MNL Acute and Chronic Pain Questions and Answers

MNL Acute and Chronic Pain Questions and Answers Pain is described as 3 types of experience: physical cognitive emotional Pretest Question 1 The nurse administers an opioid analgesic to a client experiencing acute pain. Which assessment finding requires priority intervention from the​ nurse? A) Respiratory depression B) Pupil dilation C) Tachycardia D) Constipation Respiratory depression Any client experiencing respiratory depression after the administration of opioid analgesics requires priority intervention Previous Play Next Rewind 10 seconds Move forward 10 seconds Unmute 0:01 / 0:15 Full screen Brainpower Read More Pretest Question 2 The nurse is caring for an older adult client on a​ medical-surgical unit who had abdominal surgery for mass removal one day ago. Which clinical manifestations of pain are typical for an older adult​ client? A) Loss of appetite B) Decreased energy C) Guards abdomen D) Cries inconsolably E) Changes in sleep patterns Loss of appetite Decreased energy The older adult client will often exhibit decreased energy and a loss of appetite when experiencing pain. Pretest Question 3 The nurse is caring for several clients who are receiving pharmacologic treatments for pain. Which type of treatment is the client who can​ self-administer a preset dose of intravenous opioids​ receiving? A) Epidural injection B) IM opioid injection C) Transdermal patch D) PCA PCA The PCA is a​ patient-controlled analgesic pump that allows the client to​ self-administer a preset dose of intravenous opioids Pretest Question 4 The nurse is planning care for a client experiencing acute pain. What will the nurse include in the health history portion of the nursing​ assessment? A) Inspecting injuries B) Using a developmentally appropriate tool C) Monitoring vital signs D) Assessing facial expressions Using a developmentally appropriate tool The nurse will use a developmentally appropriate pain assessment tool during the health history portion of the nursing assessment Pretest Question 5 The nurse is caring for a client with a history of chronic unrelieved pain related to leukemia. Which intervention of last resort might be considered for this​ client? A) Muscle-relaxation techniques B) Oral analgesics C) Guided imagery D) Nerve block Nerve block A client with chronic unrelieved pain that can occur with cancer would be a candidate for a nerve block Pretest Question 6 The nurse is assessing a client with rheumatoid arthritis. Which assessment data is typical for clients experiencing​ continuous, chronic​ pain? A) Respiratory rate of 20 B) BP​ 120/80 mmHg C) Temperature of 97 degrees°F D) Dilated pupils E) Heart rate of 80 beats per minute Respiratory rate of 20 BP​ 120/80 mmHg Heart rate of 80 beats per minute Clients with chronic pain often have normal heart and respiratory​ rates, and normal blood pressure. Temperature remains normal in the presence of chronic pain. Dilated pupils often occur with acute​ pain, not chronic pain. What are the two main categories of​ pain? Phantom and cycogenic Acute and chronic Nociceptive and neuropathic Breakthrough and central Nociceptive and neuropathic Pain is classified by its​ origin, or the starting point of the pain signal. The two main categories of pain are nociceptive and neuropathic. Other classifications of pain include​ acute, chronic,​ breakthrough, central,​ phantom, and cycogenic. Nociception involves transmission of pain impulses from the site of injury to which​ structures? Tendons and ligaments Brain and muscles Spinal cord and brain Muscles and spinal cord Spinal cord and brain Nociception is the transmission of pain impulses from the site of injury to the​ A-delta and C fibers to the dorsal horn of the spinal cord and brain. Which clinical manifestations indicate a client is experiencing breakthrough​ pain? ​(Select all that​ apply.) Muscle tension Limited mobility Change in appetite Slow movement Sleep disturbance Muscle tension Limited mobility Clients diagnosed with chronic pain may experience breakthrough​ pain, an exacerbation of pain that may be a response to a trigger or to inadequately controlled chronic pain. Manifestations of breakthrough pain include limited mobility and muscle tension. Changes in appetite and sleep disturbances occur with unrelieved pain. Slow movements occur with acute pain. Which collaborative therapy for treating pain is considered a complementary or alternative​ method? Radioablation Nerve block Implanted electrotherapy devices Transcutaneous electrical nerve stimulation Transcutaneous electrical nerve stimulation Transcutaneous electrical nerve stimulation is a complementary or alternative method used to treat pain.​ Radioblation, nerve​ block, and implanted electrotherapy devices are considered invasive therapies. Which diagnostic test for diagnosing pain is a​ self-reporting tool? Visual analog scale Serum cortisol levels Heart rate assessment Blood pressure monitoring Visual analog scale The visual analog scale is a​ self-reporting tool that is used to diagnose pain. Serum cortisol levels may be tested to identify stress. Blood pressure monitoring and a heart rate assessment are vital sign assessments. Changes in vital signs can be indictors for diagnosing pain. Which question is inappropriate to ask during the pain​ assessment? Have you been in pain​ before? What is causing the​ pain? Does anything make the pain​ better? Are you really sure you are in​ pain? Are you really sure you are in​ pain? Appropriate questions for the nurse to ask when assessing pain include asking what is causing the​ pain, what things make the pain​ better, and if the client has experienced this type of pain in the past. Asking the client if he or she is really in pain is not therapeutic. Pain is a subjective experience. Which pain tool is most appropriate to use when assessing a​ preschool-age client who is experiencing​ pain? Verbal descriptor scale Faces rating scale Numerical rating scale FLACC scale Faces rating scale The Faces rating scale is most appropriate to use when assessing pain for a​ preschool-age client. A numerical rating scale can be used for clients who understand the meaning of a numerical scale. The FLACC scale is appropriate for assessing neonatal and infant pain. A verbal descriptor scale is most appropriate for clients who cannot use the other types of pain scales. Tim Jones is an​ 8-year-old male who is admitted to the inpatient​ medical-surgical unit at your hospital for a surgical repair of a broken arm. On​ assessment, you notice Tim is lying in bed grimacing. His assessment reveals an elevated​ HR, elevated​ BP, perspiration, and rapid shallow breathing. Which type of pain is Tim​ experiencing? Referred pain Neuropathic pain Chronic pain Acute pain Acute Pain Acute pain occurs as a result of a single event. Physiologic responses are​ tachycardia, hypertension,​ tachypnea, and increased perspiration. The other types of pain are not supported by the assessment findings.