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

Question 1

The nurse who uses guidelines for individualizing pain management recognizes the importance of providing pain relief how many minutes before a painful procedure?

A) 120
B) 60
C) 30
D) 15

Answer 1

30

Question 2

When giving a backrub to a patient to relieve pain,the nurse is using the pain theory of:

A) synergism.
B) gate control.
C) distraction.
D) guided imagery.

Answer 2

gate control.

Question 3

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

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.

Answer 3

unrelieved pain can cause setbacks.

Question 4

To share assessment findings and pain relief interventions,which documentation sample is the most helpful?

A) 1600: Patient reports chest pain.Medicated with MSO4.
B) 1600: Patient reports sharp chest pain.MSO₄ given IM.
C) 1600: Patient reports sharp pain in left chest radiating to neck.MSO₄ 5 mg administered IM in right deltoid.
D) 1600: Patient requested medication for pain in left chest.MSO₄ 10 mg PO given.

Question 5

Continuous or intermittent pain that does not serve as a warning of tissue damage is called:

A) acute.
B) unrelieved.
C) chronic.
D) subacute.

Question 6

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

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

Question 7

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:

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

Question 8

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:

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 9

The nurse obtains information from a patient about the site,severity,and duration of the pain.These data are considered to be:

A) patient data.
B) objective data.
C) focused data.
D) subjective data.

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:

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

Question 11

The nurse reminds the patient using patient-controlled analgesia (PCA)that the major advantage to this method is that it is:

A) cheaper.
B) more effective.
C) less addictive.
D) quicker.

Question 12

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

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

Question 13

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:

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

Question 14

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

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 15

The nurse reassures a patient that most acute pain is intense and of short duration,usually lasting:

A) 1 week.
B) less than 6 months.
C) at least 9 months.
D) more than 1 year.

Question 16

The nurse explains that transcutaneous electrical nerve stimulation (TENS)provides a continuous mild electrical current to the skin and reduces pain by:

A) distracting the patient.
B) blocking endorphin production.
C) warming the skin.
D) blocking pain impulses.

Question 17

When a patient tearfully declares the use of relaxation techniques does not work for her,the nurse should:

A) give up on the idea.
B) encourage the patient to try again.
C) assure the patient that not everyone is successful.
D) give the patient a sedative.

Question 18

Pain in the left arm secondary to coronary insufficiency is an example of:

A) acute pain.
B) chronic pain.
C) referred pain.
D) subacute pain.

Question 19

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

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

Question 20

The nurse recognizes that many institutions are now including pain assessment as a part of:

A) the initial assessment.
B) discharge planning.
C) assessing vital signs.
D) care planning.

Question 21

When a patient tells the nurse he is reluctant to report his pain because he does not want to be a bother,the nurse explains that unrelieved pain can cause which problem(s)? (Select all that apply.)

A) Increased oxygen demand
B) Depression
C) Respiratory dysfunction
D) Decreased GI motility
E) Irritability

Question 22

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:

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 23

Using a pain scale of 1 to 10,the nurse explains that the maximum pain level at which a patient can function effectively is:

A) 2.
B) 3.
C) 4.
D) 5.

Question 24

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

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

Question 25

A nurse caring for a patient who requires long-term management for severe pain recognizes that the drug of choice for this patient is:

A) aspirin.
B) morphine.
C) oxycodone.
D) acetaminophen.

Question 26

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

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

Question 27

The nurse should administer an analgesic to an unconscious patient after observing which sign(s)? (Select all that apply.)

A) Increased heart rate from 82 to 94
B) Decreased systolic blood pressure
C) Increased muscle tension
D) Perspiration on upper lip
E) Facial grimacing

Question 28

The nurse clarifies that the term peripheral analgesics describes the group of drugs also referred to as ___________.

Question 29

The nurse is aware that the state at which a person is mentally relaxed,free from worry,and is physically calm is __________.

Question 30

When assisting a postoperative patient with pain control and comfort,the nurse should:

A) pull the patient up in bed.
B) lift the patient up in bed.
C) tighten constricting bandages.
D) restrict fluid and dietary intake.

Question 31

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

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 32

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

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 33

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

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 34

The best approach for a nurse to utilize when planning pain relief measures is to use:

A) a variety of pain relief methods.
B) only nonopioid analgesics.
C) at least three alternating methods.
D) only one method at a time.

Question 35

The home health nurse instructs the family of an older adult patient with arthritis that his sleep can be promoted by:

A) giving his nonsteroidal anti-inflammatory drugs (NSAIDs)in the mornings.
B) administering his diuretics in the mornings.
C) encouraging daytime sleeping.
D) avoiding the stimulation of backrubs or warm drinks before bedtime.

Question 36

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

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

Question 37

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

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 38

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

Question 39

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

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.