Chapter 44

What is an important part of the nurse's role in pain management? Select all that apply. Assess the patient's pain. Evaluate patient response to pain interventions. Advocate with the provider for pain relief for the patient. Use medication only for pain management. Educate the patient about pain relief options.

-Assess the patient's pain. -Evaluate patient response to pain interventions. -Advocate with the provider for pain relief for the patient. -Educate the patient about pain relief options.

What type of pain management interventions can a nurse perform without a primary care provider order? Select all that apply. Progressive relaxation techniques Patient education about opioid dependence Patient repositioning Postoperative splinting Distracting techniques

-Progressive relaxtion techniques -Patient repositioning -Postoperative splinting -Distracting techniques

Which is part of The Joint Commission's (TJC) pain assessment standards? Select all that apply. Note when pain is identified in the assessment. Recognize patient rights in assessment and management of pain. Address pain assessment and management with new staff. Understand that only the provider can assess for pain. Know the importance of documentation on the effectiveness and appropriateness of pain management.

-Recognize patient rights in assessment and management of pain. -Address pain assessment and management with new staff. -Know the importance of documentation on the effectiveness and appropriateness of pain management.

Why are non-opioid analgesic medications frequently prescribed over opioid analgesics? They are easier to dispense. They are safer for the patient. They do not need a prescription. They are cheaper to dispense.

-They are safer for the patient.

Match the non-pharmacologic therapies with the appropriate description. 1. Have pain-relieving properties 2. Helps build strength and balance body and mind 3. Trains the body for voluntary control to relieve pain 4. Restores a calm state, promoting relaxation 5. Reduces cortical activation associated with painful stimuli a. Meditation b. Biofeedback c. Herbs d. Yoga e. Hypnosis

1) Herbs --> Have pain-relieving properties 2)Yoga --> Helps build strength and balance body and mind 3) Biofeedback --> Trains the body for voluntary control to relieve pain 4)Meditation --> Restores a calm state, promoting relaxation 5)Hypnosis --> Reduces cortical activation associated with painful stimuli

Which traditional Chinese therapy is often associated with non-pharmacologic pain relief? Nerve stimulation Massage Acupuncture Hypnosis

Acupunture and acupressure

What are the two most common types of opioids? Antidepressants and muscle relaxants Tylenol and Motrin Agonist and agonist-antagonist analgesics Aspirin and Morphine

Agonist and agonist-antagonist analgesics

Match the nursing action to the description. 1. Assess 2. Evaluate 3. Communicate 4. Educate a. The adverse effects of the medication b. Information about side effects and usages c. Clearly document in the patient's record d. The effectiveness of pain management interventions

Assess- The adverse effects of the medication Evaluate- The effectiveness of pain management interventions Communicate- Clearly document in the patient's record Educate-Information about side effects and usages

What should be included in patient education about pain medication? Select all that apply. Discussing non-pharmacologic interventions that can be used to relieve pain Waiting until the patient experiences pain before taking pain medication Giving the patient resources for community support Continuing to take the medication even if the pain is not fully relieved Encouraging documentation about type of relief, how often, and type of pain

Discussing non-pharmacologic interventions that can be used to relieve pain Giving the patient resources for community support Encouraging documentation about type of relief, how often, and type of pain

What types of therapies are considered neurological therapies? Nerve stimulation Distraction Positioning Massage therapy

Nerve stimulation

What is the purpose/benefit of the PCA system? Patients can give themselves as much medication as they want to. Patients can self-administer and manage their pain medication. Patients' families can administer medication whenever desired. The nurse doesn't have to check it before giving it to the patient.

Patients can self-administer and manage their pain medication.

What is important for the nurse to assess in order to avoid adverse reactions to pain medication? Whether the patient ate anything prior to the administration of medication Whether the patient drank anything prior to the administration of medication The patient's experience with medications The patient's compliance with medications

The patient's experience with medications

What is multimodal analgesia? Use of only pharmacologic therapy to relieve pain Use of more than three medications to relieve pain Use of more than one intervention to control pain Use of pain medication in anticipation for a painful event

Use of more than one intervention to control pain