Exam 32: Pain Management

The patient is being seen for chronic back pain.The patient states,"I'm always in pain,and I don't like taking the pain medication because it makes me sleepy.I have to work to support my family." The nurse is aware that this patient may be a candidate for cutaneous stimulation.Cutaneous stimulation includes which of the following? (Select all that apply.)

A student nurse is assessing the pain of a teenage patient with cancer.The student nurse ask the patient about precipitating factors,quality,relieving factors,where the pain is,the severity of pain,and the effect of the pain has on the patient.What is the other indicator that the student nurse should make part of this pain assessment?

When a person touches a hot stove,the resulting cellular damage causes a reaction that converts the stimuli into a pain impulse.What is the term for this conversion?

A patient is started on morphine via patient-controlled analgesia (PCA)to control persistent cancer pain.The nurse knows that to prevent central nervous system (CNS)depression the patient should do which of the following?

The student nurse is working on the surgical floor.The student nurse is assigned to take care of a patient with hemiplegia and communication deficits from a previous stroke.The patient is 1-day postoperative from abdominal surgery.Which of the following interventions would promote comfort and help the patient remain pain free? (Select all that apply.)

When a person cuts a finger,nerve impulses travel to the spinal cord along afferent peripheral nerve fibers.What is this process?

A smiling and cooperative patient complains of severe pain.Nurses caring for patients who report pain need to recognize and avoid common misconceptions and myths about pain.To properly care for patients in pain,nurses need to remember which of the following?

An adult patient has just undergone surgery for repair of a torn left knee anterior cruciate ligament (ACL).When informing the patient of several pain relief interventions,the nurse most appropriately urges the patient to select which of the following?

A patient with developmental disabilities and poor verbal communication skills has been admitted for observation after a motor vehicle accident.The patient has been moaning,facial grimacing,and restless since being admitted to the floor.The nurse needs to first assess the patient for which of the following?

Aspirin and ibuprofen are classified as:

A graduate nurse is working for a diabetes unit.The nurse manager has prepared a very thorough orientation,which includes check-offs for taking vital signs.The nurse manager has informed the graduate nurse that their hospital has adopted the Joint Commission's pain standard and that they will be assessing five vital signs.The graduate nurse knows that the fifth vital sign is which of the following?

A terminally ill patient with cancer is experiencing increased pain.Nursing implications used to care for this patient include which of the following?

A patient has a morphine sulfate patient controlled analgesia (PCA)to control postoperative pain.When the nurse enters the room,the patient complains of pain.The nurse's first response is which of the following?

A patient presents to the emergency department with a large leg laceration received in a bicycle accident.The nurse knows that the physician or health care provider chose a local anesthetic because of which of the following? (Select all that apply.)

The hospice nurse is assessing the patient at home for the first time.The patient has a lot of questions regarding what the role hospice will have as the illness progresses.The patient states,"I don't want to be in pain and kept alive,but I'm not ready to die either." What is the best response that will educate the patient of the role hospice will play in his or her care?

According to established standards,nurses must frequently assess patients experiencing pain.The most appropriate action for the nurse to take when assessing a patient's pain is which of the following?

The patient who has undergone triple cardiac bypass surgery 1 week ago is being seen for a follow up appointment at their health care facility.The incisions are healing well,but the patient is complaining of pain at the incision sites on his legs.The nurse knows that this is _____ pain.

A patient in sickle cell crisis states that the pain is lessened when watching television.The patient's physiological response is best attributed to which of the following?

When a person accidentally touches a hot pan,their protective reflex causes them to immediately withdraw their hand from the hot pan.This protective reflex is known as which of the following?

A registered nurse,who has practiced for more than 20 years and has had a lot of experience caring for postsurgical patients,was questioned by a student nurse about why many nurses do not give the full amount of pain medication ordered by surgeons.The nurse replied that the literature shows that many nurses do not give the full amount of pain medication because they: