Question 1

When assessing a patient,the nurse recognizes that pain is:

Accepted Answer

A)  objective for the nurse. 
B)  easy to recognize. 
C)  subjective for the patient. 
D)  easily relieved if found early. 
A)  objective for the nurse. 
B)  easy to recognize. 
C)  subjective for the patient. 
D)  easily relieved if found early.

Question 2

When the patient complains to the home health nurse that he does not feel rested although he has slept 8 hours,the nurse should assess for his having:

Accepted Answer

A)  vivid dreams. 
B)  eaten a heavy meal before going to bed. 
C)  consumed an excessive amount of alcohol. 
D)  taken an anxiolytic medication. 
A)  vivid dreams. 
B)  eaten a heavy meal before going to bed. 
C)  consumed an excessive amount of alcohol. 
D)  taken an anxiolytic medication.

Question 3

To reassure a patient who is concerned about receiving addictive drugs,the nurse states that research has shown that the percentage of patients who become addicted is less than:

Accepted Answer

A)  0.1%. 
B)  1%. 
C)  5%. 
D)  6%. 
A)  0.1%. 
B)  1%. 
C)  5%. 
D)  6%.

Question 4

Although the patient denies pain,she is irritable,responds slowly,and exhibits periods of tachycardia; therefore,the nurse assesses for:

Accepted Answer

A)  electrolyte imbalance. 
B)  allergic response. 
C)  sleep deprivation. 
D)  constipation. 
A)  electrolyte imbalance. 
B)  allergic response. 
C)  sleep deprivation. 
D)  constipation.

Question 5

While educating a patient about transcutaneous electric nerve stimulation (TENS),the nurse should inform the patient that the TENS:

Accepted Answer

A)  may inhibit endorphin production. 
B)  is an electrical device that must be plugged in. 
C)  provides an intermittent electrical current to the skin. 
D)  may interfere with the function of a cardiac pacemaker. 
A)  may inhibit endorphin production. 
B)  is an electrical device that must be plugged in. 
C)  provides an intermittent electrical current to the skin. 
D)  may interfere with the function of a cardiac pacemaker.

Question 6

The pain relief intervention that stimulates large cutaneous nerve fibers to "close the gate" is the _________ unit.

Accepted Answer

TENS
transcutaneous electrical nerve sti

Question 7

When assessing pain of a Hispanic male,the nurse must be especially observant of objective data because some Hispanic men:

Accepted Answer

A)  are suspicious of female caregivers. 
B)  have a cultural bias against use of narcotics. 
C)  believe pain is necessary for cure. 
D)  feel it is unmanly to admit to pain. 
A)  are suspicious of female caregivers. 
B)  have a cultural bias against use of narcotics. 
C)  believe pain is necessary for cure. 
D)  feel it is unmanly to admit to pain.

Question 8

To establish an effective relationship with the patient in pain,the nurse should begin the assessment by saying:

Accepted Answer

A)  "I'll check to see if you can have anything." 
B)  "Let me give you a backrub and see if it helps." 
C)  "I believe you are in pain." 
D)  "When was your last medication for pain?" 
A)  "I'll check to see if you can have anything." 
B)  "Let me give you a backrub and see if it helps." 
C)  "I believe you are in pain." 
D)  "When was your last medication for pain?"

Question 9

The nurse teaches noninvasive pain relief techniques such as guided imagery,biofeedback,and relaxation because their primary advantage is that they:

Accepted Answer

A)  can be done any time. 
B)  do not require a nurse. 
C)  give the patient some control. 
D)  are most effective. 
A)  can be done any time. 
B)  do not require a nurse. 
C)  give the patient some control. 
D)  are most effective.

Question 10

The home health nurse explains that due to the patient's implantation of a pacemaker,he is not a candidate for the use of:

Accepted Answer

A)  peripheral analgesics. 
B)  a TENS unit. 
C)  opioid analgesics. 
D)  adjuvant analgesics. 
A)  peripheral analgesics. 
B)  a TENS unit. 
C)  opioid analgesics. 
D)  adjuvant analgesics.

Question 11

When preparing the patient for sleep,dimming the lights and decreasing the noise levels are examples of nursing interventions designed to:

Accepted Answer

A)  mimic usual sleep patterns. 
B)  decrease environmental stimuli. 
C)  prepare the patient for sleep. 
D)  provide for more rest. 
A)  mimic usual sleep patterns. 
B)  decrease environmental stimuli. 
C)  prepare the patient for sleep. 
D)  provide for more rest.

Question 12

When a patient is receiving epidural analgesics,the patient must be closely monitored for a(n):

Accepted Answer

A)  temperature elevation to 99.2° F from 98° F. 
B)  increase in pulse rate from 88 to 99. 
C)  decrease in respirations from 16 to 14. 
D)  decrease in blood pressure from 120/80 to 110/68. 
A)  temperature elevation to 99.2° F from 98° F. 
B)  increase in pulse rate from 88 to 99. 
C)  decrease in respirations from 16 to 14. 
D)  decrease in blood pressure from 120/80 to 110/68.

Question 13

When treating a postoperative patient's pain,the nurse should administer:

Accepted Answer

A)  an analgesic before activity. 
B)  PRN medications only when requested. 
C)  analgesics only when requested by the family. 
D)  analgesics only when requested by the patient. 
A)  an analgesic before activity. 
B)  PRN medications only when requested. 
C)  analgesics only when requested by the family. 
D)  analgesics only when requested by the patient.

Question 14

When a young athlete asks the nurse why he felt little pain when he broke his leg during a game,the nurse describes the effect of:

Accepted Answer

A)  hormones. 
B)  enzymes. 
C)  adrenaline. 
D)  endorphins. 
A)  hormones. 
B)  enzymes. 
C)  adrenaline. 
D)  endorphins.

Question 15

When evaluating the effectiveness of new or revised therapies for pain relief,the nurse should:

Accepted Answer

A)  observe the patient performing activities of daily living. 
B)  observe the patient's facial expressions. 
C)  frequently assess subjective data. 
D)  perform evaluation of outcome goals. 
A)  observe the patient performing activities of daily living. 
B)  observe the patient's facial expressions. 
C)  frequently assess subjective data. 
D)  perform evaluation of outcome goals.

Question 16

After a pain assessment,the nurse promptly administers an ordered analgesic because:

Accepted Answer

A)  the physician has ordered it. 
B)  it is an efficient use of time. 
C)  unrelieved pain can cause setbacks. 
D)  it meets the goals of the nursing care plan. 
A)  the physician has ordered it. 
B)  it is an efficient use of time. 
C)  unrelieved pain can cause setbacks. 
D)  it meets the goals of the nursing care plan.

Question 17

When an American Indian patient requests that an egg yolk be placed in a saucer and put under his bed to absorb the pain,the nurse should:

Accepted Answer

A)  explain that medication will relieve the pain better. 
B)  place the egg in a saucer under the bed. 
C)  ask the physician for permission. 
D)  warn that housekeeping staff will remove the egg. 
A)  explain that medication will relieve the pain better. 
B)  place the egg in a saucer under the bed. 
C)  ask the physician for permission. 
D)  warn that housekeeping staff will remove the egg.

Question 18

The nurse carefully assesses a patient receiving an opioid narcotic for the common side effect of:

Accepted Answer

A)  addiction. 
B)  vomiting. 
C)  constipation. 
D)  diarrhea. 
A)  addiction. 
B)  vomiting. 
C)  constipation. 
D)  diarrhea.

Question 19

When planning interventions for a patient experiencing pain,the nurse assesses for a synergistic relationship,such as:

Accepted Answer

A)  inflammatory process. 
B)  circulatory disorder. 
C)  food allergy. 
D)  fatigue. 
A)  inflammatory process. 
B)  circulatory disorder. 
C)  food allergy. 
D)  fatigue.

Exam 16: Pain Management, Comfort, Rest, and Sleep

When assessing a patient,the nurse recognizes that pain is:

When the patient complains to the home health nurse that he does not feel rested although he has slept 8 hours,the nurse should assess for his having:

To reassure a patient who is concerned about receiving addictive drugs,the nurse states that research has shown that the percentage of patients who become addicted is less than:

Although the patient denies pain,she is irritable,responds slowly,and exhibits periods of tachycardia; therefore,the nurse assesses for:

While educating a patient about transcutaneous electric nerve stimulation (TENS),the nurse should inform the patient that the TENS:

The pain relief intervention that stimulates large cutaneous nerve fibers to "close the gate" is the _________ unit.

When assessing pain of a Hispanic male,the nurse must be especially observant of objective data because some Hispanic men:

To establish an effective relationship with the patient in pain,the nurse should begin the assessment by saying:

The nurse teaches noninvasive pain relief techniques such as guided imagery,biofeedback,and relaxation because their primary advantage is that they:

The home health nurse explains that due to the patient's implantation of a pacemaker,he is not a candidate for the use of:

When preparing the patient for sleep,dimming the lights and decreasing the noise levels are examples of nursing interventions designed to:

When a patient is receiving epidural analgesics,the patient must be closely monitored for a(n):

When treating a postoperative patient's pain,the nurse should administer:

When a young athlete asks the nurse why he felt little pain when he broke his leg during a game,the nurse describes the effect of:

When evaluating the effectiveness of new or revised therapies for pain relief,the nurse should:

After a pain assessment,the nurse promptly administers an ordered analgesic because:

When an American Indian patient requests that an egg yolk be placed in a saucer and put under his bed to absorb the pain,the nurse should:

The nurse carefully assesses a patient receiving an opioid narcotic for the common side effect of:

When planning interventions for a patient experiencing pain,the nurse assesses for a synergistic relationship,such as:

the Evolution of Nursing

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