Exam 15: Pain Management

The sensation of pain has been defined by the International Association for the Study of Pain as:

The 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.The nurse assures the family that this drug:

A patient who had a myocardial infarction 2 days earlier has been eating well,is ambulating with assistance,and is receiving antibiotics and morphine by intravenous (IV)drip.The patient complains of constipation this morning.The nurse assesses the probable cause of the constipation as:

The nurse has assessed that prolonged and unrelieved pain will:

The nurse is notified when the patient,newly admitted with liver and gallbladder disease,complains of pain in the right middle back and asks for some pain medication.As the basis for the assessment,the nurse uses knowledge of pain to determine that the patient:

The nurse explains that afferent pathways are activated by pain receptors called ____________________.

In performing a pain assessment,the LPN/LVN would follow which steps?

A patient admitted with the diagnosis of possible myocardial infarction complains of pain and tingling in his 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?" The nurse explains that the patient is experiencing:

The nurse applying heat to an injured hip of a patient is careful not to leave the heat on longer than:

Two patients are hospitalized with the same diagnosis,but one is 23 years old,with acute recent pain from an injury,and the other is 64 years old,with pain of long-standing duration of several years.The difference in anticipated assessment is which of the following?

The nurse is teaching a patient how to use a transcutaneous electrical nerve stimulation (TENS)unit and how it works.Appropriate information for this patient would be:

The patient with an extensive abdominal operation is assessed by the nurse as having predictable pain.Analgesics for this patient will be most effective when administered:

The nurse attempts to evaluate the presence of pain in a patient who is cognitively impaired by assessing for:

The nurse notices that the 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,meditation,and __________________ lessens the perceptions of pain to tolerable levels.

A patient who is obviously in pain refuses the morphine that has been ordered for pain control because of a fear of addiction.The nurse explains that the percentage of patients taking prescribed pain protocols who become addicted is estimated at:

The patient still complains of pain after the administration of the ordered analgesic.The nurse changes the nursing care plan because the:

A prescription for morphine sulfate (0.5 gr IM PRN)was ordered for pain for an 80-year-old patient with emphysema who weighs 100 pounds.The most appropriate action for the licensed practical/vocational nurse (LPN/LVN)is to:

The nurse explains to a patient who is to undergo a hip replacement that his postoperative pain will be greatly reduced by:

The physician has ordered both heat and cold treatments for the 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 ordered treatments would the nurse prefer to administer and why?

The nurse instructs a patient who has had a rhizotomy for leg pain that: