Practice Question ch 21

Question 1

After surgery for a total knee replacement, a patient was given an epidural catheter for fentanyl epidural analgesia. What is the most important nursing intervention?

A)Administer additional analgesic medications as needed.
B)Change the epidural dressing every shift.
C)Assess respiratory rate.
D)Encourage ambulation.

Answer 1

3

Question 2

A 52-year-old patient admitted for deep vein thrombosis of the left internal iliac vein complains of excruciating pain in the left leg. What is the most appropriate response by the nurse?

A)”Pain is what you say it is; I will assist you in whatever way I can.”
B)”Your pain is an unpleasant sensation caused by inflammation of the vein and difficult to control.”
C) “Your pain is one of the cardinal signs of inflammation.”
D) “I know you are in pain, but it is important that we guard against possible addiction to opioids.”

Answer 2

1

Question 3

A 63-year-old patient underwent a lower anterior bowel resection yesterday. What common central nervous analgesic is prescribed often to control pain?

A)Aspirin
B)Acetaminophen (Tylenol)
C) Morphine
D)Ibuprofen (Motrin)

Answer 3

3

Question 4

What drug delivery system is used to control pain via a portable computerized pump with a chamber for a syringe?

A)Patient-controlled analgesia
B)Transcutaneous electric nerve stimulation
C)A venous access device
D)An intrathecal delivery system

Answer 4

1

Question 5

The nursing student is discussing the gate control theory of pain. Which statement by the student indicates the need for further instruction?Select all apply

A)”The gates of the pain pathways can be opened with therapeutic massage and heat treatments.
“B)”Pain has exclusive use of the pathways ahead of other stimuli, according to the theory.
“C)”Distraction is beneficial in pain management, according to the theory.
“D)”Pain is a manifestation of an intricate chain of electrochemical events.
“E)”Memories and feelings may alter gating mechanisms.”

Answer 5

3,4,5

Question 6

4A patient admitted with severe cellulitis of the left breast states, “I have a severe burning pain, and it feels like my breast is on fire.” She rates her pain as 7 on the 0-10 pain assessment scale. How would this collection of data by the nurse in assessing the patient’s pain be classified?

A)Deductive
B)Speculative
C)Objective
D)Subjective

Answer 6

4

Question 7

The nurse listens attentively while the patient describes her angina pectoris pain as radiating down her left inner arm to the little finger and upward to the jaw and the shoulder. What term is used to classify this type of pain?

A)Precisely localized
B)Referred
C)Intermittent
D)Chronic

Answer 7

1

Question 8

The nurse is assessing the patient’s description of his back pain. He states that it is “immobilizing, intense, and on a scale of 0 to 10, it is an 8.” What type of pain assessment scale is the patient using?

A)Visual analog
B)Categorical
C)Functional
D)Numeric

Answer 8

4

Question 9

The nurse is caring for two patients with similar injuries. One patient expresses severe pain, and the other reports feeling fine with low levels of pain. Which statement is most correct?

A)The patient having more intense reports of pain has dysfunctional endorphins.
B)The patient having lesser levels of pain has a higher level of endorphins
.C)The patient experiencing intense pain has lower levels of endorphins
.D)The patient having elevated levels of pain has an alteration in recognition of endorphins by the hypothalamus of the brain.

Answer 9

2

Question 10

A patient was admitted to the orthopedic section for acute back pain. The health care provider is planning to use cutaneous stimulation management. Which is an example of this pain control method?

A)Epidural analgesia
B)Transcutaneous electric nerve stimulation (TENS)
C)Nonsteroidal anti-inflammatory drugs (NSAIDS)
D)Patient-controlled analgesia

Answer 10

2

Question 11

Which statement concerning unrelieved pain is most correct?

A)Unrelieved pain is a normal expectation after major surgery.
B)Patients with cancer diagnoses can expect to experience unrelieved pain.
C)Physiologic and psychological complications can result from unrelieved pain.
D)Although unrelieved pain is stressful and annoying, it is not as important as other physical care needs.

Answer 11

3

Question 12

What is the priority responsibility of the nurse related to pain?

A)Leave the patient alone to rest.
B)Help the patient appear to not be in pain.
C)Believe what the patient says about pain.
D)Assume responsibility for eliminating the patient’s pain.

Answer 12

3

Question 13

Research indicates that the risk of clinically significant opioid-induced respiratory depression is

A) less than 1%
B)5%
C)20%
D)30%

Answer 13

1

Question 14

Which route is most appropriate for treating rapidly escalating severe pain?

A)Oral
B)Intramuscular (IM)
C)Intravenous (IV)
D)Transdermal

Answer 14

3

Question 15

Which opioid is no longer a drug of choice for managing pain because of its toxic complications, such as causing seizures?

A)Codeine
B)Morphine
C)Meperidine
D)Fentanyl

Answer 15

3

Question 16

The nurse has recommended the patient consider music therapy to manage pain after an upcoming surgery. What information should be provided to the patient? SATA

A)Music therapy works best when selections are instrumental instead of songs containing words.

B)Music therapy is successful for at least 50% of people who try it.

C)Music therapy promotes relaxation and takes the focus away from the pain being experienced.

D)Music therapy is easily a self-directed means of pain management.

E)Music therapy’s success is limited to postoperative pain.

Answer 16

2,3,5

Question 17

A patient has been prescribed acetaminophen to manage pain after a sports injury. What information can be included in the discussion about this medication with the patient? SATA

A)This medication is limited to the management of mild pain.
B)The dosage of acetaminophen should be limited to 4000 mg in a 24 hours period.
C)Acetaminophen is associated with gastrointestinal upset
D)Excessive dosages are associated with hepatotoxicity.
E)Acetaminophen works by blocking pain impulses.

Answer 17

2,4,5

Question 18

Practice 1-10

Answer 18

ch 21

Question 19

A nurse in a provider’s office is caring for a client who states that , for the past week , “ have felt tired during the day and cannot sleep at night . “ Which of the following responses should the nurse ask when collecting data about the client’s difficulty sleeping ? (Select all that apply . )

A. “ Have your working hours changed recently ? “

B. “Do you feel confused in the late afternoon ?”

C.drink coffee , tea , or other
caffeinated drinks ? If so , how many cups per day ? “

D. “ Has anyone ever told you that you seem to stop breathing for a few seconds while you are asleep ? “

E. Tell me about any personal stress you are experiencing .”

Answer 19

Ati-practice ch38

a,c,d,e

Question 20

A nurse is talking with a client about ways to help sleep and rest. Which of the following recommendations should the nurse give to the client to promote sleep and rest? (Select all that apply.)

A. Practice muscle relaxation techniques.
B. Exercise each morning.
C. Take an afternoon nap.
D. Alter the sleep environment for comfort.
E. Limit fluid intake at least 2 hr before bedtime.

Answer 20

a,b,d,e

Question 21

A nurse is caring for a client who has been following the facility’s routine and bathing in the morning. However , at home, the client always takes a warm bath just before bedtime . Now the client is having difficulty sleeping at night . Which of the following actions should the nurse take first ?

A. Rub the client’s back for 15 min before bedtime .
B. Offer the client warm milk and crackers at 2100 .
C. Allow the client to take a bath in the evening D. Ask the provider for a sleeping medication .

Answer 21

c

Question 22

A nurse is preparing a presentation at a local community center about sleep hygiene . When explaining rapid eye movement (REM ) sleep , which of the following characteristics should the nurse include ? ( Select all that apply . )

A. REM sleep provides cognitive restoration .
B. REM sleep lasts about 90 min.
C. It is difficult to awaken a person in REM sleep .
D. Sleepwalking occurs during REM sleep .
E. Vivid dreams are common during REM sleep .

Answer 22

a,c,e

Question 23

A nurse is instructing a client who has narcolepsy about measures that might help with self-management . Which of the following statements should the nurse identify as an indication that the client understands the instructions ?

A. I’ll add plenty of carbohydrates to my meals.” B. I’ll take a short nap whenever I feel a little sleepy
C. I’ll make sure I stay warm when am at my desk at work . “
D. “It’s okay to drink alcohol as long as limit it to one drink per day.”

Answer 23

b

Question 24

. A nurse at a clinic is collecting data about pain from of a client who reports severe abdominal pain . The nurse asks the client if there has been any accompanying nausea and vomiting . Which of the following pain characteristics is the nurse attempting to determine ?

A. Presence of associated manifestations
B. Location of the pain
C. Pain quality
D. Aggravating and relieving factors

Answer 24

Ati ch 41

A

Question 24

A nurse is collecting data from a client who is reporting pain despite taking analgesia. Which of the following actions should the nurse take to determine the intensity of the client’s pain?

A. Ask the client what precipitates the pain.
B. Question the client about the location of the pain .
C. Offer the client a pain scale to measure their pain.
D. Use open- ended questions to identify the client’s pain sensations .

Answer 24

c

Question 25

A nurse is discussing the care of a group of clients with a newly licensed nurse . Which of the following clients should the newly licensed nurse identify as experiencing chronic pain ?

A. A client who has a broken femur and reports hip pain .
B. A client who has incisional pain 72 hr following pacemaker insertion .
C. A client who has food poisoning and reports abdominal cramping .
D. A client who has episodic back pain following a fall 2 years ago .

Answer 25

d

Question 26

A nurse is monitoring a client for adverse effects following the administration of an opioid. Which of the following effects should the nurse identify as an adverse effect of opioids ? (Select all that apply.)

A. Urinary incontinence
B. Diarrhea
C. Bradypnea
D. Orthostatic hypotension
E. Nausea

Answer 26

c,d,e

Question 27

A nurse is caring for a client who is receiving morphine via a patient-controlled analgesia (PCA) infusion device after abdominal surgery. which of the following statements indicates that the client knows how to use the device?

A. ill wait to use the device until its absolutely necessary
B. ill be careful about pushing the button too much so i dont get an overdose
C. i should tell the nurse if the pain doesn’t stop while i am using this device
D. i will ask my adult child to push the dose button when i am sleeping

Answer 27

c

Question 28

Look Ipad photo

Pain management
answer question 1-7

Question 29

Look Ipad photo

Wound Care
answer question 1-9

Question 30

Notes

Answer 30

cetaminophen (Tylenol) and Ibuprofen (Motrin) work at the peripheral receptor level and they are widely used for pain management. Morphine has the potential for nervous system depression.