Exam 15: Pain Assessment and Basic Comfort Measures

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An advantage of intraspinal analgesia is the:

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D

Which of the following is categorized as a neurobiological disease?

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B

Pain is experienced differently by different people.This is because pain perception is based on which of the following? (Select all that apply.)

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A,B,C,D

The patient has morphine sulfate ordered for pain every 4 hours "PRN." The patient complains of severe pain and usually requests more morphine an hour before it is due.The nurse should: (Select all that apply.)

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A nonpharmacological approach that the nurse may implement for patients who are experiencing pain that focuses on diverting the patient's attention away from the pain sensation by promoting pleasurable and meaningful stimuli is:

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The patient voices concern to the nurse regarding his PCA pump.He states that he is afraid of getting an overdose if he pushes the button too many times.The nurse reassures the patient,stating that: (Select all that apply.)

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The patient states that the PCA is not controlling his pain.The nurse checks the infusion setup and the IV site,then evaluates the patient's skill at using the system.All looks in order.The nurse should notify the physician to: (Select all that apply.)

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Before administering an epidural medication,the nurse aspirates and suspects that the catheter has migrated into subarachnoid space when:

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The nurse,while checking a patient's record,determines that intraspinal analgesia is contraindicated as a result of:

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When the effectiveness of a medication administered via PCA pump is evaluated,it is noted that the patient is sedated and is not aroused easily.The nurse would:

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Which of the following is true about evaluating patients in pain?

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The ______________ is just around the spinal cord and contains CSF.Only physicians and nurse anesthetists administer drugs in this space.

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The nurse is caring for a patient who is a devout Orthodox Jew.The patient is on a patient-controlled analgesia (PCA)pump.The nurse realizes that she may need to:

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The patient has had knee replacement surgery and has a local infusion pump to provide a local anesthetic to the surgical site.The patient puts on the call light and complains that the pain at the site is more intense than it has ever been and is getting worse.The nurse checks the site and finds that the dressing is damp but intact.The infusion pump is pumping,and there is medication in the bag.The most probable cause of the problem might be:

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Massaging upward and outward from the vertebral column and back again is known as __________________.

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The nurse frequently must assess a patient experiencing pain.When assessing the intensity of the pain,the nurse should:

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A patient who is expressing discomfort and is diaphoretic should obtain the most relief from:

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A nurse checks the continuous IV infusion for the intraspinal analgesia.The IV setup should be changed if:

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The patient is in the hospital and has gone for major abdominal surgery.When the patient returns from the recovery room,the nurse expects that he most likely will be receiving pain medication:

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The nurse is preparing to administer a bolus of epidural medication.The nurse must remember to:

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