Question 1

What is meant by administering PCA by proxy?

Accepted Answer

Proxy is when unauthorized friends or family members administer the PCA medication to the client instead of the client controlling his or her own PCA dose.

Question 2

There are three main types of pain.They are:
a.______________
b.______________
c.______________

Accepted Answer

Types of pain.
a.Acute.
b.Chronic.
c.Malignant.

Question 3

The rationale for not using an alcohol wipe for disinfecting the catheter port of an epidural catheter is
.

Accepted Answer

Alcohol is extremely toxic to the spinal cord,so you would never allow it near an epidural port.

Question 4

Match between columns
                        Premises: Past experiences of pain are usually forgotten and do not affect how a client responds to current pain.

Reticular formation monitors in the brain stem regulate sensory input.

Activity in large and small nerve fibers affects pain sensations.

A pain experience is a singular event affecting either a physiologic change or a physical sensation.
A beta-endorphin is as strong as synthetic opiates,such as morphine sulfate.

Endorphin receptors are formed mainly in the heart,lungs,and kidneys.

Accepted Answer

The Answer of False and True is...

Question 5

The pain experience is mainly considered to be what type of sensation?

Accepted Answer

A) Physical 
B) Physiologic 
C) Psychosocial 
D) Mixture of all of the above 
A) Physical 
B) Physiologic 
C) Psychosocial 
D) Mixture of all of the above

Question 6

PCA infuser pumps enable the client to control three parameters of medication delivery.Which parameter is not controlled by the client?

Accepted Answer

A) Stopping and starting the infusion. 
B) Administering a bolus dose. 
C) Titrating the hourly dose within a preset range. 
D) Deciding on dose parameters. 
A) Stopping and starting the infusion. 
B) Administering a bolus dose. 
C) Titrating the hourly dose within a preset range. 
D) Deciding on dose parameters.

Question 7

The RN observes the Nursing Assistant (NA)just beginning to regulate the IV of an oncology client receiving morphine sulfate for pain.An LVN on the RN's team is responsible for this client and assigned the client to the NA.The RN team leader's intervention should be to

Accepted Answer

A) Inform the LVN so that he or she intervenes to instruct the NA that this action is not within the parameters of responsibility for the NA and therefore is not legal. 
B) Immediately inform the charge nurse and fill out an unusual occurrence (incident)report. 
C) Call a staff meeting and confront the LVN and NA and clarify the areas of responsibility for each staff member. 
D) Ask the LVN and NA to meet with the RN team leader to discuss the responsibility parameters each of them has in relation to client care. 
A) Inform the LVN so that he or she intervenes to instruct the NA that this action is not within the parameters of responsibility for the NA and therefore is not legal. 
B) Immediately inform the charge nurse and fill out an unusual occurrence (incident)report. 
C) Call a staff meeting and confront the LVN and NA and clarify the areas of responsibility for each staff member. 
D) Ask the LVN and NA to meet with the RN team leader to discuss the responsibility parameters each of them has in relation to client care.

Question 8

List four of the main parameters for assessing pain.
a.______________
b.______________
c.______________
d.______________

Accepted Answer

Measuring pain.
a.Lo

Question 9

When a client has an order for an epidural narcotic analgesic or PCA,the antagonist kept at the bedside is

Accepted Answer

A) Atropine. 
B) Isuprel. 
C) Calcium chloride. 
D) Narcan. 
A) Atropine. 
B) Isuprel. 
C) Calcium chloride. 
D) Narcan.

Question 10

Morphine sulfate is the agent often used for PCA.The usual concentration is

Accepted Answer

The answer of Morphine sulfate is the agent often used...

Question 11

List at least two JCAHO Standards for pain management (as presented to all health care facilities in 2000,revised in 2001).
a.______________
b.______________

Accepted Answer

JCAHO Standards:
a.Clients have the righ

Question 12

The most important information gathered while completing an assessment of pain in an adult client is

Accepted Answer

A) Observation of body language. 
B) Verbal report from client. 
C) Palpation of painful areas. 
D) Nonverbal responses from client. 
A) Observation of body language. 
B) Verbal report from client. 
C) Palpation of painful areas. 
D) Nonverbal responses from client.

Question 13

Nursing instructions to a client using relaxation techniques for pain control should include the following information after telling him or her to breathe in and out slowly.

Accepted Answer

A) Inhale deeply and hold your breath. 
B) Tense the painful area. 
C) Completely relax the painful area. 
D) Find a point of tension in your body. 
A) Inhale deeply and hold your breath. 
B) Tense the painful area. 
C) Completely relax the painful area. 
D) Find a point of tension in your body.

Question 14

Match between columns
                        Premises: The IV line should be as far as possible from the epidural catheter.

Narcan should be at the bedside as a narcotic antagonist.
Student nurses can administer an epidural narcotic.
Clients on epidural analgesia should be monitored closely for the first 12 hours.

Accepted Answer

The Answer of True and False is...

Question 15

Describe the assessment factors you would observe while a client is receiving epidural narcotic analgesia.How often would you assess these parameters?

Accepted Answer

Respirations every 1 hour for

Question 16

Which pain relieving drug should be avoided in the elderly?

Accepted Answer

Meperidine (Demerol)

Question 17

The rationale for placing a sign "Epidural Protocol Client" over the client's bed is to
.

Accepted Answer

The sign is to make the nurses

Question 18

The fifth vital sign is now considered to be ________________ because it affects the client's _________________.

Accepted Answer

Pain is the fifth vital sign.I

Exam 16: Pain Management

What is meant by administering PCA by proxy?

There are three main types of pain.They are: a.______________ b.______________ c.______________

The rationale for not using an alcohol wipe for disinfecting the catheter port of an epidural catheter is .

The pain experience is mainly considered to be what type of sensation?

PCA infuser pumps enable the client to control three parameters of medication delivery.Which parameter is not controlled by the client?

The RN observes the Nursing Assistant (NA)just beginning to regulate the IV of an oncology client receiving morphine sulfate for pain.An LVN on the RN's team is responsible for this client and assigned the client to the NA.The RN team leader's intervention should be to

List four of the main parameters for assessing pain. a.______________ b.______________ c.______________ d.______________

When a client has an order for an epidural narcotic analgesic or PCA,the antagonist kept at the bedside is

Morphine sulfate is the agent often used for PCA.The usual concentration is

List at least two JCAHO Standards for pain management (as presented to all health care facilities in 2000,revised in 2001). a.______________ b.______________

The most important information gathered while completing an assessment of pain in an adult client is

Nursing instructions to a client using relaxation techniques for pain control should include the following information after telling him or her to breathe in and out slowly.

Describe the assessment factors you would observe while a client is receiving epidural narcotic analgesia.How often would you assess these parameters?

Which pain relieving drug should be avoided in the elderly?

The rationale for placing a sign "Epidural Protocol Client" over the client's bed is to .

The fifth vital sign is now considered to be ________________ because it affects the client's _________________.

Professional Nursing

Nursing Process and Critical Thinking

Managing Client Care: Documentation and Delegation

Communication and Nurse-Client Relationship

Admission, Transfer, and Discharge

Client Education and Discharge Planning

Safe Client Environment and Restraints

Bathing, Bedmaking, and Maintaining Skin Integrity

Personal Hygiene

Vital Signs

Physical Assessment

Body Mechanics and Positioning

Exercise and Ambulation

Infection Control

Disaster Preparedness Bioterrorism

Alternative Therapies and Stress Management

Medication Administration

Nutritional Management and Ng Intubation

Specimen Collection

Diagnostic Procedures

Urinary Elimination

Bowel Elimination

Heat and Cold Therapies

Wound Care and Dressings

Perioperative Care

Orthopedic Interventions

Intravenous Therapy

Central Vascular Access

Respiratory Care

Circulatory Maintenance

Neurological Management - New

Advanced Nursing Skills

End of Life Care

Filters

There are three main types of pain.They are: a. b. c.__

List four of the main parameters for assessing pain. a. b. c. d.

List at least two JCAHO Standards for pain management (as presented to all health care facilities in 2000,revised in 2001). a. b.

The fifth vital sign is now considered to be because it affects the client's _.