Essentials of Nursing Practice Chapter 34 Pain Management Questions with Verified Answers,100% CORRECT

Essentials of Nursing Practice Chapter 34 Pain Management Questions with Verified Answers True of False: Acute pain is protective and a completely subjective experience. (Key point) - CORRECT ANSWER True. What factor plays a role in undertreatment of pain? (Key point) - CORRECT ANSWER Misconceptions about pain. Factors that influence the pain experience include... (Key point) - CORRECT ANSWER --Pt's age --Gender --Anxiety --Culture --Previous experience --Meaning of pain What are the main differences between acute and chronic pain? (Key point) - CORRECT ANSWER The duration of discomfort, physical signs and symptoms, and the patient's perceptions regarding relief. Why must a comprehensive pain assessment be performed? (Key point) - CORRECT ANSWER To understand the extent to which pain affects the patient's ability to function. True or false: The patient's family/friends should have no input during the pain assessment. (Key point) - CORRECT ANSWER False. The patient's family/friends are a key resource during the pain assessment. What is a basic nursing measure for promoting comfort? (Key point) - CORRECT ANSWER Removing painful stimuli. How might nonpharmacological therapies improve a patient's pain? (Key point) - CORRECT ANSWER By: 1. Altering the pt's perception of the pain 2. Promoting muscle relaxation 3. Giving the patient some control over the pain When does respiratory depression with opioid therapy become clinically significant? (Key point) - CORRECT ANSWER Only if there is a decrease in the rate and depth of respirations from the patient's baseline assessment. How is respiratory depression due to opioids reversed? (Key point) - CORRECT ANSWER Administering naloxone IV. What is a consideration if the patient is unable to communicate pain? (Key point) - CORRECT ANSWER The nurse must be on the alert for subtle behaviors that indicate pain. True or false: The best way to handle pain with analgesics is to only give them prn. (Key point) - CORRECT ANSWER False. Around-the-clock administration of analgesics is more effective at managing pain. What are the benefits of a PCA pump? (Key point) - CORRECT ANSWER Gives the patient pain control with low risk for overdose. What is the nurse's primary goal with patients who receive local anesthesia? (Key point) - CORRECT ANSWER To protect the patient from injury. What is the goal of therapy for patients with chronic pain? (Key point) - CORRECT ANSWER To anticipate and prevent pain. Why should a patient not receive additional opioids or sedatives if they are receiving epidural anesthesia? (Key point) - CORRECT ANSWER Because of the risk for additive CNS effects. Give the "ABCDE's" of clinical pain assessment. (pg 948) - CORRECT ANSWER What activities of daily living may be impacted by pain? (pg 951) - CORRECT ANSWER --Sleep --Hygiene --Eating --Sexual functioning --Home management and work activities --Social activities What are the 5 nursing principles for administering analgesics? (pg 960) - CORRECT ANSWER 1. Know the patient's previous response to analgesics 2. Select the proper medication when more than one is ordered 3. Know accurate dosage 4. Assess right time and interval for administration 5. Choose the right route