Pain and Comfort
Questions and
answers
You are admitting a patient to your rehabilitation unit who has a
diagnosis of persistent, severe pain. According to the patient's
history, the patient's pain has not responded to conventional
approaches to pain management. What treatment would you expect
might be tried with this patient?
A.Oral analgesia
B.Intramuscular analgesia
C.Intravenous analgesia
D.Long-term intrathecal or epidural catheter - answer D
A 74-year-old woman was diagnosed with rheumatoid arthritis 1
year ago, but has achieved adequate symptom control through the
regular use of celecoxib (Celebrex), a COX-2 selective NSAID. The
nurse should recognize that this drug, like other NSAIDs, influences
what aspect of the pathophysiology of nociceptive pain?
A.Diverting noxious information from passing through the dorsal
root ganglia and synapses in the dorsal horn of the spinal cord
B.Blocking modulation by limiting the reuptake of serotonin and
norepinephrine
C.Distorting the action potential that is transmitted along the A-
delta (δ) and C fibers
D.Inhibiting transduction by blocking the formation of
prostaglandins in the periphery - answer D
, A patient is experiencing severe pain after suffering an electrical
burn in a workplace accident. The nurse is applying knowledge of
the pathophysiology of pain when planning this patient's nursing
care. What is the physiologic process by which noxious stimuli, such
as burns, activate nociceptors?
A.Transmission
B.Perception
C.Modulation
D.Transduction - answer D
A mother calls the nurse practitioner to say, "I don't know what is
wrong with my baby. He cried all night and kept pulling at his ear."
How would the nurse respond?
A."Oh, he probably was just hungry and wet. Did you feed him?"
B."Babies at that age cry at night. Think nothing of it."
C."That means his ear hurt. Bring him in to be checked."
D."That probably means he had a tummy ache. How is he now?" -
answer C
You are creating a nursing care plan for a patient with a primary
diagnosis of cellulitis and a secondary diagnosis of chronic pain.
What common trait of patients who live with chronic pain should
inform your care planning?
A.They often have an increased tolerance of pain.
B.They can experience acute pain in addition to chronic pain.
C.They are typically more comfortable with underlying pain than
patients without chronic pain.
D.They often have a lower pain threshold than patients without
chronic pain. - answer B
The nurse who is a member of the palliative care team is assessing
a patient. The patient indicates that he has been saving his PRN
analgesics until the pain is intense because his pain control has
Questions and
answers
You are admitting a patient to your rehabilitation unit who has a
diagnosis of persistent, severe pain. According to the patient's
history, the patient's pain has not responded to conventional
approaches to pain management. What treatment would you expect
might be tried with this patient?
A.Oral analgesia
B.Intramuscular analgesia
C.Intravenous analgesia
D.Long-term intrathecal or epidural catheter - answer D
A 74-year-old woman was diagnosed with rheumatoid arthritis 1
year ago, but has achieved adequate symptom control through the
regular use of celecoxib (Celebrex), a COX-2 selective NSAID. The
nurse should recognize that this drug, like other NSAIDs, influences
what aspect of the pathophysiology of nociceptive pain?
A.Diverting noxious information from passing through the dorsal
root ganglia and synapses in the dorsal horn of the spinal cord
B.Blocking modulation by limiting the reuptake of serotonin and
norepinephrine
C.Distorting the action potential that is transmitted along the A-
delta (δ) and C fibers
D.Inhibiting transduction by blocking the formation of
prostaglandins in the periphery - answer D
, A patient is experiencing severe pain after suffering an electrical
burn in a workplace accident. The nurse is applying knowledge of
the pathophysiology of pain when planning this patient's nursing
care. What is the physiologic process by which noxious stimuli, such
as burns, activate nociceptors?
A.Transmission
B.Perception
C.Modulation
D.Transduction - answer D
A mother calls the nurse practitioner to say, "I don't know what is
wrong with my baby. He cried all night and kept pulling at his ear."
How would the nurse respond?
A."Oh, he probably was just hungry and wet. Did you feed him?"
B."Babies at that age cry at night. Think nothing of it."
C."That means his ear hurt. Bring him in to be checked."
D."That probably means he had a tummy ache. How is he now?" -
answer C
You are creating a nursing care plan for a patient with a primary
diagnosis of cellulitis and a secondary diagnosis of chronic pain.
What common trait of patients who live with chronic pain should
inform your care planning?
A.They often have an increased tolerance of pain.
B.They can experience acute pain in addition to chronic pain.
C.They are typically more comfortable with underlying pain than
patients without chronic pain.
D.They often have a lower pain threshold than patients without
chronic pain. - answer B
The nurse who is a member of the palliative care team is assessing
a patient. The patient indicates that he has been saving his PRN
analgesics until the pain is intense because his pain control has
