test bank questions from fundamentals book.docx

A patient has recently had surgery. Which action is best for the nurse to take to assess this patient's pain? a. Assess the patient's body language. b. Ask the patient to rate the level of pain. c. Observe the cardiac monitor for increased heart rate. d. Have the patient describe the effect of pain on the ability to cope. - correct answer b. Ask the patient to rate the level of pain. A nurse is caring for a patient who recently had abdominal surgery and is experiencing severe pain. The patient's blood pressure is 110/60 mm Hg, and heart rate is 60 beats/min. Additionally, the patient does not appear to be in any physical distress. Which response by the nurse is most therapeutic? a. ―Your vitals do not show that you are having pain; can you describe your pain?‖ b. ―OK, I will go get you some narcotic pain relievers immediately.‖ c. ―What would you like to try to alleviate your pain?‖ d. ―Y ou do not look like you are in pain.‖ - correct answer c. ―What would you like to try to alleviate your pain?‖ A nurse teaches the patient about the gate control theory. Which statement made by a patient reflects a correct understanding about the relationship between the gate control theory of pain and the use of meditation to relieve pain? a. ―Meditation controls pain by blocking pain impulses from coming through the gate.‖ b. ―Meditation alters the chemical composition of pain neuroregulators, which closes the gate.‖ c. ―Meditation will help me sleep through the pain because it opens the gate.‖ d. ―Meditation stops the occurrence of pain stimuli.‖ - correct answer a. ―Meditation controls pain by blocking pain impulses from coming through the gate.‖ A nurse is planning care for an older-adult patient who is experiencing pain. Which statement made by the nurse indicates the supervising nurse needs to follow up? a. ―As adults age, their ability to perceive pain decreases.‖ b. ―Older patients may have low serum albumin in their blood, causing toxic effects of analgesic drugs.‖ c. ―Patients who have dementia probably experience pain, and their pain is not always well controlled.‖ d. ―It is safe to administer opioids to older adults as long as you start with small doses and frequently assess the patient's response to the medication.‖ - correct answer a. ―As adults age, their ability to perceive pain decreases.‖ The nurse is caring for two patients; both are having a hysterectomy. The first patient is having the hysterectomy after a complicated birth. The second patient has uterine cancer. What will most likely influence the experience of pain for these two patients? a. Meaning of pain b. Neurological factors c. Competency of the surgeon d. Postoperative support personnel - correct answer a. Meaning of pain The nurse is preparing pain medications. To which patient does the nurse anticipate administering an opioid fentanyl patch? a. A 15-year-old adolescent with a fractured femur b. A 30-year-old adult with cellulitis c. A 50-year-old patient with prostate cancer d. An 80-year-old patient with a broken hip - correct answer c. A 50-year-old patient with prostate cancer A patient is receiving opioid medication through an epidural infusion. Which action will the nurse take to protect the patient's safety? a. Restrict fluid intake. b. Label the tubing that leads to the epidural catheter. c. Apply a gauze dressing to the epidural catheter insertion site. d. Ask the nursing assistive personnel to check on the patient at least once every 2 hours. - correct answer b. Label the tubing that leads to the epidural catheter. A woman is in labor and refuses to receive any sort of anesthesia medication. Which alternative treatment is best for this patient? a. Transcutaneous electrical nerve stimulation (TENS) b. Herbal supplements with analgesic effects c. Pudendal block (regional anesthesia) d. Relaxation and guided imagery - correct answer d. Relaxation and guided imagery A nurse is teaching a patient about patient-controlled analgesia (PCA). Which statement made by the patient indicates to the nurse that teaching is effective?a. a. ―I will only need to be on this pain medication.‖ b. ―I feel less anxiety about the possibility of overdosing.‖ c. ―I can receive the pain medication as frequently as I need to.‖ d. ―I need the nurse to notify me when it is time for another dose.‖ - correct answer b. ―I feel less anxiety about the possibility of overdosing.‖ A nurse is caring for a patient who is experiencing pain following abdominal surgery. Which information is important for the nurse to share with the patient when providing patient education about effective pain management? a. ―To prevent overdose, you need to wait to ask for pain medication until you begin to experience pain.‖ b. ―You should take your medication after you walk to make sure you do not fall while you are walking.‖ c. ―We should work together to create a schedule to provide regular dosing of medication.‖ d. ―When you experience severe pain, you will need to take oral pain medications.‖ - correct answer c. ―We should work together to create a schedule to provide regular dosing of medication.‖ A nurse is caring for a patient who recently had spinal surgery. The nurse knows that patients usually experience acute pain following this type of surgery. The patient refuses to get up and walk and is not moving around in the bed. However, the patient is stoic and denies experiencing pain at this time. What most likely explains this patient's behavior? a. The surgery successfully cured the patient's pain. b. The patient's culture is possibly influencing the patient's experience of pain. c. The primary health care provider did not prescribe the correct amount of medication. d. The nurse is allowing personal beliefs about pain to influence pain management at this time. - correct answer b. The patient's culture is possibly influencing the patient's experience of pain. A nurse is providing discharge teaching for a patient with a fractured humerus. The patient is going home with a prescription for hydrocodone. Which important patient education should the nurse provide? a. ―You need to drink plenty of fluids and eat a diet high in fiber.‖ b. ―Narcotics can be addictive, so do not take them unless you are in severe pain.‖ c. ―Be sure to eat a meal high in fat before taking the medication, to avoid a stomach ulcer.‖ d. ―As your pain severity lessens, you will begin to give yourself once-daily intramuscular injections.‖ - correct answer a. ―You need to drink plenty of fluids and eat a diet high in fiber.‖