Chapter 10: Pain Lewis et al.:
Medical-Surgical Nursing in Canada, 3rd
Edition
1. A 45-year-old lady has breast most cancers that has unfold to her liver and spine. She has
been taking oxycodone (Percodan) and amitriptyline (Elavil) for ache control at home, however
she now has steady severe ache and is hospitalized for ache manipulate and development of a
ache management program. During assessment of the affected person, what information related
to her pain is maximum important for the nurse to acquire first of all?
A. The sample, region, intensity, and nature of her pain
b. Identification of cause points of pain by means of palpation of painful regions
c. The schedule and general dosages of the drugs she is currently taking and while
breakthrough ache happens
d. The presence of a sympathetic response, which includes tachycardia, diaphoresis, and a
upward push in blood strain - ANS-ANS: A
Pain is a complicated enjoy involving physiological, sensory (i.E., the notion of ache via the
person that addresses the ache area, intensity, sample, and nice), affective, behavioural, and
cognitive dimensions; therefore, the nurse wishes to assess the pattern, region, nature, and
intensity of the ache right away.
PTS: 1 DIF: Cognitive Level: Application REF: page 158
OBJ: five TOP: Nursing Process: Assessment MSC: CRNE: CH-1
2. The physician plans to titrate narcotic analgesic to offer ache comfort for a affected person
with surgical pain. What does the nurse's position in include?
A. Monitoring the effects of continuous intravenous (IV) infusion of narcotic analgesics
b. Teaching the affected person to try and increase the time among doses of pain remedy
c. Assisting the affected person to plan using a particular overall dose of analgesic over a
24-hour duration
d. Determining with the patient the top of the line analgesic dosage required for pain relief with
interest to the facet results produced - ANS-ANS: D
The goal of titration is to use the smallest dosage of analgesic that gives effective pain manage
with the fewest side outcomes.
PTS: 1 DIF: Cognitive Level: Application REF: page 166
OBJ: 6 TOP: Nursing Process: Implementation MSC: CRNE: CH-52
3. It is decided that a step three drug as proposed by using the World Health Organization
(WHO) is important for a affected person whose cancer pain is unrelieved via step 2 pills. Which
is the right drug and path for this affected person?
, A. Oral codeine
b. Oral morphine
c. Intramuscular meperidine (Demerol)
d. Intravenous oxymorphone (Numorphan) - ANS-ANS: B
A step 2 drug that could be appropriate is morphine, which is the usual of assessment for all
other opioid analgesics. Sustained-launch arrangements (e.G., MS Contin) also are to be had.
PTS: 1 DIF: Cognitive Level: Application REF: pages 168-169, Table 10-11
OBJ: 7 TOP: Nursing Process: Assessment MSC: CRNE: CH-52
four. Which of the following is genuine of continual pain?
A. It takes place inside the everyday restoration time.
B. The route of pain decreases over time.
C. It is observed through an multiplied heart and pulse rate.
D. It is frequently observed with the aid of modifications in affect and withdrawal from other
human beings. - ANS-ANS: D
A behavioural manifestation of continual ache is a trade in have an effect on and withdrawal
from other people and social interplay.
PTS: 1 DIF: Cognitive Level: Comprehension REF: web page 161, Table 10-5
OBJ: 4 TOP: Nursing Process: Assessment MSC: CRNE: CH-7
five. The physician tells a affected person to apply ibuprofen (Motrin, Advil) to alleviate the ache
after treating a laceration at the patient's forearm from a canine chew. The affected person tells
the nurse that he does not assume ibuprofen will control his pain. The nurse's reaction is based
totally at the know-how that ibuprofen interferes with the ache by way of reducing what
technique?
A. Perception
b. Modulation
c. Transduction
d. Transmission - ANS-ANS: C
Therapies directed at altering either the number one afferent nociceptor (PAN) environment or
the sensitivity of the PAN are used to prevent the transduction and initiation of an movement
capacity. An example is ibuprofen.
PTS: 1 DIF: Cognitive Level: Application REF: pages 166-167, Table 10-nine
OBJ: 7 TOP: Nursing Process: Assessment MSC: CRNE: CH-fifty two
6. A postoperative affected person who has gone through huge bowel surgery actions as low as
feasible and does no longer use his incentive spirometer except specially reminded. He charges
his pain severity as an eight on a ten-point scale but tells the nurse that he can "difficult it out."
To encourage the patient to apply ache remedy, what should the nurse provide an explanation
for about the results of withholding or delaying analgesics?
A. Very few patients come to be hooked on opioids while using them for pain manipulate.
B. He need to not worry about aspect results due to the fact these problems generally decrease
over time.
Medical-Surgical Nursing in Canada, 3rd
Edition
1. A 45-year-old lady has breast most cancers that has unfold to her liver and spine. She has
been taking oxycodone (Percodan) and amitriptyline (Elavil) for ache control at home, however
she now has steady severe ache and is hospitalized for ache manipulate and development of a
ache management program. During assessment of the affected person, what information related
to her pain is maximum important for the nurse to acquire first of all?
A. The sample, region, intensity, and nature of her pain
b. Identification of cause points of pain by means of palpation of painful regions
c. The schedule and general dosages of the drugs she is currently taking and while
breakthrough ache happens
d. The presence of a sympathetic response, which includes tachycardia, diaphoresis, and a
upward push in blood strain - ANS-ANS: A
Pain is a complicated enjoy involving physiological, sensory (i.E., the notion of ache via the
person that addresses the ache area, intensity, sample, and nice), affective, behavioural, and
cognitive dimensions; therefore, the nurse wishes to assess the pattern, region, nature, and
intensity of the ache right away.
PTS: 1 DIF: Cognitive Level: Application REF: page 158
OBJ: five TOP: Nursing Process: Assessment MSC: CRNE: CH-1
2. The physician plans to titrate narcotic analgesic to offer ache comfort for a affected person
with surgical pain. What does the nurse's position in include?
A. Monitoring the effects of continuous intravenous (IV) infusion of narcotic analgesics
b. Teaching the affected person to try and increase the time among doses of pain remedy
c. Assisting the affected person to plan using a particular overall dose of analgesic over a
24-hour duration
d. Determining with the patient the top of the line analgesic dosage required for pain relief with
interest to the facet results produced - ANS-ANS: D
The goal of titration is to use the smallest dosage of analgesic that gives effective pain manage
with the fewest side outcomes.
PTS: 1 DIF: Cognitive Level: Application REF: page 166
OBJ: 6 TOP: Nursing Process: Implementation MSC: CRNE: CH-52
3. It is decided that a step three drug as proposed by using the World Health Organization
(WHO) is important for a affected person whose cancer pain is unrelieved via step 2 pills. Which
is the right drug and path for this affected person?
, A. Oral codeine
b. Oral morphine
c. Intramuscular meperidine (Demerol)
d. Intravenous oxymorphone (Numorphan) - ANS-ANS: B
A step 2 drug that could be appropriate is morphine, which is the usual of assessment for all
other opioid analgesics. Sustained-launch arrangements (e.G., MS Contin) also are to be had.
PTS: 1 DIF: Cognitive Level: Application REF: pages 168-169, Table 10-11
OBJ: 7 TOP: Nursing Process: Assessment MSC: CRNE: CH-52
four. Which of the following is genuine of continual pain?
A. It takes place inside the everyday restoration time.
B. The route of pain decreases over time.
C. It is observed through an multiplied heart and pulse rate.
D. It is frequently observed with the aid of modifications in affect and withdrawal from other
human beings. - ANS-ANS: D
A behavioural manifestation of continual ache is a trade in have an effect on and withdrawal
from other people and social interplay.
PTS: 1 DIF: Cognitive Level: Comprehension REF: web page 161, Table 10-5
OBJ: 4 TOP: Nursing Process: Assessment MSC: CRNE: CH-7
five. The physician tells a affected person to apply ibuprofen (Motrin, Advil) to alleviate the ache
after treating a laceration at the patient's forearm from a canine chew. The affected person tells
the nurse that he does not assume ibuprofen will control his pain. The nurse's reaction is based
totally at the know-how that ibuprofen interferes with the ache by way of reducing what
technique?
A. Perception
b. Modulation
c. Transduction
d. Transmission - ANS-ANS: C
Therapies directed at altering either the number one afferent nociceptor (PAN) environment or
the sensitivity of the PAN are used to prevent the transduction and initiation of an movement
capacity. An example is ibuprofen.
PTS: 1 DIF: Cognitive Level: Application REF: pages 166-167, Table 10-nine
OBJ: 7 TOP: Nursing Process: Assessment MSC: CRNE: CH-fifty two
6. A postoperative affected person who has gone through huge bowel surgery actions as low as
feasible and does no longer use his incentive spirometer except specially reminded. He charges
his pain severity as an eight on a ten-point scale but tells the nurse that he can "difficult it out."
To encourage the patient to apply ache remedy, what should the nurse provide an explanation
for about the results of withholding or delaying analgesics?
A. Very few patients come to be hooked on opioids while using them for pain manipulate.
B. He need to not worry about aspect results due to the fact these problems generally decrease
over time.
