Exam 8: Pain

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A patient admitted with the diagnosis of possible myocardial infarction complains of pain and tingling in the left arm and says, "How in the world could I be having a heart attack when it's just my arm that is giving me trouble?" What type of pain should the nurse explain that the patient is experiencing?

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A

A nurse explains to a patient the gate control theory of pain.Where does the perception of pain originate in the gate control theory?

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D

A nurse explains that afferent pathways are activated by pain receptors called ______.

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nociceptors

A patient who is obviously in pain refuses the morphine that has been prescribed for pain control because of a fear of addiction.What should the nurse explain is the estimated percentage of patients taking prescribed pain protocols who become addicted?

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A health care provider has prescribed both heat and cold treatments for an older adult patient with a leg injury.The nursing care plan reflects secondary diagnoses of peripheral vascular disease (PVD), diabetes, and an allergy to latex.Which of the prescribed treatments should the nurse administer and why?

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______ and enkephalins are natural opioid-like substances that block pain perception.

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What instruction should the nurse provide to a patient who has had radiofrequency lesioning for leg pain? (Select all that apply.)

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What should greatly reduce postoperative pain for a patient about to undergo a hip replacement?

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The length of time that a nurse should leave heat to an injured hip of a patient is no longer than

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A patient with an extensive abdominal surgical procedure is assessed by the nurse as having predictable pain.How often should the nurse administer analgesics to this patient to be most effective?

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What is the most common result of prolonged and unrelieved pain?

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To perform a nursing assessment correctly, a nurse must remember that pain perception involves several central nervous system (CNS)processes.Which are examples of CNS processes?

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A nurse notices that a patient seems calm and peaceful despite an assessment that the patient's injuries might be causing severe pain.The patient tells the nurse that using yoga and meditation lessens the perceptions of pain to tolerable levels.Which other alternative intervention should the nurse suggest to help relax this patient for pain relief?

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A nurse is teaching a patient how to use a transcutaneous electrical nerve stimulation (TENS)unit and how it works.What is the most appropriate information for the nurse to relay?

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How does the International Association for the Study of Pain define the sensation of pain?

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A nurse administers nalbuphine (Nubain), an opioid agonist-antagonist, to a 78-year-old patient.The family is worried about the patient and thinks that this drug is too strong and will cause harm.What should the nurse assure the family regarding this drug?

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Which steps should the LPN/LVN follow when performing a pain assessment?

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A patient continues to report pain after the administration of the prescribed analgesic.Why should the nurse change the nursing care plan?

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Every time the right arm is raised, a patient reports to the nurse that pain is triggered in the right shoulder.How should the nurse document this description?

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What assessment should a nurse make to evaluate the presence of pain in a patient who is cognitively impaired?

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