Chapter 31. Pain

Chapter 31. Pain

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. A patient suddenly develops right lower-quadrant pain, nausea, vomiting, and rebound tenderness. How should the nurse classify this patient’s pain?

a)	Acute
b)	Chronic
c)	Intractable
d)	Neuropathic

 

 

ANS:  A

Acute pain typically has a short duration and a rapid onset. Chronic pain lasts longer than 6 months and interferes with daily activities. Intractable pain is chronic and highly resistant to relief. Neuropathic pain is a type of chronic pain that occurs from injury to one or more nerves.

 

Difficulty: Easy

Nursing Process: Assessment

Client Need: PHSI

Cognitive Level: Comprehension

 

PTS:   1

 

2. How should the nurse classify pain that a patient with lung cancer is experiencing?

a)	Radiating
b)	Deep somatic
c)	Visceral
d)	Referred

 

 

ANS:  A

Deep somatic pain originates in the ligaments, tendons, nerves, blood vessels, and bones. Deep somatic pain is localized and can be described as achy or tender. Cutaneous pain occurs in the superficial layers of the skin or subcutaneous tissue. Radiating pain starts at the source and extends to other locations. Visceral pain is commonly experienced in the abdominal cavity, cranium, or thorax. Visceral pain is not well localized and can be described as tight, pressure, or crampy pain.

 

Difficulty: Moderate

Nursing Process: Assessment

Client Need: PHSI

Cognitive Level: Comprehension

 

PTS:   1

 

3. A patient who underwent a left above-the-knee amputation reports pain in his left foot. The nurse should document this finding as what type of pain?

a)	Psychogenic
b)	Phantom
c)	Referred
d)	Radiating

 

 

ANS:  B

The nurse should document this finding as phantom pain. Phantom pain is pain that is perceived to originate in an area that has been amputated. Psychogenic pain refers to pain experienced by a person that does not match the symptoms or the apparent source of pain. It is thought to arise from psychological factors and is disproportional to the painful stimuli. Referred pain occurs in an area distant from the original site. Radiating pain starts at the source but extends to other locations.

 

Difficulty: Easy

Nursing Process: Implementation

Client Need: PHSI

Cognitive Level: Comprehension

 

PTS:   1

 

4. A patient who sustained a leg laceration in an industrial accident is brought to the emergency department. The area around the laceration is red, swollen, and tender. Which substance is responsible for causing this response?

a)	Histamine
b)	Prostaglandin
c)	Bradykinin
d)	Serotonin

 

 

ANS:  C

Tissue damage causes the release of the substances histamine, bradykinin, and prostaglandin. Bradykinin triggers the release of inflammatory chemicals that cause the injured area to become red, swollen, and tender. Serotonin is a neurotransmitter and not involved in the inflammatory response.

 

Difficulty: Difficult

Client Need: PHSI

Cognitive Level: Application

 

PTS:   1