Exam 15: Pain Assessment and Basic Comfort Measures

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The patient's family is concerned that the patient may get too much pain medication after surgery and become addicted to the medication if he is placed on a PCA pump.They also voice concern about the effectiveness of the PCA.The nurse should instruct the family and the patient that:

(Multiple Choice)
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The _______________ is a potential space between the vertebral bones and the dura mater,the outermost meninges covering the brain and spinal cord.

(Short Answer)
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Some patients exhibit drug-seeking behaviors when in fact they are seeking pain relief.This is termed _________________.

(Short Answer)
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A nurse is evaluating the epidural catheter insertion site and suspects that the intraspinal catheter has punctured the dura when:

(Multiple Choice)
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The patient is unable to rest even after medication.The nurse decides to give the patient a backrub.Which of the following strokes should the nurse use when finishing the backrub?

(Multiple Choice)
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When assessing a local infusion pump site,the nurse would correct which of the following?

(Multiple Choice)
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The patient is admitted with chronic pain.She states that nothing takes the pain away totally,but that "Dilaudid does the best." The fact that the patient calls the medication by name should alert the nurse to:

(Multiple Choice)
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Pain that extends beyond the period of healing and often lacks an identified pathology is known as _______________.

(Short Answer)
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Which of the following are characteristics of cancer pain? (Select all that apply.)

(Multiple Choice)
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The application of touch and movement to muscles,tendons,and ligaments without manipulation of the joints is called _________________.

(Short Answer)
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_______________________ is a massage technique used on tense muscles to "knead" muscles,promote relaxation,and stimulate local circulation.

(Short Answer)
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________________ draws on internal experiences of memories,dreams,fantasies,and visions; explores the inner world of experience; protects the privacy of the patient; and fosters the imagination.

(Short Answer)
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The patient is scheduled for surgery later that afternoon.He is scheduled to have PCA therapy after surgery.The nurse should:

(Multiple Choice)
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________________ is a method of preventing pain while reducing overall opioid use.

(Short Answer)
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A primary advantage of PCA is that it:

(Multiple Choice)
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Drugs administered in the epidural space spread by: (Select all that apply.)

(Multiple Choice)
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__________________ is an interactive method of pain management that permits patient control over pain through self-administration of analgesics.

(Short Answer)
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The patient is admitted for chronic pain.He states that meperidine (Demerol)used to help,but that he has been needing to use more and more drug and is getting less and less of an effect.This patient's plan of care will have to incorporate steps to deal with which of the following?

(Multiple Choice)
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___________ has an identifiable cause and rapid onset and generally disappears with healing.

(Short Answer)
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