Deck 16: Pain Management

Question 1

Nursing instructions to a client using relaxation techniques for pain control should include the following information after telling him or her to breathe in and out slowly.

A)Inhale deeply and hold your breath.
B)Tense the painful area.
C)Completely relax the painful area.
D)Find a point of tension in your body.

Answer 1

Find a point of tension in your body.

Question 2

There are three main types of pain.They are:
a.______________
b.______________
c.______________

Answer 2

Types of pain.
a.Acute.
b.Chronic.
c.Malignant.

Question 3

Morphine sulfate is the agent often used for PCA.The usual concentration is

Answer 3

1 mg/mL or 5 mg/mL

Question 4

The fifth vital sign is now considered to be ________________ because it affects the client's _________________.

Question 5

PCA infuser pumps enable the client to control three parameters of medication delivery.Which parameter is not controlled by the client?

A)Stopping and starting the infusion.
B)Administering a bolus dose.
C)Titrating the hourly dose within a preset range.
D)Deciding on dose parameters.

Question 6

The rationale for not using an alcohol wipe for disinfecting the catheter port of an epidural catheter is
.

Question 7

The most important information gathered while completing an assessment of pain in an adult client is

A)Observation of body language.
B)Verbal report from client.
C)Palpation of painful areas.
D)Nonverbal responses from client.

Question 8

Which pain relieving drug should be avoided in the elderly?

Question 9

What is meant by administering PCA by proxy?

Question 10

List four of the main parameters for assessing pain.
a.______________
b.______________
c.______________
d.______________

Question 11

Describe the assessment factors you would observe while a client is receiving epidural narcotic analgesia.How often would you assess these parameters?

Question 12

List at least two JCAHO Standards for pain management (as presented to all health care facilities in 2000,revised in 2001).
a.______________
b.______________

Question 13

The pain experience is mainly considered to be what type of sensation?

A)Physical
B)Physiologic
C)Psychosocial
D)Mixture of all of the above

Question 14

The rationale for placing a sign "Epidural Protocol Client" over the client's bed is to
.

Question 15

When a client has an order for an epidural narcotic analgesic or PCA,the antagonist kept at the bedside is

A)Atropine.
B)Isuprel.
C)Calcium chloride.
D)Narcan.

Question 16

The RN observes the Nursing Assistant (NA)just beginning to regulate the IV of an oncology client receiving morphine sulfate for pain.An LVN on the RN's team is responsible for this client and assigned the client to the NA.The RN team leader's intervention should be to

A)Inform the LVN so that he or she intervenes to instruct the NA that this action is not within the parameters of responsibility for the NA and therefore is not legal.
B)Immediately inform the charge nurse and fill out an unusual occurrence (incident)report.
C)Call a staff meeting and confront the LVN and NA and clarify the areas of responsibility for each staff member.
D)Ask the LVN and NA to meet with the RN team leader to discuss the responsibility parameters each of them has in relation to client care.