C. CH 28 Pain MGMNT Flashcards
The nurse is administering medications to a patient with neuropathic pain. The patient asks why he is getting an antidepressant medication because he is not depressed. Which of the following is the best response by the nurse?
A) All patients with pain have at least some depression.
B) Antidepressants have been shown to have pain-relieving qualities in patients with neuropathic pain.
C) Treating your depression, even if you dont think you have it, will help control your pain.
D) The doctor thinks it will help with your pain.
B) Antidepressants have been shown to have pain-relieving qualities in patients with neuropathic pain.
A nurse is evaluating the effectiveness of the pre-operative teaching regarding pain control. Which statement by the patient would indicate a need for further education?
A) I will push my PCA button before I get up to go to the bathroom.
B) I will have my wife push the PCA button when Im asleep.
C) I will bring my favorite music to listen to after my surgery.
D) I will make sure to drink plenty of water so I dont get constipated from the pain medication.
B) I will have my wife push the PCA button when Im asleep.
A nurse is caring for a patient who is receiving morphine via a patient controlled analgesia (PCA) pump. When assessing the patient, she notes that his respiratory rate is 4. What should the nurse do first?
Notify the physician
Stop the PCA pump
Administer naloxone
Increase the primary IV rate
Stop the PCA pump
A student nurse is preparing a presentation on pain management. What information regarding nonpharmacological interventions should he include? Select all that apply.
A) Use cold packs for muscle spasms and surgical site pain.
B) Dry heat penetrates deeper than moist heat.
C) Ice packs should not be left on longer than 20 minutes.
D) Massage can stimulate circulation.
E) Distraction is useful for short pain periods.
A) Use cold packs for muscle spasms and surgical site pain.
C) Ice packs should not be left on longer than 20 minutes.
D) Massage can stimulate circulation.
E) Distraction is useful for short pain periods.
The physician has ordered a patient controlled analgesia (PCA) pump for a patient. Which assessment finding would cause the nurse to question the order? A) B/P 178/92 and pulse 118 B) Confused to time and place C) Right shoulder immobilizer in place D) Rates pain an 8 on a 1 to 10 scale
B) Confused to time and place
The action of ibuprofen is to A) Provide narcotic pain relief B) Have a antiprostaglandin effect on the CNS C) Close the gate of the A-delta fibers D) Enhance the endorphins of the CNS
B) Have a antiprostaglandin effect on the CNS
Besides controlling pain of the post-abdominal surgery patient with narcotics, the nurse suggests to the patient that he A) Focus on pain relief B) Use distraction C) Describe the pain D) Think about the next dose
B) Use distraction
- An 80-year-old woman has been suffering from knee pain for the past 3 years. The patient requires a knee replacement and has diminished mobility. The most appropriate nursing diagnosis is
A) Chronic pain related to knee disability as defined by guarded gait
B) Acute pain related to degenerative joint disease as evidenced by static gait
C) Altered mobility related to pain as defined by guarded gait
D) Inability to perform activities of daily living related to chronic pain
A) Chronic pain related to knee disability as defined by guarded gait
Which of the following actions is most appropriate for the nurse to take in response to the patients request for pain medication on his first postoperative day? The patient has an order for a narcotic analgesic every 3 to 4 hours and he received his last dose 3 hours earlier.
a) Provide the patient with pain medication
B) Tell the patient that the pain cannot be severe
C) Document and ask the patient to wait 1 hour
D) Contact the physician for a change in medication
a) Provide the patient with pain medication
A nurse is assessing a patients pain. The nurse notes which of the following database findings that is indicative of acute pain? Pupil constriction Decreased pulse rate Increased blood pressure Decreased respiratory rate
Increased blood pressure
A nurse is assessing a patients pain. The nurse notes which of the following database findings that is indicative of acute pain? Pupil constriction Decreased pulse rate Increased blood pressure Decreased respiratory rate
Increased blood pressure
When the male patient on his first postoperative day after chest surgery appears stoic and does not ask for any pain medication, the nurse should
Document the patients lack of medication
Assume the patient does not need medication
Ask the patients family if he ever uses pain medicines
Actively solicit information about the patients pain level
Actively solicit information about the patients pain level
A child describes intense pain in the chest and head while eating a popsicle. The pain the child is experiencing is termed
Fear
Allodynia
Thermal stimulation
Hyperalgesia
Allodynia
When a 17-year-old male athlete injures his knee during basketball practice and refuses to go to the school nurse, he states he does not have pain. The school nurse assesses the students knee and recognizes that by stating he does not have pain the student is Not injured In need of counseling Not showing weakness to his peers Ignoring the pain
Not showing weakness to his peers
Which of the following guidelines regarding pain should be included in the nurses teaching plan for a group of parents with infants and toddlers?
A) Pain can be a source of fear and threat to the toddlers security
B) Toddlers are often reluctant to express pain
C) Infants cannot express pain until 8 months of age
D) Toddlers often try to be brave and not cry
A) Pain can be a source of fear and threat to the toddlers security
