Question 1

The subjective characteristic implies that pain is

Accepted Answer

A)  an uncomfortable experience present only in the patient with an intact nervous system. 
B)  an unpleasant experience accompanied by crying and tachycardia. 
C)  activation of the sympathetic nervous system from an injury. 
D)  whatever the patient experiencing it says it is, occurring when that patient says it does. 
A)  an uncomfortable experience present only in the patient with an intact nervous system. 
B)  an unpleasant experience accompanied by crying and tachycardia. 
C)  activation of the sympathetic nervous system from an injury. 
D)  whatever the patient experiencing it says it is, occurring when that patient says it does. D

Question 2

Using a specific pain intensity scale in the CCU

Accepted Answer

A)  eliminates the need for the subjectivity of the patient. 
B)  allows for one tool for all patient types. 
C)  provides consistency of assessment and documentation. 
D)  is not necessary because all pain is treated equally in the CCU. 
A)  eliminates the need for the subjectivity of the patient. 
B)  allows for one tool for all patient types. 
C)  provides consistency of assessment and documentation. 
D)  is not necessary because all pain is treated equally in the CCU. C

Question 3

A patient states that he has been taking Demerol 50 mg tablets four times a day for the past 5 years, but they are not working like they use to.The nurse is concerned that the patient has developed

Accepted Answer

A)  addiction to Demerol. 
B)  physical dependence and tolerance. 
C)  physical dependence and addiction. 
D)  a method to withdraw himself off the medication. 
A)  addiction to Demerol. 
B)  physical dependence and tolerance. 
C)  physical dependence and addiction. 
D)  a method to withdraw himself off the medication. B

Question 4

Acute pain usually corresponds to

Accepted Answer

A)  the healing process but should not exceed 9 months. 
B)  the healing process but should not exceed 6 months. 
C)  persistent pain more than 6 months after the healing process. 
D)  damage to the patient's nervous system unrelated to the initial injury. 
A)  the healing process but should not exceed 9 months. 
B)  the healing process but should not exceed 6 months. 
C)  persistent pain more than 6 months after the healing process. 
D)  damage to the patient's nervous system unrelated to the initial injury.

Question 5

The patient is admitted to the CCU with hemodynamic instability and an allergy to morphine.The nurse anticipates that the physician will order which medication for severe pain?

Accepted Answer

A)  Hydromorphone 
B)  Codeine 
C)  Fentanyl 
D)  Methadone 
A)  Hydromorphone 
B)  Codeine 
C)  Fentanyl 
D)  Methadone

Question 6

A patient complains of pain at his incision site.The nurse is aware that four processes are involved in nociception.The proper order of the processes is

Accepted Answer

A)  transmission, perception, modulation, and transduction. 
B)  perception, modulation, transduction, and transmission. 
C)  modulation, transduction, transmission, and perception. 
D)  transduction, transmission, perception, and modulation. 
A)  transmission, perception, modulation, and transduction. 
B)  perception, modulation, transduction, and transmission. 
C)  modulation, transduction, transmission, and perception. 
D)  transduction, transmission, perception, and modulation.

Question 7

A patient underwent a thoracotomy 12 hours ago.The patient currently has an epidural catheter in place and is receiving continuous epidural analgesia with morphine.In addition to respiratory depression, the patient should be monitored for which of the following complications?

Accepted Answer

A)  Urinary retention, undue somnolence, itching, nausea, and vomiting 
B)  Urinary incontinence, photophobia, headache, and skin rash 
C)  Apprehension, anxiety, restlessness, sadness, anger, and myoclonus 
D)  Gastric bleeding, nasal discharge, cerebrospinal fluid leak, and calf pain 
A)  Urinary retention, undue somnolence, itching, nausea, and vomiting 
B)  Urinary incontinence, photophobia, headache, and skin rash 
C)  Apprehension, anxiety, restlessness, sadness, anger, and myoclonus 
D)  Gastric bleeding, nasal discharge, cerebrospinal fluid leak, and calf pain

Question 8

Relaxation, distraction, guided imagery, and music therapy are all examples of

Accepted Answer

A)  physical techniques for pain management. 
B)  cognitive-behavioral techniques for pain management. 
C)  PCA management of pain. 
D)  equianalgesic management of pain. 
A)  physical techniques for pain management. 
B)  cognitive-behavioral techniques for pain management. 
C)  PCA management of pain. 
D)  equianalgesic management of pain.

Question 9

The patient is sedated and breathing with the use of mechanical ventilation.The patient is unable to communicate any aspects of his pain to the nurse.The nurse knows that the best tool for pain assessment for this patient is

Accepted Answer

A)  FLACC. 
B)  Wong-Baker FACES. 
C)  BIS. 
D)  BPS or CPOT. 
A)  FLACC. 
B)  Wong-Baker FACES. 
C)  BIS. 
D)  BPS or CPOT.

Question 10

Which of the following statements are true regarding pain assessment and management?

Accepted Answer

A)  The single most important assessment tool available to the nurse is the patient's self-report. 
B)  The only way to assess pain in patients unable to verbalize because of mechanical ventilation is through observation of behavioral indicators. 
C)  The concept of equianalgesia uses morphine as a basis for dosage comparison for other medications. 
D)  Transcutaneous electrical nerve stimulation and application of heat or cold therapy stimulate the nonpain sensory fibers. 
E)  Meperidine, a synthetic form of morphine, is much stronger and is given at lower doses at less frequent intervals. 
A)  The single most important assessment tool available to the nurse is the patient's self-report. 
B)  The only way to assess pain in patients unable to verbalize because of mechanical ventilation is through observation of behavioral indicators. 
C)  The concept of equianalgesia uses morphine as a basis for dosage comparison for other medications. 
D)  Transcutaneous electrical nerve stimulation and application of heat or cold therapy stimulate the nonpain sensory fibers. 
E)  Meperidine, a synthetic form of morphine, is much stronger and is given at lower doses at less frequent intervals.

Question 11

Which of the following assessment findings might indicate respiratory depression after opioid administration?

Accepted Answer

A)  Flushed, diaphoretic skin 
B)  Shallow respirations with a rate of 24 breaths/min 
C)  Tense, rigid posture 
D)  Sleep apnea 
A)  Flushed, diaphoretic skin 
B)  Shallow respirations with a rate of 24 breaths/min 
C)  Tense, rigid posture 
D)  Sleep apnea

Question 12

The neural processes of encoding and processing noxious stimuli necessary but not sufficient for pain is known as

Accepted Answer

A)  perception. 
B)  nociception. 
C)  transduction. 
D)  transmission. 
A)  perception. 
B)  nociception. 
C)  transduction. 
D)  transmission.

Question 13

The use of PCA infusion pumps allows the patient to

Accepted Answer

A)  act preemptively by administering a bolus of medication when pain begins. 
B)  choose between the use of opioids or NSAID medication to control pain. 
C)  decrease the risk of respiratory depression. 
D)  control pain medication in 2-hour increments. 
A)  act preemptively by administering a bolus of medication when pain begins. 
B)  choose between the use of opioids or NSAID medication to control pain. 
C)  decrease the risk of respiratory depression. 
D)  control pain medication in 2-hour increments.

Question 14

Which of the following combinations of drugs has been found to be effective in managing the pain associated with musculoskeletal and soft tissue inflammation?

Accepted Answer

A)  Nonsteroidal anti-inflammatory drugs (NSAIDs) and opioids 
B)  NSAIDs and antidepressants 
C)  Opioid agonists and opioid antagonists 
D)  Adjuvants and partial agonists 
A)  Nonsteroidal anti-inflammatory drugs (NSAIDs) and opioids 
B)  NSAIDs and antidepressants 
C)  Opioid agonists and opioid antagonists 
D)  Adjuvants and partial agonists

Exam 8: Pain and Pain Management

The subjective characteristic implies that pain is

Using a specific pain intensity scale in the CCU

A patient states that he has been taking Demerol 50 mg tablets four times a day for the past 5 years, but they are not working like they use to.The nurse is concerned that the patient has developed

Acute pain usually corresponds to

The patient is admitted to the CCU with hemodynamic instability and an allergy to morphine.The nurse anticipates that the physician will order which medication for severe pain?

A patient complains of pain at his incision site.The nurse is aware that four processes are involved in nociception.The proper order of the processes is

A patient underwent a thoracotomy 12 hours ago.The patient currently has an epidural catheter in place and is receiving continuous epidural analgesia with morphine.In addition to respiratory depression, the patient should be monitored for which of the following complications?

Relaxation, distraction, guided imagery, and music therapy are all examples of

The patient is sedated and breathing with the use of mechanical ventilation.The patient is unable to communicate any aspects of his pain to the nurse.The nurse knows that the best tool for pain assessment for this patient is

Which of the following statements are true regarding pain assessment and management?

Which of the following assessment findings might indicate respiratory depression after opioid administration?

The neural processes of encoding and processing noxious stimuli necessary but not sufficient for pain is known as

The use of PCA infusion pumps allows the patient to

Which of the following combinations of drugs has been found to be effective in managing the pain associated with musculoskeletal and soft tissue inflammation?

Caring for the Critically Ill Patient

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