2
Pain management med surge Test bank questions with verified
|| || || || || || || ||
detailed answers
|| ||
1.
The nurse who is a member of the palliative care team is assessing a patient. The patient
|| || || || || || || || || || || || || || || || ||
indicates that he has been saving his PRN analgesics until the pain is intense because his
|| || || || || || || || || || || || || || || ||
pain control has been inadequate. What teaching should the nurse do with this patient?
|| || || || || || || || || || || || ||
A)
Medication should be taken when pain levels are low so the pain is easier to reduce.
|| || || || || || || || || || || || || || ||
B)
Pain medication can be increased when the pain becomes intense.
|| || || || || || || || ||
C)
It is difficult to control chronic pain, so this is an inevitable part of the disease process.
|| || || || || || || || || || || || || || || ||
D)
The patient will likely benefit more from distraction than pharmacologic interventions. -
|| || || || || || || || || || || ||
✔✔Ans: A ||
Feedback:
Better pain control can be achieved with a preventive approach, reducing the amount of
|| || || || || || || || || || || || || ||
time patients are in pain. Low levels of pain are easier to reduce or control than intense
|| || || || || || || || || || || || || || || || ||
levels of pain. Pain medication is used to prevent pain so pain medication is not increased
|| || || || || || || || || || || || || || || ||
when pain becomes intense. Chronic pain is treatable. Giving the patient alternative
|| || || || || || || || || || || ||
methods to control pain is good, but it will not work if the patient is in so much pain that he
|| || || || || || || || || || || || || || || || || || || ||
cannot institute reliable alternative methods.
|| || || || ||
Two patients on your unit have recently returned to the postsurgical unit after knee
|| || || || || || || || || || || || || ||
arthroplasty. One patient is reporting pain of 8 to 9 on a 0-to-10 pain scale, whereas the
|| || || || || || || || || || || || || || || || ||
other patient is reporting a pain level of 3 to 4 on the same pain scale. What is the nurse's
|| || || || || || || || || || || || || || || || || || || ||
most plausible rationale for understanding the patients' different perceptions of pain?
|| || || || || || || || || ||
A)
,2
Endorphin levels may vary between patients, affecting the perception of pain.
|| || || || || || || || || ||
B)
One of the patients is exaggerating his or her sense of pain.
|| || || || || || || || || || ||
C)
The patients are likely experiencing a variance in vasoconstriction.
|| || || || || || || ||
D)
One of the patients may be experiencing opioid tolerance. - ✔✔Ans: A
|| || || || || || || || || || ||
Feedback:
Different people feel different degrees of pain from similar stimuli. Opioid tolerance is
|| || || || || || || || || || || || ||
associated with chronic pain treatment and would not likely apply to these patients. The
|| || || || || || || || || || || || || ||
nurse should not assume the patient is exaggerating the pain because the patient is the best
|| || || || || || || || || || || || || || || ||
authority of his or her existence of pain, and definitions for pain state that pain is whatever
|| || || || || || || || || || || || || || || || ||
the person says it is, existing whenever the experiencing person says it does.
|| || || || || || || || || || || ||
You are frequently assessing an 84-year-old woman's pain after she suffered a humeral
|| || || || || || || || || || || || ||
fracture in a fall. When applying the nursing process in pain management for a patient of
|| || || || || || || || || || || || || || || ||
this age, what principle should you best apply?
|| || || || || || ||
A)
Monitor for signs of drug toxicity due to a decrease in metabolism.
|| || || || || || || || || || ||
B)
Monitor for an increase in absorption of the drug due to age-related changes.
|| || || || || || || || || || || ||
C)
Monitor for a paradoxical increase in pain with opioid administration.
|| || || || || || || || ||
D)
Administer analgesics every 4 to 6 hours as ordered to control pain. - ✔✔Ans: A
|| || || || || || || || || || || || || ||
Feedback:
Older people may respond differently to pain than younger people. Because elderly people
|| || || || || || || || || || || || ||
have a slower metabolism and a greater ratio of body fat to muscle mass compared with
|| || || || || || || || || || || || || || || ||
, 2
younger people, small doses of analgesic agents may be sufficient to relieve pain, and these
|| || || || || || || || || || || || || || ||
doses may be effective longer. This fact also corresponds to an increased risk of adverse
|| || || || || || || || || || || || || || ||
effects. Paradoxical effects are not a common phenomenon. Frequency of administration
|| || || || || || || || || || ||
will vary widely according to numerous variables.
|| || || || || ||
The nurse is assessing a patient's pain while the patient awaits a cholecystectomy. The
|| || || || || || || || || || || || || ||
patient is tearful, hesitant to move, and grimacing. When asked, the patient rates his pain as
|| || || || || || || || || || || || || || ||
a 2 at this time using a 0-to-10 pain scale. How should the nurse best respond to this
|| || || || || || || || || || || || || || || || || || ||
assessment finding? ||
A)
Remind the patient that he is indeed experiencing pain.|| || || || || || || ||
B)
Reinforce teaching about the pain scale number system. || || || || || || ||
C)
Reassess the patient's pain in 30 minutes. || || || || || ||
D)
Administer an analgesic and then reassess. - ✔✔Ans: B || || || || || || || ||
Feedback:
The patient is physically exhibiting signs and symptoms of pain. Further teaching may need
|| || || || || || || || || || || || || ||
to be done so the patient can correctly rate the pain. The nurse may also verify that the
|| || || || || || || || || || || || || || || || || ||
same scale is being used by the patient and caregiver to promote continuity. Although all
|| || || || || || || || || || || || || || ||
answers are correct, the most accurate conclusion would be to reinforce teaching about the
|| || || || || || || || || || || || || ||
pain scale. ||
You are creating a nursing care plan for a patient with a primary diagnosis of cellulitis and a
|| || || || || || || || || || || || || || || || ||
secondary diagnosis of chronic pain. What common trait of patients who live with chronic
|| || || || || || || || || || || || || || ||
pain should inform your care planning?
|| || || || ||
A)
They are typically more comfortable with underlying pain than patients without chronic
|| || || || || || || || || || || ||
pain.
Pain management med surge Test bank questions with verified
|| || || || || || || ||
detailed answers
|| ||
1.
The nurse who is a member of the palliative care team is assessing a patient. The patient
|| || || || || || || || || || || || || || || || ||
indicates that he has been saving his PRN analgesics until the pain is intense because his
|| || || || || || || || || || || || || || || ||
pain control has been inadequate. What teaching should the nurse do with this patient?
|| || || || || || || || || || || || ||
A)
Medication should be taken when pain levels are low so the pain is easier to reduce.
|| || || || || || || || || || || || || || ||
B)
Pain medication can be increased when the pain becomes intense.
|| || || || || || || || ||
C)
It is difficult to control chronic pain, so this is an inevitable part of the disease process.
|| || || || || || || || || || || || || || || ||
D)
The patient will likely benefit more from distraction than pharmacologic interventions. -
|| || || || || || || || || || || ||
✔✔Ans: A ||
Feedback:
Better pain control can be achieved with a preventive approach, reducing the amount of
|| || || || || || || || || || || || || ||
time patients are in pain. Low levels of pain are easier to reduce or control than intense
|| || || || || || || || || || || || || || || || ||
levels of pain. Pain medication is used to prevent pain so pain medication is not increased
|| || || || || || || || || || || || || || || ||
when pain becomes intense. Chronic pain is treatable. Giving the patient alternative
|| || || || || || || || || || || ||
methods to control pain is good, but it will not work if the patient is in so much pain that he
|| || || || || || || || || || || || || || || || || || || ||
cannot institute reliable alternative methods.
|| || || || ||
Two patients on your unit have recently returned to the postsurgical unit after knee
|| || || || || || || || || || || || || ||
arthroplasty. One patient is reporting pain of 8 to 9 on a 0-to-10 pain scale, whereas the
|| || || || || || || || || || || || || || || || ||
other patient is reporting a pain level of 3 to 4 on the same pain scale. What is the nurse's
|| || || || || || || || || || || || || || || || || || || ||
most plausible rationale for understanding the patients' different perceptions of pain?
|| || || || || || || || || ||
A)
,2
Endorphin levels may vary between patients, affecting the perception of pain.
|| || || || || || || || || ||
B)
One of the patients is exaggerating his or her sense of pain.
|| || || || || || || || || || ||
C)
The patients are likely experiencing a variance in vasoconstriction.
|| || || || || || || ||
D)
One of the patients may be experiencing opioid tolerance. - ✔✔Ans: A
|| || || || || || || || || || ||
Feedback:
Different people feel different degrees of pain from similar stimuli. Opioid tolerance is
|| || || || || || || || || || || || ||
associated with chronic pain treatment and would not likely apply to these patients. The
|| || || || || || || || || || || || || ||
nurse should not assume the patient is exaggerating the pain because the patient is the best
|| || || || || || || || || || || || || || || ||
authority of his or her existence of pain, and definitions for pain state that pain is whatever
|| || || || || || || || || || || || || || || || ||
the person says it is, existing whenever the experiencing person says it does.
|| || || || || || || || || || || ||
You are frequently assessing an 84-year-old woman's pain after she suffered a humeral
|| || || || || || || || || || || || ||
fracture in a fall. When applying the nursing process in pain management for a patient of
|| || || || || || || || || || || || || || || ||
this age, what principle should you best apply?
|| || || || || || ||
A)
Monitor for signs of drug toxicity due to a decrease in metabolism.
|| || || || || || || || || || ||
B)
Monitor for an increase in absorption of the drug due to age-related changes.
|| || || || || || || || || || || ||
C)
Monitor for a paradoxical increase in pain with opioid administration.
|| || || || || || || || ||
D)
Administer analgesics every 4 to 6 hours as ordered to control pain. - ✔✔Ans: A
|| || || || || || || || || || || || || ||
Feedback:
Older people may respond differently to pain than younger people. Because elderly people
|| || || || || || || || || || || || ||
have a slower metabolism and a greater ratio of body fat to muscle mass compared with
|| || || || || || || || || || || || || || || ||
, 2
younger people, small doses of analgesic agents may be sufficient to relieve pain, and these
|| || || || || || || || || || || || || || ||
doses may be effective longer. This fact also corresponds to an increased risk of adverse
|| || || || || || || || || || || || || || ||
effects. Paradoxical effects are not a common phenomenon. Frequency of administration
|| || || || || || || || || || ||
will vary widely according to numerous variables.
|| || || || || ||
The nurse is assessing a patient's pain while the patient awaits a cholecystectomy. The
|| || || || || || || || || || || || || ||
patient is tearful, hesitant to move, and grimacing. When asked, the patient rates his pain as
|| || || || || || || || || || || || || || ||
a 2 at this time using a 0-to-10 pain scale. How should the nurse best respond to this
|| || || || || || || || || || || || || || || || || || ||
assessment finding? ||
A)
Remind the patient that he is indeed experiencing pain.|| || || || || || || ||
B)
Reinforce teaching about the pain scale number system. || || || || || || ||
C)
Reassess the patient's pain in 30 minutes. || || || || || ||
D)
Administer an analgesic and then reassess. - ✔✔Ans: B || || || || || || || ||
Feedback:
The patient is physically exhibiting signs and symptoms of pain. Further teaching may need
|| || || || || || || || || || || || || ||
to be done so the patient can correctly rate the pain. The nurse may also verify that the
|| || || || || || || || || || || || || || || || || ||
same scale is being used by the patient and caregiver to promote continuity. Although all
|| || || || || || || || || || || || || || ||
answers are correct, the most accurate conclusion would be to reinforce teaching about the
|| || || || || || || || || || || || || ||
pain scale. ||
You are creating a nursing care plan for a patient with a primary diagnosis of cellulitis and a
|| || || || || || || || || || || || || || || || ||
secondary diagnosis of chronic pain. What common trait of patients who live with chronic
|| || || || || || || || || || || || || || ||
pain should inform your care planning?
|| || || || ||
A)
They are typically more comfortable with underlying pain than patients without chronic
|| || || || || || || || || || || ||
pain.
