Focus on Adult Health Medical-Surgical Nursing Psc Edition by Linda
Focus on Adult Health Medical-Surgical Nursing Psc Edition by Linda
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Chapter 7- Pain Management
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 1. | The nurse in a pain clinic is assessing a palliative patient. The patient indicates that he has been saving his analgesics until the pain is intense because the pain control has been poor. What teaching should the nurse perform with this patient? | |
| A) | Medication should be taken when pain levels are low so the pain is easier to reduce. | |
| B) | Pain medication can be increased when the pain is intense. | |
| C) | It is difficult to control chronic pain, so little can be done. | |
| D) | Instruct the patient to lie still and think of something else during intense pain. | |
| 2. | Two patients on your unit have returned from right knee arthroscopies. Patient A is reporting pain of an 8 to 9 on a 0-to-10 pain scale. Patient B is reporting a pain level of 3 to 4 on the same pain scale. What may provide a rationale for the different perceptions of pain? | |
| A) | Endorphin levels may vary between patients, affecting the perception of pain. | |
| B) | One of the patients is exaggerating his sense of pain. | |
| C) | The patients are likely experiencing a variance in vasoconstriction. | |
| D) | One of the patients may be experiencing opiate tolerance. | |
| 3. | Your patient has just returned from the PACU following orthopedic surgery. The patient is complaining of pain, and you are preparing to administer the patient’s first dose of meperidine. Prior to administering the drug, what assessment would you prioritize? | |
| A) | The patient’s electrolyte values | |
| B) | The patient’s blood pressure | |
| C) | The patient’s allergies to any medications | |
| D) | The patient’s hydration status | |
| 4. | Your patient is receiving postoperative analgesic through a patient-controlled analgesia (PCA) pump. You have given the patient a bolus of an opioid medication. You should prioritize the assessment of what potential problem? | |
| A) | Sedation | |
| B) | Respiratory depression | |
| C) | Fluid overload | |
| D) | Changes in their skin integrity | |
| 5. | Your patient is 12 hours post-ORIF right ankle. The patient is asking for pain medication. The pain medication orders are written as a combination of an opioid analgesic and a nonsteroidal anti-inflammatory (NSAID) given together. What is the rationale for administering pain medication in this manner? | |
| A) | To prevent respiratory depression from the opioid | |
| B) | To eliminate the need for additional medication during the night | |
| C) | To combine the medications more effectively and relieve the patient’s pain with fewer opioids | |
| D) | To eliminate toxic effects of the opioid | |
Answer Key
| 1. | A |
| 2. | A |
| 3. | C |
| 4. | B |
| 5. | C |
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