Question 1

Which of the following patient conditions is categorized as a neurobiological disease?

Accepted Answer

A) Physical dependence 
B) Addiction 
C) Pseudoaddiction 
D) Drug tolerance 
A) Physical dependence 
B) Addiction 
C) Pseudoaddiction 
D) Drug tolerance

Question 2

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

Accepted Answer

Pétrissage
Pétrissage is used

Question 3

Catheter migration into the______________ can produce dangerously high medication levels.Only physicians and nurse anesthetists administer drugs in this space.

Accepted Answer

subarachnoid space
Only physic

Question 4

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

Accepted Answer

A) suspect that the patient is drug seeking. 
B) expect that the patient may need smaller doses than normal. 
C) assess the patient's acceptable level of comfort. 
D) accept the fact that nothing will help this patient's pain. 
A) suspect that the patient is drug seeking. 
B) expect that the patient may need smaller doses than normal. 
C) assess the patient's acceptable level of comfort. 
D) accept the fact that nothing will help this patient's pain.

Question 5

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 patient-controlled analgesia (PCA)pump.They also voice concern about the effectiveness of the PCA.The nurse should instruct the family and the patient that:

Accepted Answer

A) pain relief with the PCA pump is not as good as when the nurse provides it,but it does save on nursing time. 
B) pain relief is good when the medication peaks,but less so when the levels drop,and that is when the patient will know that he needs more. 
C) because the device provides medication as soon as the patient needs it,he will probably use less of the medication. 
D) the patient will be kept in bed for several days after surgery to make sure it is safe to ambulate. 
A) pain relief with the PCA pump is not as good as when the nurse provides it,but it does save on nursing time. 
B) pain relief is good when the medication peaks,but less so when the levels drop,and that is when the patient will know that he needs more. 
C) because the device provides medication as soon as the patient needs it,he will probably use less of the medication. 
D) the patient will be kept in bed for several days after surgery to make sure it is safe to ambulate.

Question 6

Offering the patient a backrub before preparing for sleep can promote relaxation and comfort.An effective backrub takes:

Accepted Answer

A) 1 to 2 minutes. 
B) 3 to 6 minutes. 
C) 7 to 10 minutes. 
D) 11 to 15 minutes. 
A) 1 to 2 minutes. 
B) 3 to 6 minutes. 
C) 7 to 10 minutes. 
D) 11 to 15 minutes.

Question 7

The patient is admitted for chronic pain.He states that morphine sulfate has been used to relieve his pain,but recently he has been needing to use more of the medication to relieve pain.This patient's plan of care will have to incorporate interventions to deal with which of the following?

Accepted Answer

A) Addiction 
B) Pseudoaddiction 
C) Drug tolerance 
D) Physical dependence 
A) Addiction 
B) Pseudoaddiction 
C) Drug tolerance 
D) Physical dependence

Question 8

When evaluating the effects of patient-controlled analgesia (PCA),the nurse notes that the patient is sedated and is difficult to arouse.What step should the nurse take next?

Accepted Answer

A) Insert an airway. 
B) Turn patient to the side. 
C) Stop the PCA. 
D) Expect this as a patient outcome of the therapy. 
A) Insert an airway. 
B) Turn patient to the side. 
C) Stop the PCA. 
D) Expect this as a patient outcome of the therapy.

Question 9

While reviewing a patient's medication history,the nurse determines that intraspinal analgesia is contraindicated as a result of:

Accepted Answer

A) previous spinal anesthesia. 
B) recent administration of anticoagulants. 
C) a history of cardiac problems. 
D) a diagnosis of advanced cancer. 
A) previous spinal anesthesia. 
B) recent administration of anticoagulants. 
C) a history of cardiac problems. 
D) a diagnosis of advanced cancer.

Question 10

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:

Accepted Answer

A) massage. 
B) heat/cold. 
C) guided imagery. 
D) distraction. 
A) massage. 
B) heat/cold. 
C) guided imagery. 
D) distraction.

Question 11

A nurse is evaluating the epidural catheter insertion site and suspects that the intraspinal catheter has punctured the dura when _____ noted.

Accepted Answer

A) clear drainage is 
B) bloody drainage is 
C) purulent drainage is 
D) redness,warmth,and swelling are 
A) clear drainage is 
B) bloody drainage is 
C) purulent drainage is 
D) redness,warmth,and swelling are

Question 12

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

Accepted Answer

epidural space
The epidural sp

Question 13

The patient 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 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 the:

Accepted Answer

A) catheter may be clogged. 
B) pump may be releasing too much drug into the site. 
C) catheter may be displaced. 
D) patient may be exaggerating the pain. 
A) catheter may be clogged. 
B) pump may be releasing too much drug into the site. 
C) catheter may be displaced. 
D) patient may be exaggerating the pain.

Question 14

The nurse caring for a patient who has a patient-controlled analgesia (PCA)knows that it:

Accepted Answer

A) allows the family to participate in pain management for the patient. 
B) prevents mistakes in medication administration. 
C) can be used by all hospitalized patients. 
D) provides a more constant level of medication. 
A) allows the family to participate in pain management for the patient. 
B) prevents mistakes in medication administration. 
C) can be used by all hospitalized patients. 
D) provides a more constant level of medication.

Question 15

___________ has an identifiable cause and rapid onset and generally disappears with healing.

Accepted Answer

Acute pain
Acute pain or trans

Question 16

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. )

Accepted Answer

A) Request a "placebo order" from the physician. 
B) Offer the patient medication "around the clock" instead of "prn." 
C) Offer the patient massage between medication doses. 
D) Offer the patient a nonopioid medication between morphine doses if ordered. 
A) Request a "placebo order" from the physician. 
B) Offer the patient medication "around the clock" instead of "prn." 
C) Offer the patient massage between medication doses. 
D) Offer the patient a nonopioid medication between morphine doses if ordered.

Question 17

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

Accepted Answer

A) The best judge of the existence of pain is the nurse. 
B) Visible signs always accompany pain. 
C) Patients often are hesitant to report pain. 
D) Nonpharmacological interventions are better than pain medications. 
A) The best judge of the existence of pain is the nurse. 
B) Visible signs always accompany pain. 
C) Patients often are hesitant to report pain. 
D) Nonpharmacological interventions are better than pain medications.

Exam 16: Pain Management

Which of the following patient conditions is categorized as a neurobiological disease?

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

Catheter migration into the______________ can produce dangerously high medication levels.Only physicians and nurse anesthetists administer drugs in this space.

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

Offering the patient a backrub before preparing for sleep can promote relaxation and comfort.An effective backrub takes:

The patient is admitted for chronic pain.He states that morphine sulfate has been used to relieve his pain,but recently he has been needing to use more of the medication to relieve pain.This patient's plan of care will have to incorporate interventions to deal with which of the following?

When evaluating the effects of patient-controlled analgesia (PCA),the nurse notes that the patient is sedated and is difficult to arouse.What step should the nurse take next?

While reviewing a patient's medication history,the nurse determines that intraspinal analgesia is contraindicated as a result of:

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:

A nurse is evaluating the epidural catheter insertion site and suspects that the intraspinal catheter has punctured the dura when _____ noted.

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

The nurse caring for a patient who has a patient-controlled analgesia (PCA)knows that it:

___________ has an identifiable cause and rapid onset and generally disappears with healing.

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. )

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

Using Evidence in Practice

Admitting, Transfer, and Discharge

Communication and Collaboration

Documentation and Informatics

Vital Signs

Health Assessment

Specimen Collection

Diagnostic Procedures

Medical Asepsis

Sterile Technique

Safe Patient Handling, Transfer, and Positioning

Exercise Mobility

Support Surfaces and Special Beds

Patient Safety

Disaster Preparedness

Palliative Care

Personal Hygiene and Bed Making

Care of the Eye and Ear

Safe Medication Preparation

Administration of Nonparenteral Medications

Administration of Parenteral Medications

Oxygen Therapy

Performing Chest Physiotherapy

Airway Management

Cardiac Care

Closed Chest Drainage Systems

Emergency Measure for Life Support

Intravenous and Vascular Access Therapy

Blood Therapy

Oral Nutrition

Enteral Nutrition

Parenteral Nutrition

Urinary Elimination

Bowel Elimination and Gastric Intubation

Ostomy Care

Preoperative and Postoperative Care

Intraoperative Care

Pressure Injury Prevention and Care

Wound Care and Irrigations

Dressings, Bandages, and Binders

Therapeutic Use of Heat and Cold

Home Care Safety

Home Care Teaching

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