Question 1

A client reports taking acetaminophen (Tylenol)to control osteoarthritis.Which instruction should the nurse give the patient requiring long-term acetaminophen use?

Accepted Answer

A)  Caution the patient against combining acetaminophen with alcohol. 
B)  Explain that acetaminophen increases the risk for bleeding. 
C)  Advise taking acetaminophen with meals to prevent gastric irritation. 
D)  Explain that physical dependence may occur with long-term oral use. 
A)  Caution the patient against combining acetaminophen with alcohol. 
B)  Explain that acetaminophen increases the risk for bleeding. 
C)  Advise taking acetaminophen with meals to prevent gastric irritation. 
D)  Explain that physical dependence may occur with long-term oral use.

Question 2

A patient had a bowel resection 5 days ago.Which request by the patient might alert the nurse that the patient has a history of substance abuse?

Accepted Answer

A)  Oral pain medication once every 6 to 8 hours 
B)  Patient-controlled analgesic 
C)  Oral pain medication instead of the IV form 
D)  Only nonpharmacological pain measures 
A)  Oral pain medication once every 6 to 8 hours 
B)  Patient-controlled analgesic 
C)  Oral pain medication instead of the IV form 
D)  Only nonpharmacological pain measures

Question 3

What is typically the most reliable indicator of pain?

Accepted Answer

A)  Patient's self-report 
B)  Past medical history 
C)  Description by caregiver(s) 
D)  Behavioral cues 
A)  Patient's self-report 
B)  Past medical history 
C)  Description by caregiver(s) 
D)  Behavioral cues

Question 4

Which action should the nurse take first when the patient has a score of 4 on the sedation rating scale?

Accepted Answer

A)  Stimulate the patient. 
B)  Prepare to administer naloxone (Narcan). 
C)  Administer a dose of pain medication. 
D)  Notify the physician immediately. 
A)  Stimulate the patient. 
B)  Prepare to administer naloxone (Narcan). 
C)  Administer a dose of pain medication. 
D)  Notify the physician immediately.

Question 5

After receiving ibuprofen (Motrin)800 mg orally for right hip pain,the patient states that his pain is 8 out of 10 on the numerical pain scale.Which action should the nurse take?

Accepted Answer

A)  Use nonpharmacological therapy while waiting 3 more hours before next dose. 
B)  Administer an additional 800 mg oral dose of ibuprofen right away. 
C)  Do nothing because the patient's facial expression indicates he is comfortable. 
D)  Notify the prescriber that the current pain management plan is ineffective. 
A)  Use nonpharmacological therapy while waiting 3 more hours before next dose. 
B)  Administer an additional 800 mg oral dose of ibuprofen right away. 
C)  Do nothing because the patient's facial expression indicates he is comfortable. 
D)  Notify the prescriber that the current pain management plan is ineffective.

Question 6

A 73-year-old patient admitted after a stroke has expressive aphasia.Which pain intensity scales would be appropriate to use with this patient? Select all that apply.

Accepted Answer

A)  Visual analogue 
B)  Numerical rating 
C)  Wong-Baker face rating 
D)  Simple descriptor 
E)  PAINAD scale 
A)  Visual analogue 
B)  Numerical rating 
C)  Wong-Baker face rating 
D)  Simple descriptor 
E)  PAINAD scale

Question 7

A patient who sustained rib fractures in a motor vehicle accident is stating that his pain medication is ineffective.Inadequate pain control places this patient at risk for which complication?

Accepted Answer

A)  Metabolic alkalosis 
B)  Pneumothorax 
C)  Pneumonia 
D)  Hemothorax 
A)  Metabolic alkalosis 
B)  Pneumothorax 
C)  Pneumonia 
D)  Hemothorax

Exam 31: Pain

A client reports taking acetaminophen (Tylenol)to control osteoarthritis.Which instruction should the nurse give the patient requiring long-term acetaminophen use?

A patient had a bowel resection 5 days ago.Which request by the patient might alert the nurse that the patient has a history of substance abuse?

What is typically the most reliable indicator of pain?

Which action should the nurse take first when the patient has a score of 4 on the sedation rating scale?

After receiving ibuprofen (Motrin)800 mg orally for right hip pain,the patient states that his pain is 8 out of 10 on the numerical pain scale.Which action should the nurse take?

A 73-year-old patient admitted after a stroke has expressive aphasia.Which pain intensity scales would be appropriate to use with this patient? Select all that apply.

A patient who sustained rib fractures in a motor vehicle accident is stating that his pain medication is ineffective.Inadequate pain control places this patient at risk for which complication?

Evolution of Nursing Thought Action

Critical Thinking: Nursing Process

Nursing Process: Assessment

Nursing Process: Diagnosis

Nursing Process: Planning Outcomes

Nursing Process: Planning Interventions

Nursing Process: Implementation Evaluation

Evidence-Based Practice: Theory Research

Life Span: Infancy Through Middle Adulthood

Life Span: Older Adults

Experiencing Health Illness

Stress Adaptation

Psychosocial Health Illness

The Family

Culture Ethnicity

Spirituality

Loss,Grief, Dying

Documenting Reporting

Teaching Learning

Measuring Vital Signs

Communication Therapeutic Relationships

Health Assessment

Promoting Asepsis Preventing Infection

Promoting Safety

Facilitating Hygiene

Administering Medications

Nutrition

Urinary Elimination

Bowel Elimination

Sensation,Perception, Cognition

Physical Activity Mobility

Sexual Health

Sleep and Rest

Skin Integrity-Wound Healing

Oxygenation

Circulation

Fluids,Electrolytes, Acidbase Balance

Perioperative Care

Leading Managing

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