Exam 16: Pain Management

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

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

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

The nurse is caring for a patient who is a devout Orthodox Jew.The patient is on a patient-controlled analgesia (PCA)pump.What accommodations might the nurse have to make to conform to the patient's cultural needs?

The patient is scheduled for surgery late in the afternoon.His postoperative orders include patient-controlled analgesia (PCA)therapy.Which of the following nursing interventions is appropriate to perform?

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

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

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:

When assessing a local infusion pump site,the nurse notes that which of the following requires an intervention?

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

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

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

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

The patient states that the patient-controlled analgesia (PCA)is not controlling his pain.The nurse checks the infusion setup and IV site and then evaluates the patient's ability to use the system.All looks in order.The nurse should notify the physician to:

The nurse who is caring for a patient postoperatively notes that he is expressing discomfort and is diaphoretic.Which of the following interventions is most appropriate?

________________ 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.

The patient voices concern to the nurse regarding his patient-controlled analgesia (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 that:

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

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?

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: