Exam 15: Pain Management

A prescription for morphine sulfate (0.5 gr IM PRN)was ordered for pain for an 80-year-old patient with emphysema who weighs 100 pounds.The most appropriate action for the licensed practical/vocational nurse (LPN/LVN)is to:

The nurse attempts to evaluate the presence of pain in a patient who is cognitively impaired by assessing for:

The nurse explains the standards for pain management published by The Joint Commission ( TJC ).The nurse will: (Select all that apply.)

The nurse is administering morphine IM,ordered for a patient reporting severe pain.To evaluate the patient's response to this drug,the nurse will assess primarily for:

The nurse has assessed that prolonged and unrelieved pain will:

The sensation of pain has been defined by the International Association for the Study of Pain as:

The physician has ordered both heat and cold treatments for the older adult patient with a leg injury.The nursing care plan reflects secondary diagnoses of peripheral vascular disease (PVD),diabetes,and an allergy to latex.Which of the ordered treatments would the nurse prefer to administer and why?

A patient who is obviously in pain refuses the morphine that has been ordered for pain control because of a fear of addiction.The nurse explains that the percentage of patients taking prescribed pain protocols who become addicted is estimated at:

The nurse is alert for sympathetic responses to pain such as:

The nurse using the gate-control methods of pain relief would help the patient control pain by:

The nurse notices that the patient seems calm and peaceful despite an assessment that the patient's injuries might be causing severe pain.The patient tells the nurse that using yoga,meditation,and __________________ lessens the perceptions of pain to tolerable levels.

The nurse explains that afferent pathways are activated by pain receptors called ____________________.

Every time the right arm is raised,the patient reports to the nurse that pain is triggered in the right shoulder.The nurse charts this description as an example of a(n):

In performing a pain assessment,the LPN/LVN would follow which steps?

When the patient with sciatica seats himself in a chair,he gasps and complains of a burning and shooting pain in his hip.The nurse assesses that this is _______________ pain.

The nurse is notified when the patient,newly admitted with liver and gallbladder disease,complains of pain in the right middle back and asks for some pain medication.As the basis for the assessment,the nurse uses knowledge of pain to determine that the patient:

The patient with an extensive abdominal operation is assessed by the nurse as having predictable pain.Analgesics for this patient will be most effective when administered:

The nurse administers nalbuphine (Nubain),an opioid agonist-antagonist to a 78-year-old patient.The family is worried about the patient and thinks that this drug is too strong and will cause harm.The nurse assures the family that this drug:

The nurse explains to a patient that the gate-control theory of pain claims that pain is perceived as a stimulation of receptors in the:

A patient who had a myocardial infarction 2 days earlier has been eating well,is ambulating with assistance,and is receiving antibiotics and morphine by intravenous (IV)drip.The patient complains of constipation this morning.The nurse assesses the probable cause of the constipation as: