Chapter 32. Pain

Chapter 32. Pain

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Multiple Choice

Identify the choice that best completes the statement or answers the question.

 

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

1)

Acute

2)

Chronic

3)

Intractable

4)

Neuropathic

 

 

ANS:       1

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.

 

PTS:    1                      DIF:    Easy                REF:    p. 1092

KEY:   Nursing process: Assessment | Client need: PHSI | Cognitive level: Comprehension

 

 

 

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

1)

Radiating

2)

Deep somatic

3)

Visceral

4)

Referred

 

 

ANS:       3

Visceral pain is commonly experienced in the abdominal cavity, cranium, or thorax. Lung cancer produces visceral pain. Radiating pain starts at the source and extends to other locations. Deep somatic pain is typically caused by fracture, sprain, arthritis, and bone cancer. Referred pain occurs in an area distant from the original site.

 

PTS:    1                      DIF:    Moderate        REF:    p. 1091

KEY:   Nursing process: Assessment | Client need: PHSI | Cognitive level: Comprehension

 

 

 

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

1)

Psychogenic

2)

Phantom

3)

Referred

4)

Radiating

 

 

ANS:       2

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 which 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.

 

PTS:    1                      DIF:    Easy                REF:    p. 1091

KEY:   Nursing process: Assessment | Client need: PHSI | Cognitive level: Comprehension

 

 

 

____       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?

1)

Histamine

2)

Prostaglandin

3)

Bradykinin

4)

Serotonin

 

 

ANS:       3

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 is not involved in the inflammatory response.

 

PTS:    1                      DIF:    Difficult          REF:    p. 1092

KEY:   Nursing process: NA | Client need: PHSI | Cognitive level: Application

 

 

 

____       5.   In which process do peripheral nerves carry the pain message to the dorsal horn of the spinal cord?

1)

Transduction

2)

Transmission

3)

Perception

4)

Modulation

 

 

ANS:       2

Peripheral nerves carry the pain message to the dorsal horn of the spinal cord during a process known as transmission. In a process called transduction, specialized nociceptors convert potentially damaging mechanical, thermal, and chemical stimuli into electrical activity that leads to the experience of pain. Perception involves the recognition of pain by the frontal cortex of the brain. During modulation, pain signals can be facilitated or inhibited, and the perception of pain can be changed.

 

PTS:    1                      DIF:    Difficult          REF:    p. 1092

KEY:     Nursing process: NA | Client need: PHSI | Cognitive level: Recall