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:

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.

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:

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:

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:

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