:   B

Chronic pain is pain in which symptoms are controlled, but there is no cure, such as in arthritis.

 

DIF:    Cognitive Level: Comprehension      REF:    p. 594

OBJ:    Clinical Practice #2                            TOP:    Types of Pain

KEY:   Nursing Process Step: Assessment

MSC:   NCLEX: Physiological Integrity: Basic Care and Comfort

 

3. A patient is beginning treatment for pain with a transcutaneous electrical nerve stimulator (TENS) unit. The nurse will initially:

a.	apply conductive jelly to uncoated electrodes.
b.	turn the unit on before attaching it to the patient.
c.	place electrodes on all four extremities.
d.	adjust the settings below the level at which a tingling sensation is felt.

 

 

ANS:   A

Conductive jelly is applied to electrodes that are not precoated to assure conductivity.

 

DIF:    Cognitive Level: Application             REF:    p. 601

OBJ:    Clinical Practice #4                            TOP:    TENS

KEY:   Nursing Process Step: Implementation

MSC:   NCLEX: Physiological Integrity: Basic Care and Comfort

 

4. The patient with a recent abdominal incision has an abdominal binder applied. The nurse explains that this appliance helps reduce pain by:

a.	increasing warmth to the incision site.
b.	keeping sutures and staples in place.
c.	supporting surface and internal tissues.
d.	adding back support to enhance early ambulation.

 

 

ANS:   C

Binders are cloths wrapped around a limb or body part that have an incision and are effective in reducing pain associated with strains, sprains, and surgical incisions by providing support to the surface of the area as well as the internal tissues.

 

DIF:    Cognitive Level: Comprehension      REF:    p. 601

OBJ:    Clinical Practice #4                            TOP:    Pain Control

KEY:   Nursing Process Step: Assessment

MSC:   NCLEX: Physiological Integrity: Basic Care and Comfort

 

5. A nurse evaluating the effectiveness of an Aquathermia K pad for the leg is aware that the patient who has the least risk for burn injury from this device would be the patient with:

a.	impaired peripheral circulation.
b.	severely sprained ankle.
c.	decreased level of consciousness from a stroke.
d.	neuritis secondary to diabetes.

 

 

ANS:   B

Patients with poor circulation, impaired movement or feeling, or decreased level of consciousness are more at risk for injury from burns when applications of heat are used.

 

DIF:    Cognitive Level: Analysis                  REF:    p. 602

OBJ:    Clinical Practice #4                            TOP:    Heat Application

KEY:   Nursing Process Step: Planning

MSC:   NCLEX: Safe, Effective Care Environment: Safety and Infection Control