Question 1

Which of the following statements is true of chronic pain?&#10;A) It lasts for less than 6 months.&#10;B) It is always present and intense.&#10;C) It interferes with normal functioning.&#10;D) It disappears with treatment.

Accepted Answer

Chronic pain lasts for longer than 6 months and can be present at varying intensities. It interferes with normal functioning and cannot always be completely eliminated with treatment.

Question 2

A child with a leg cast tells the nurse that he has pain inside his cast. What type of pain is this most likely to be?&#10;A) thermal&#10;B) chemical&#10;C) electrical&#10;D) mechanical

Accepted Answer

Pain inside a cast is most likely mechanical, caused by pressure or rubbing from the cast on the skin or underlying tissues. Thermal pain would involve heat or cold, chemical pain would involve irritation from a substance, and electrical pain would involve nerve impulses.

Question 3

A patient who has had a recent below-knee amputation tells the nurse that he feels as though his toes are cramping. What would the nurse say in return?&#10;A) &#34;Oh, that is all in your mind. Just forget it.&#34;&#10;B) &#34;That is called phantom pain, and it is not unusual.&#34;&#10;C) &#34;Well, that is really strange. I will notify the doctor.&#34;&#10;D) &#34;I think it might be good to refer you to a psychiatrist.&#34;

Accepted Answer

The patient is experiencing phantom pain, a common occurrence after limb amputation. It is important for the nurse to acknowledge and provide education on this phenomenon, rather than dismissing or invalidating the patient's experience. Referring the patient to a psychiatrist or assuming it is all in their mind is not appropriate. Notifying the doctor may be necessary if the pain is severe or persistent.

Question 4

A postoperative patient has not voided for 8 hours (since surgery). He is restless and complains of abdominal pain. How and what would the nurse assess before administering pain medications?&#10;A) Check database for last bowel movement.&#10;B) Auscultate abdomen for bowel sounds.&#10;C) Percuss abdomen for sounds of tympany.&#10;D) Palpate abdomen for distended bladder.

Accepted Answer

The patient has not voided for 8 hours since surgery and is experiencing abdominal pain, which could possibly indicate a distended bladder. Palpating the abdomen for a distended bladder would be the most appropriate assessment before administering pain medications. Checking the database for last bowel movement, auscultating the abdomen for bowel sounds, and percussing the abdomen for sounds of tympany are not relevant assessments for determining if the patient has a distended bladder.

Question 5

Which of the following nonpharmacologic pain relief measures has been found to be effective for soothing agitated newborns and comatose patients?&#10;A) distraction&#10;B) music&#10;C) humor&#10;D) imagery

Accepted Answer

Music has been found to be effective in soothing agitated newborns and comatose patients. Distraction, humor, and imagery may be effective for some patients, but there is no specific evidence that they are effective in these populations.

Question 6

What type of nonpharmacologic pain relief measure uses electrical stimulation to inhibit transmission of painful impulses?&#10;A) TENS&#10;B) acupressure&#10;C) acupuncture&#10;D) hypnosis

Accepted Answer

TENS (Transcutaneous Electrical Nerve Stimulation) uses electrodes to deliver low-level electrical impulses to the skin, which can effectively block or reduce pain signals being sent to the brain.

Question 7

A nurse assesses a patient who is being given an opioid analgesic and finds the patient unresponsive to shaking or other stimuli. What drug might be ordered to reverse this state?&#10;A) Cortisone&#10;B) Aspirin&#10;C) Penicillin&#10;D) Naloxone

Accepted Answer

Naloxone is an opioid antagonist that can quickly reverse the effects of opioid analgesics, including respiratory depression and unconsciousness. Cortisone, aspirin, and penicillin are not used to reverse opioid-induced respiratory depression or unconsciousness.

Question 8

Which of the following is the drug of choice to treat chronic pain in the home?&#10;A) oral morphine&#10;B) intravenous morphine&#10;C) NSAIDs&#10;D) antidepressants

Accepted Answer

Oral morphine is considered the drug of choice for treating chronic pain in the home setting due to its effectiveness, ease of administration, and ability to be titrated to the optimal dose for pain control.

Question 9

A physician orders a placebo for a patient. What is a placebo?&#10;A) an inactive substance given in place of a drug&#10;B) a smaller than usual dose of an analgesic&#10;C) an analgesic with no known side effects&#10;D) an intravenous form of a potent analgesic

Accepted Answer

A placebo is an inactive substance given in place of a drug, often used in clinical trials as a control group to compare the effectiveness of an experimental drug. It is also sometimes given to patients who have a psychological or perceived need for medication but do not actually require active treatment.

Question 10

A nurse consults with a nurse practitioner trained to perform acupressure to teach the method to a patient being discharged. What process is involved in this pain relief measure?&#10;A) biofeedback&#10;B) cutaneous stimulation&#10;C) patient controlled analgesia&#10;D) percutaneous electrical nerve stimulation

Accepted Answer

The answer of A nurse consults with a nurse practitioner...

Deck 26: Sexuality