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A 73-year-old patient who sustained a right hip fracture in a fall requests pain medication
from the nurse. Based on his injury, which type of pain is this patient most likely
experiencing?

1) Phantom

2) Visceral

3) Deep somatic

4) Referred - ANSWER Answer:

3) Deep somatic



Rationale:

Deep somatic pain originates in ligaments, tendons, nerves, blood vessels, and bones.
Therefore, a hip fracture causes deep somatic pain. Phantom pain is pain that is perceived to
originate from a part that was removed during surgery. Visceral pain is caused by deep
internal pain receptors and commonly occurs in the abdominal cavity, cranium, and thorax.
Referred pain occurs in an area that is distant to the original site.



Which pain management task can the nurse safely delegate to nursing assistive personnel?

1) Asking about pain during vital signs

2) Evaluating the effectiveness of pain medication

3) Developing a plan of care involving nonpharmacologic interventions

4) Administering over-the-counter pain medications - ANSWER Answer:

1) Asking about pain during vital signs



Rationale:



1

,The nurse can delegate the task of asking about pain when nursing assistive personnel (NAP)
obtain vital signs. The NAP must be instructed to report findings to the nurse without delay.
The nurse should evaluate the effectiveness of pain medications and develop the plan of
care. Administering over-the-counter and prescription medications is the responsibility of
the registered nurse or licensed practical nurse.



Which factor in the patient's past medical history dictates that the nurse exercise caution
when administering acetaminophen (Tylenol)?



1) Hepatitis B

2) Occasional alcohol use

3) Allergy to aspirin

4) Gastric irritation with bleeding - ANSWER Answer:

1) Hepatitis B



Rationale:

Even in recommended doses, acetaminophen can cause severe hepatotoxicity in patients
with liver disease, such as hepatitis B. Patients who consume alcohol regularly should also
use acetaminophen cautiously. Those allergic to aspirin or other nonsteroidal anti-
inflammatory drugs (NSAIDs) can use acetaminophen safely. Acetaminophen rarely causes
gastrointestinal (GI) problems; therefore, it can be used for those with a history of gastric
irritation and bleeding.



Which action should the nurse take before administering morphine 4.0 mg intravenously to
a patient complaining of incisional pain?



1) Assess the patient's incision.

2) Clarify the order with the prescriber.

3) Assess the patient's respiratory status.

4) Monitor the patient's heart rate. - ANSWER Answer:

3) Assess the patient's respiratory status.


2

,Rationale:

Before administering an opioid analgesic, such as morphine, the nurse should assess the
patient's respiratory status because opioid analgesics can cause respiratory depression. It is
not necessary to clarify the order with the physician because morphine 4 mg IV is an
appropriate dose. It is not necessary to monitor the patient's heart rate.



Which action should the nurse take when preparing patient-controlled analgesia for a
postoperative patient?



1) Caution the patient to limit the number of times he presses the dosing button.

2) Ask another nurse to double-check the setup before patient use.

3) Instruct the patient to administer a dose only when experiencing pain.

4) Provide clear, simple instructions for dosing if the patient is cognitively impaired. -
ANSWER Answer:

2) Ask another nurse to double-check the setup before patient use.



Rationale:

As a safeguard to reduce the risk for dosing errors, the nurse should request another nurse
to double-check the setup before patient use. The nurse should reassure the patient that the
pump has a lockout feature that prevents him from overdosing even if he continues to push
the dose administration button. The nurse should also instruct the patient to administer a
dose before potentially painful activities, such as walking. Patient-controlled analgesia is
contraindicated for those who are cognitively impaired.



The nurse administers codeine sulfate 30 mg orally to a patient who underwent craniotomy
3 days ago for a brain tumor. How soon after administration should the nurse reassess the
patient's pain?



1) Immediately

2) In 10 minutes



3

, 3) In 15 minutes

4) In 60 minutes - ANSWER Answer:

4) In 60 minutes



Rationale:

Codeine administered by the oral route reaches peak concentration in 60 minutes;
therefore, the nurse should reassess the patient's pain 60 minutes after administration. The
nurse should reassess pain after 10 minutes when administering codeine by the
intramuscular or subcutaneous routes. Drugs administered by the intravenous (IV) route are
effective almost immediately; however, codeine is not recommended for IV administration.



Which nonsteroidal anti-inflammatory drug might be administered to inhibit platelet
aggregation in a patient at risk for thrombophlebitis?



1) Ibuprofen (Motrin)

2) Celecoxib (Celebrex)

3) Aspirin (Ecotrin)

4) Indomethacin (Indocin) - ANSWER Answer:

3) Aspirin (Ecotrin)



Rationale:

Aspirin is a unique NSAID that inhibits platelet aggregation. Low-dose aspirin therapy is
commonly administered to decrease the risk of thrombophlebitis, myocardial infarction, and
stroke. Ibuprofen, celecoxib, and indomethacin are NSAIDs, but they do not inhibit platelet
aggregation.



A client who is receiving epidural analgesia complains of nausea and loss of motor function
in his legs. The nurse obtains his blood pressure and notes a drop in his blood pressure from
the previous reading. Which complication is the patient most likely experiencing?



1) Infection at the catheter insertion site


4