Question 1

The nurse applying heat to an injured hip of a patient is careful not to leave the heat on longer than:

Accepted Answer

A)  15 minutes 
B)  20 minutes 
C)  30 minutes 
D)  1 hour 
A)  15 minutes 
B)  20 minutes 
C)  30 minutes 
D)  1 hour

Question 2

Two patients are hospitalized with the same diagnosis,but one is 23 years old,with acute recent pain from an injury,and the other is 64 years old,with pain of long-standing duration of several years.The difference in anticipated assessment is which of the following?

Accepted Answer

A)  Acute pain for young patients is more intense at the same level, but these patients experience few changes in vital signs. 
B)  Young patients with acute pain exhibit fewer changes in vital signs but still report true levels of pain at levels 8 to 10. 
C)  Older adult patients with chronic pain exhibit increased changes in vital signs and report levels of pain lower than reality. 
D)  Older adult patients with chronic pain usually report lower levels of pain much less severe than they really are. 
A)  Acute pain for young patients is more intense at the same level, but these patients experience few changes in vital signs. 
B)  Young patients with acute pain exhibit fewer changes in vital signs but still report true levels of pain at levels 8 to 10. 
C)  Older adult patients with chronic pain exhibit increased changes in vital signs and report levels of pain lower than reality. 
D)  Older adult patients with chronic pain usually report lower levels of pain much less severe than they really are.

Question 3

The nurse instructs a patient who has had a rhizotomy for leg pain that:

Accepted Answer

A)  Relief may not be permanent. 
B)  The leg will tingle and burn occasionally. 
C)  The foot may discolor and twitch at times. 
D)  Snug shoes should be worn at all times. 
E)  Caution should be taken to prevent injury to the leg. 
A)  Relief may not be permanent. 
B)  The leg will tingle and burn occasionally. 
C)  The foot may discolor and twitch at times. 
D)  Snug shoes should be worn at all times. 
E)  Caution should be taken to prevent injury to the leg.

Question 4

A patient admitted with the diagnosis of possible myocardial infarction complains of pain and tingling in his left arm and says,"How in the world could I be having a heart attack when it's just my arm that is giving me trouble?" The nurse explains that the patient is experiencing:

Accepted Answer

A)  Referred pain 
B)  Psychogenic pain 
C)  Neuromuscular pain 
D)  Muscle spasms of shoulder 
A)  Referred pain 
B)  Psychogenic pain 
C)  Neuromuscular pain 
D)  Muscle spasms of shoulder

Question 5

To perform a nursing assessment correctly,the nurse must remember that pain perception involves several central nervous system (CNS)processes such as:

Accepted Answer

A)  Afferent pathways carry messages to the spinal cord. 
B)  Efferent pathways stimulate the spinal cord to recognize the location of pain. 
C)  Nociceptors in the brain stimulate the spinal cord. 
D)  Pain receptors in muscle, skin, and subcutaneous tissue stimulate efferent pathways. 
A)  Afferent pathways carry messages to the spinal cord. 
B)  Efferent pathways stimulate the spinal cord to recognize the location of pain. 
C)  Nociceptors in the brain stimulate the spinal cord. 
D)  Pain receptors in muscle, skin, and subcutaneous tissue stimulate efferent pathways.

Question 6

The nurse explains to a patient who is to undergo a hip replacement that his postoperative pain will be greatly reduced by:

Accepted Answer

A)  Femoral nerve blocks 
B)  Extremely deep general anesthesia 
C)  Practicing leg lifting exercises before surgery 
D)  Placing an analgesic patch directly over the incision 
A)  Femoral nerve blocks 
B)  Extremely deep general anesthesia 
C)  Practicing leg lifting exercises before surgery 
D)  Placing an analgesic patch directly over the incision

Question 7

The nurse is teaching a patient how to use a transcutaneous electrical nerve stimulation (TENS)unit and how it works.Appropriate information for this patient would be:

Accepted Answer

A)  "The stimulation of the skin seeks to localize the acute pain and will last for several minutes after the unit is applied." 
B)  "This unit stimulates both the skin and the underlying tissues to decrease the intensity of the pain." 
C)  "The mechanism for use of this unit is well known and can be read." 
D)  "During those days when using the TENS unit, no analgesic can be given." 
A)  "The stimulation of the skin seeks to localize the acute pain and will last for several minutes after the unit is applied." 
B)  "This unit stimulates both the skin and the underlying tissues to decrease the intensity of the pain." 
C)  "The mechanism for use of this unit is well known and can be read." 
D)  "During those days when using the TENS unit, no analgesic can be given."

Question 8

The patient still complains of pain after the administration of the ordered analgesic.The nurse changes the nursing care plan because the:

Accepted Answer

A)  Patient's pain threshold has risen. 
B)  Patient's pain threshold has lowered. 
C)  Patient has become addicted. 
D)  Patient is seeking attention. 
A)  Patient's pain threshold has risen. 
B)  Patient's pain threshold has lowered. 
C)  Patient has become addicted. 
D)  Patient is seeking attention.

Question 9

____________________ and ____________________ are natural opioid-like substances that block pain perception.

Accepted Answer

Endorphins; enkephalins
Endorp

Exam 15: Pain Management

The nurse applying heat to an injured hip of a patient is careful not to leave the heat on longer than:

Two patients are hospitalized with the same diagnosis,but one is 23 years old,with acute recent pain from an injury,and the other is 64 years old,with pain of long-standing duration of several years.The difference in anticipated assessment is which of the following?

The nurse instructs a patient who has had a rhizotomy for leg pain that:

A patient admitted with the diagnosis of possible myocardial infarction complains of pain and tingling in his left arm and says,"How in the world could I be having a heart attack when it's just my arm that is giving me trouble?" The nurse explains that the patient is experiencing:

To perform a nursing assessment correctly,the nurse must remember that pain perception involves several central nervous system (CNS)processes such as:

The nurse explains to a patient who is to undergo a hip replacement that his postoperative pain will be greatly reduced by:

The nurse is teaching a patient how to use a transcutaneous electrical nerve stimulation (TENS)unit and how it works.Appropriate information for this patient would be:

The patient still complains of pain after the administration of the ordered analgesic.The nurse changes the nursing care plan because the:

____________________ and ____________________ are natural opioid-like substances that block pain perception.

The Health Care System

Patient Care Settings

Legal and Ethical Considerations

The Leadership Role of the Licensed Practical Nurse

The Nurse-Patient Relationship

Cultural Aspects of Nursing Care

The Nurse and the Family

Health and Illness

Nutrition

Developmental Processes

The Older Patient

The Nursing Process and Critical Thinking

Inflammation, Infection, and Immunity

Fluids and Electrolytes

First Aid, Emergency Care, and Disaster Management

Surgical Care

Intravenous Therapy

Shock

Falls

Immobility

Confusion

Incontinence

Loss,Death,and End-of-Life Care

The Patient with Cancer

The Patient with an Ostomy

Neurologic Disorders

Cerebrovascular Accident

Spinal Cord Injury

Acute Respiratory Disorders

Chronic Respiratory Disorders

Hematologic Disorders

Immunologic Disorders

Human Immunodeficiency Virus and Acquired Immunodeficiency Syndrome

Cardiac Disorders

Vascular Disorders

Hypertension

Digestive Tract Disorders

Disorders of the Liver, Gallbladder, and Pancreas

Urologic Disorders

Connective Tissue Disorders

Fractures

Amputations

Pituitary and Adrenal Disorders

Thyroid and Parathyroid Disorders

Diabetes Mellitus and Hypoglycemia

Female Reproductive Disorders

Male Reproductive Disorders

Sexually Transmitted Infections

Skin Disorders

Eye and Vision Disorders

Ear and Hearing Disorders

Nose, Sinus, and Throat Disorders

Psychologic Responses to Illness

Psychiatric Disorders

Substance-Related Disorders

Filters

and are natural opioid-like substances that block pain perception.