Nur 155 ch 35 and 46 exam questions and answers

During the transduction phase of nociception which method of pain control is most effective? A. Tricyclic antidepressants B. Opiods C. Ibuprofen D. Distraction Ibuprofen When a client has arrived at the nursing unit from surgery the nurse is most likely to give priority to which of the following assessments? A. Pain tolerance B. Pain intensity C.Location of pain D.Pain history Pain intensity A client who describes his pain as 7 on a scale of 0 to 10 is classified as having which of the following? A. No pain B. Mild pain C. Moderate pain D.Severe pain Moderate pain A client who had abdominal surgery 4 hours ago is receiving a continuous epidural infusion of an analgesic. Which of the following observations indicates the nurse should monitor the client closely? A. Drowsy; drifts off to sleep before completing a sentence B. Respiration; 18/min c. Drowsy; easily aroused D. Pain rating 1-2/10 Drowsy; drifts off to sleep before completing a sentence The client has an order of morphine 2.5 to 5.0 mg IV every 4hrs. He received 2.5mg IV 4hrs ago for pain rated a t 3 on scale of 0 to 10. He is now watching TV and visiting with family members. When asked about his pain he rates it as a 5. His vitals are stable. What nursing intervention is the most appropriate? A. Give morphine 3.5 mg iv and inform him to continue watching TV bc it is a distraction from pain. B. Give 2.5 mg of morphine IV to avoid the client becoming addicted C. Give noting at this time bc he is not exhibiting any signs of pain. D. Give morphine 5.0 mg IV and reassess in 20mins Give morphine 5.0 mg IV and reassess in 20 mins During an admission nursing assessment, a client with diabetes describes his leg pain as a "dull burning sensation." The nurse recognizes this description to be characteristic of which type of pain? A. Physiological B. Somatic C. Visceral D. Neuropathic D. Neuropathic Which interventions, when implemented by the nurse would apply the gate control theory of pain? select all that apply A. oral analgesics around the clock B. massage C. patient-controlled analgesia D.Heat or cold application E. Acupressure B. massage, D. heat or cold application, E.Acupressure Which statement best reflects the nurse's assessment of the fifth vital sign? A. "Do you have and complaints?" B."are you experiencing any discomfort right now?" C. "Is there anything i can do for you now?" D. Do you have any complaints of pain?" B. "are you experiencing any discomfot right now?" When planning a care for pain control of older clients which principles should the nurse apply? select all that apply A. Pain is a natural outcome of the aging process. B. Pain perception increases with age C. The client may deny pain D. The nurse should avoid use of opioids E. the client may describe pain as an "ache" or "discomfort" D. The client may deny pain, E. The client may describe pain as an "ache"or "discomfort" A client recovering form abdominal surgery refuses analgesia, saying that he is "fine, as long as he does't move." which nursing diagnosis should be a priority? A. Deficient knowledge (pain control measures) B.Ineffective health maintenance C. Risk for ineffective airway clearance D. Impaired physical mobility A. Deficient knowledge (pain control measures) A client tells the nurse, " this pill is a different color than the one that i usually take at home." Which is the best response by the nurse? A. "go ahead and take your medicine" B. "I will recheck your medication orders" C. "maybe the doctor ordered a different medication" D. "i'll leave the pill here while i check with the doctor" B. " I will recheck your medication orders" The following medications are listed on a clients medication administration record (MAR). which medication order should the nurse question? A. Lasix 40 mg, po, STAT B. Ampicillin 500 mg, q6h, IVPB C. Humulin L (lente) insulin 36 units, subQ, every morning before breakfast D. Codeine Q4-6H, po, prn for pain D. Codeine Q4-6H, po, prn for pain The primary care provider prescribed 5ml of a medication to be given deep intramuscular for a 40yr old female who is 5f 7in tall and weighs 135lb. Which is the most appropriate equipment for the nurse to use? select all that apply A. Two 3ml syringes B. One 5-ml syringe C. A #20-#23g needle D. A 1 in needle E.A 1 1/2 in needle A. 2 3ml syringes, C. 20-#23 g needle, E. 1 1/2 in needle The nurse is to administer 0.75 ml of medication subq in the upper to a 300 lb adult client. the nurse can grasp approximately 2 inches of the client's tissue at the upper arm. Which is the appropriate for the nurse to use? A. A tuberculin syringe, #25-#27g , 1/4- to 5/8 in needle B. two 3ml syringe,#20-#23 g , 1 1/2 in needle C. 2 ml syringe, #25 g, 5/8 in needle D. 2ml syringe, #20 -#23 g, 1 inch needle C.2 ml syringe, #25 g, 5/8 in needle The nurse is to administer a tuberculin test to a client who is 6 feet tall and weighs 180 lbs. which is the most appropriate for the nurse to use? A. A tuberculin syringe, 25-27 g, 1/4- 5/8 in needle B. Two 3 ml syringes, 20-23 g, 1 1/2 om meed;e c. 2-ml syringe, 25 g,5/8 in needle d. 2 ml syringe, 20-23 g, 1 in needle A. A tuberculin syringe, 25-27 g, 1/4- 5/8 in needle The nurse is to administer 0.5 ml of a medication by IM injection to an older emaciated client. Which is the most appropriate for the nurse to use? A. A tuberculin syringe, 25-27 g, 1/4- 5/8 in needle B. Two 3 ml syringes, 20-23 g, 1 1/2 om meed;e c. 2-ml syringe, 25 g,5/8 in needle d. 2 ml syringe, 20-23 g, 1 in needle d. 2 ml syringe, 20-23 g, 1 in needle An older client with renal insufficiency is to receive a cardiac medication. which is the nurse most likely to administer? A. A decreased dosage b. the standard dosage c. an increased dosage D. divided dosages A . A decreased dosage Proper administration of an otic medication to a 2yr old client includes which of the following? A. Pull the ear straight back B. Pull the ear down and back C. Pull the ear up and back D. Pull the ear straight upward B. Pull the ear down and back A primary care provider writes a prescription for 0.15 milligram of digoxin IV everyday. the medication is available in a concentration of 400 mcg/ml. how many ML will the nurse administer? 0.38 ml A nursing student is preparing to administer insulin to a client with diabetes.Indicate the correct order for the administration of this medication: 1. Cleanse the site with alcohol. 2.Insert the needle quickly into the subcutaneous tissue. 3.Mix the insulin's s the skin for the injection the skin lightly 6.Inject the medication 7. count to five 8. Remove the syringe correct order is: 3.Mix the insulin's s the skin for the injection 1. Cleanse the site with alcohol. the skin lightly 2.Insert the needle quickly into the subcutaneous tissue. 6.Inject the medication 7. count to five 8. Remove the syringe T/F. Medications vary in strength and activity? True T/F. Medications cannot have natural (e.g. plant, mineral, and animal) sources; they must be synthesized in the lab? False. meds may have natural sources, or they must be synthesized in the lab T/F. Medications must be pure and of uniform strength if drug dosages are to be predictable in their effect? True T/F. The action of a drug in the body can be described in terms of its half-life, the time interval required for the body's elimination processes to reduce the concentration of the drug in the body by 25%? False. the action of a drug in the body can be described in terms of its half-life, the time internal required for the body's elimination processes to reduce the concentration of the drug in the body by 50%