Question 1

Catheter migration into the______________ can produce dangerously high medication levels.Only physicians and nurse anesthetists administer drugs in this space.

Accepted Answer

The answer of Catheter migration into the______________ can produce dangerously...

Question 2

The nurse is caring for a patient who is a devout Orthodox Jew.The patient is on a patient-controlled analgesia ( PCA ) pump.What accommodations might the nurse have to make to conform to the patient's cultural needs?

Accepted Answer

A) Ask the patient whether he will need alternative forms of medication for the Sabbath. 
B) Ask the patient specific questions because Jews tend to be stoic regarding pain. 
C) Medicate the patient "around the clock" instead of as needed ( "prn" ). 
D) Understand that Jews believe that suffering is a consequence of actions in a previous life.

Question 3

Massaging upward and outward from the vertebral column and back again is known as __________________.

Accepted Answer

The answer of Massaging upward and outward from the vertebral...

Question 4

Which of the following are characteristics of cancer pain? (Select all that apply.)

Accepted Answer

A) It may be acute. 
B) It may be chronic. 
C) It usually is related to tumor recurrence or treatment. 
D) It often is of less intensity than the patient reports.

Question 5

The patient is in the hospital undergoing major abdominal surgery.When the patient returns from the recovery room, the nurse expects that he most likely will be receiving pain medication:

Accepted Answer

A) by mouth. 
B) intramuscularly. 
C) via the epidural route. 
D) intravenously.

Question 6

Before administering an epidural medication, the nurse aspirates and suspects that the catheter has migrated into the subarachnoid space when:

Accepted Answer

A) clear drainage is noted. 
B) no drainage is noted. 
C) purulent drainage is noted. 
D) redness, warmth, and edema are noted.

Question 7

The patient voices concern to the nurse regarding his PCA pump.He states that he is afraid of getting an overdose if he pushes the button too many times.The nurse reassures the patient that: (Select all that apply.)

Accepted Answer

A) there is a time delay (lockout) between patient doses. 
B) there is a maximum dose the patient can receive. 
C) the patient has a right to be concerned and needs to be careful. 
D) the patient could be put on a continuous infusion instead, because it is safer.

Question 8

Which of the following statements about evaluating patients in pain is true?

Accepted Answer

A) The best judge of the existence of pain is the nurse. 
B) Visible signs always accompany pain. 
C) Patients often are hesitant to report pain. 
D) Nonpharmacological interventions are better than pain medications.

Question 9

A nurse checks the continuous IV infusion for the intraspinal analgesia.The IV setup should be changed if:

Accepted Answer

A) tubing with a Y-port is attached. 
B) an infusion pump is attached. 
C) the tubing connections are all taped. 
D) a diluted, preservative-free medication is used.

Question 10

Which of the following patient conditions is categorized as a neurobiological disease?

Accepted Answer

A) Physical dependence 
B) Addiction 
C) Pseudoaddiction 
D) Drug tolerance

Question 11

The nurse who is caring for a patient postoperatively notes that he is expressing discomfort and is diaphoretic.Which of the following interventions is most appropriate?

Accepted Answer

A) Straighten the bed linens. 
B) Change the saturated surgical dressing. 
C) Administer prescribed pain medications. 
D) Check for displaced equipment underneath the patient.

Question 12

_______________________ is a massage technique used on tense muscles to "knead" muscles, promote relaxation, and stimulate local circulation.

Accepted Answer

The answer of _______________________ is a massage technique used on...

Question 13

The patient is admitted with chronic pain.She states that nothing takes the pain away totally, but that "Dilaudid works best." The fact that the patient calls the medication by name should alert the nurse to:

Accepted Answer

A) suspect that the patient is drug seeking. 
B) expect that the patient may need smaller doses than normal. 
C) assess the patient's acceptable level of comfort. 
D) accept the fact that nothing will help this patient's pain.

Question 14

The nurse caring for a patient who has a PCA knows that it:

Accepted Answer

A) allows the family to participate in pain management for the patient. 
B) prevents mistakes in medication administration. 
C) can be used by all hospitalized patients. 
D) provides a more constant level of medication.

Question 15

Pain that extends beyond the period of healing and often lacks an identified pathology is known as _______________.

Accepted Answer

The answer of Pain that extends beyond the period of...

Question 16

The patient is scheduled for surgery late in the afternoon.His postoperative orders include PCA therapy.Which of the following nursing interventions is appropriate to perform?

Accepted Answer

A) Teach the patient about PCA after the patient comes out of recovery. 
B) Teach the patient about PCA before surgery and before preoperative medication administration. 
C) Tell the patient not to use PCA unless he can no longer tolerate the pain. 
D) Inform the patient's family to watch him carefully and to depress the PCA administration button whenever they think he needs it.

Question 17

________________ draws on internal experiences of memories, dreams, fantasies, and visions; explores the inner world of experience; protects the privacy of the patient; and fosters the imagination.

Accepted Answer

The answer of ________________ draws on internal experiences of memories,...

Question 18

__________________ is an interactive method of pain management that permits patient control over pain through self-administration of analgesics.

Accepted Answer

The answer of __________________ is an interactive method of pain...

Exam 15: Pain Assessment and Basic Comfort Measures