Fundamentals Comp 7 EAQ
While asking the patient to describe pain, the nurse documents it as "Hurts even more." Which expression does the patient choose? *Pain scale faces* Pg. 1143 A. B. C. D.
B
Which drug class is most likely to be used to treat pain related to bone metastasis? Pg. 1156 A. Opioids B. Corticosteroids C. Tricyclic antidepressants D. Nonsteroidal anti-inflammatory drugs
B
A registered nurse is teaching a nursing student about using nonsteroidal anti-inflammatory drugs (NSAIDs) for pain management. Which statement by the nursing student indicates a need for further teaching? Pg. 1153 A. "NSAIDs work by depressing the central nervous system." B. "NSAIDs act by inhibiting the synthesis of prostaglandins." C. "Patients allergic to aspirin are more likely to be allergic to other NSAIDs" D. "Use of NSAIDs in older adults may result in increased risk of adverse events."
A
Which recommendation by the World Health Organization (WHO) analgesic ladder would the nurse follow while caring for a patient with cancer pain? Pg. 1161 A. Transitioning use of adjuvants with nonsteroidal anti-inflammatory drugs (NSAIDs) to opioids B. Using acetaminophen for refractory pain C. Limiting the use of opioids because of the likelihood of side effects D. Avoiding total sedation regardless of how severe the pain is
A
A patient is in the first postoperative day after a nephrectomy. The patient is receiving morphine through a patient-controlled analgesia (PCA) device for management of pain. The nurse decides to use the ABCDE approach while assessing and managing pain for this patient. Which component of the ABCDE approach is correct? Select all that apply. Pg. 1141 A. A: Ask about the pain regularly B.B: Believe the patient about the pain C. C: Choose pain control options appropriate for the patient D. D: Deny the use of painkillers and encourage the patient to bear the pain naturally E. E: Evaluate pain control methods regularly
A, B, C
Which statement is true about music therapy? Select all that apply. Pg. 1150 A. It helps in pain management B. It helps reduce muscle tension C. It creates a relaxation response D. The session last for 10 minutes E. It increases the use of analgesics in postoperative patients
A, B, C
A registered nurse is teaching a nursing student about the use of cold therapy to relive dental pain. Which statement by the nursing student indicates effective learning? Select al that apply. Pg. 1151 A. "I should suggest that the patient apply ice two to five times a day." B. "I should instruct the patient to limit the application to 10 minutes." C. "I should instruct the patient to stop applying cold if there is numbness." D. "I should advise the patient to place the ice on the palmer aspect of the hand for tooth pain." E. "I should instruct the patient to massage in a circular manner with large ice cub over the area of pain."
A, C
Which statement by the nurse that works in a postsurgical ward, indicates a common misconception about pain? Select all that apply. Pg. 1135 A. Psychogenic pain is not real B. Chronic paon is not psychological C. Patients who cannot speak can feel pain D. Adminitering analesics regularly leads to drug addiction E. Patients who abuse substances overreact to discomfort
A, D, E
Which information is obtained by referring to the morphine equianalgesic chart? Select all that apply. Pg. 1156 A. Morphine (oral route) dose equivalent to ibuprofen (oral route) dose B. morphine (oral route) dose equivalent to hydromorphone (oral route) dose C. Morphine (oral route) dose equivalent to fentanyl transdermal patch D. Diclofenac (oral route) dose equivalent to morphine (intravenous route) dose E. Morphine (intravenous route) dose equivalent to fentanyl transdermal patch
B, C, E
A patient with cancer is administered 60 mg oral morphine per day for chronic pain. The response to this dose is decreasing after repeated administration. The patient now needs to increase the dose of the morphine to achieve adequate pain control. Which phenomenon is this called? Pg. 1137 A. Addiction B. Tolerance C. Pseudoaddiction D. Physical dependence
B
In which statement would drug administration be considered palliative? Pg. 1163 A. Thyroid hormone replacement B. Pain management for a patient with terminal cancer C. Antibiotic therapy for a patient with a bacterial infection D. Iron supplements for the treatment of iron deficiency anemia
B
The registered nurse is teaching a nursing student about the posibility of respiratory depression with opioid therapy. Which statement by the nursing students indicates the need for further teaching? Pg. 1155 A. "Sedation occurs before the onset of respiratory depression." B. "Opioid antagonists should be rapidly administers to the patient." C. "Naloxone is the drug of choice for treating respiratory depression." D. "Patients who have breathing difficulty are at increased risk of suffering respiratory depression."
B
Which method does the nurse anticipate a health care provider to prescribe for a patient diagnosed with postherpetic neuralgia? Pg. 1158 A. Fentanyl B. Lidocaine C. Morphine D. Ketoprofen
B
Which patient is likely to suffer from painful mononeuropathy? Pg. 1135 A. Patient who has diabetic neuropathy B. Patient who has nerve root compression C. Patient who has Guillain-Barre syndrome D. Patient who has alcohol-nutrition neuropathy
B
A nurse caring for a patient in the terminal stage of cancer administers a drug as recommended in Step 3 of the World Health Organization (WHO) analgesic ladder to relieve the pain. Which drug class might have been administered to the patient? Pg. 1160 A. Nonopioid drug B. Weak opioid drug C. Strong opioid drug D. Adjuvant analgesic drug
C
A registered nurse is teaching a nursing student about the administration of transdermal fentanyl to a patient in the terminal stages of cancer. Which statement by the nursing student indicates the need for further teaching? Pg. 1158 A. "Transdermal fentanyl is far more effective than morphine." B. "Transdermal fentanyl provides an analgesic effect for up to 72 hours." C. "Topical application of heat on the transdermal; patch will be beneficial to the patient." D. "The patient might have been prescribed transdermal fentanyl because he is tolerant to opioids."
C
A registered nurse is teaching students about various nonpharmacological pain management interventions. Which statement by the student indicates a need for further teaching? Pg. 1150 A. "Biofeedback can help change a patients perception of pain." B. "Music therapy can be used in combination with pharmacological measures." C. "Guided imagery provides effective pain relief for a patient who has acute appendicitis." D. "Therapeutic touch is a complementary and alternative medicine pain relief method."
C
The nurse is caring for a patient who is scheduled for an x-ray for an injured right leg. Which intervention may help reduce the patients pain? Pg. 1150 A. Administer a placebo B. Creating a noise-free environment C. Applying ice near the site of the pain D. Performing a pain assessment frequently
C
Which chemical do nonsteroidal anti-inflammation drugs (NSAIDs) react with? Pg. 1153 A. Renin B. Serotonin C. Prostaglandin D. Diclofenac sodium
C
Which statement by the patient who is under treatment for cocaine dependence indicates a need for further teaching? Pg. 1162 A. "Physical dependence is a state of adaption." B. "Physical dependence is a neurobiological disease." C. "Physical dependence is the same as experiencing addiction." D. "Physical dependence has withdrawal symptoms like chills and stomach pain."
C
Which type of pain-management therapy is preferred for relieving chronic cancer pain? Pg. 1158 A. Local anesthesia B. Topical analgesic C. Epidural analgesia D. Perineural local anesthetic infusion
C
The nurse has conducted an informative session on discouraging pseudoaddiction to a group of people in a community. Which group of patients would be the main target for the nurses teachings? Pg. 1161 A. Patients with a history of taking over-the-counter medicines B. Patients with a history of drinking coffee for more than 5 years C. Patients who say that heroin increases concentration D. Patients who repeatedly seek multiple medical opinions for chronic pain relief
D
The nurse is teaching the patient how to use patient-controlled analgesia (PCA). Patient is an example of which step of the nursing process? Pg. 1149 A. Planning B. Evaluation C. Assessment D. Implementation
D
When would the nurse evaluate pain in a patient who is on oral analgesics? Pg. 1164 A. Every 15 minutes B. Every 30 minutes C. Every 45 minutes D. Every 60 minutes
D
Which condition in a patient is opioid treatment contraindicated for? Pg. 1155 A. Breast cancer B. Psychological illness C. Rheumatoid arthritis D. Obstructive sleep apnea
D
Which information would the nurse include when teaching a patient about transcutaneous electrical nerve stimulation (TENS)? Pg. 1152 A. TENS works by causing distraction B. TENS therapy does not require a health care providers prescription C. A TENS unit must remain unplugged in at all times D. TENS electrodes are applied near or directly on the site of pain
D
Which medication is administered to treat acetaminophen toxicity? Pg. 1153-1154 A. Aspirin B. Naproxen C. Ibuprofen D. Acetylcysteine
D
Which nursing action is most likely to induce pain? Pg. 1153 A. Loosening constricting bandages B. Avoiding skin exposure to irritants C. Changing wet dressings frequently D. Pulling the patient into the side-lying position
D
Which pain management method is considered a nonpharmacological complementary and alternative intervention? Pg. 1150 A. Distraction B. Biofeedback C. Guided imagery D. Therapeutic touch
D
Which type of pain associated with trigeminal neuralgia? Pg. 1135 A. Somatic pain B. Visceral pian C. Deafferentation pain D. Peripherally generated pain
D
