Chapter 08: Pain Linton: Medical-Surgical Nursing, 7th Edition

. A patient with an extensive abdominal surgical procedure is assessed by the nurse as having predictable pain. How often should the nurse administer analgesics to this patient to be most effective? a. As needed (PRN) b. Once a day c. Twice a day d. Around the clock ANS: D Using a preventive approach for managing this patient’s pain management is the best plan for the nurse because the pain is predictable and major. DIF: Cognitive Level: Application REF: p. 143 OBJ: 8 TOP: Predictable Pain and Analgesic Administration KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity: Pharmacological Therapies 3. What sympathetic responses to pain might be assessed by the nurse? a. Increased blood pressure, increased pulse, and increased respiratory rate b. Decreased blood pressure, decreased pulse, and increased respiratory rate c. Increased blood pressure, decreased pulse, and increased respiratory rate d. Decreased blood pressure, decreased pulse, and decreased respiratory rate ANS: A The sympathetic nervous system controls blood pressure, pulse, and respiration; it is stimulated during pain. DIF: Cognitive Level: Comprehension REF: p. 134 OBJ: 7 TOP: Sympathetic Response to Pain KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity: Physiological Adaptation NURSINGTB.COM Medical-Surgical Nursing 7th Edition Linton Test Bank NU RS IN GT B.CO M 4. A health care provider has prescribed both heat and cold treatments for an older adult patient with a leg injury. The nursing care plan reflects secondary diagnoses of peripheral vascular disease (PVD), diabetes, and an allergy to latex. Which of the prescribed treatments should the nurse administer and why? a. The nurse will use cold treatment because patients with diabetes and a latex allergy cannot tolerate heat. b. The nurse will use cold treatment for this patient with a fracture because cold will help set the cast. c. The nurse will use heat treatment because cold is contraindicated for patients with PVD. d. The nurse will use h