Chapter 12: Pain Management (1)
Nociception includes four specific processes: transduction, transmission, perception, and modulation. Which action illustrates the nociception process of pain transmission? pg. 226-229
A child quickly removing a hand when touching a hot object
Which of the following is a disadvantage of using the transdermal route of opioid administration? pg. 234
A delay in effect until the dermal layer is saturated
Which is a true statement regarding placebos? pg. 245
A placebo should never be used to test a client's truthfulness about pain.
A home health nurse is visiting a client who has been taking the same dose of acetaminophen/hydrocodone for 2 months. To monitor for the presence of expected side effects of this medication, what should the nurse include in the assessment of the client? pg. 242
Ask about the client's bowel pattern.
The nurse is assisting the anesthesiologist with the insertion of an epidural catheter and the administration of an epidural opioid for pain control. What adverse effect of epidural opioids should the nurse monitor for? pg. 243
Bradypnea
When taking a client history, the nurse notes that the client has been taking herbal remedies in addition to acetaminophen for several years. Based on the admission history, the nurse understands that the client is experiencing which type of pain? pg. 225
Chronic pain
Which of the following nursing interventions contributes to achieving a client's pain relief? pg. 232
Collaborate with the client about his or her goal for a level of pain relief.
A client has been prescribed a fentanyl patch for pain control. The nurse understands that this patch should be replaced how often? pg. 240
Every 48-72 hours
A client arrives in the orthopedic clinic with complaints of twisting the right ankle while playing softball. The nurse collects data including complaints of pain and swelling in the right ankle. What intervention will the nurse provide that will decrease vasodilation and reduce localized swelling? pg. 245
Ice bag
About which issue should the nurse inform clients who use pain medications on a regular basis?
Inform the primary health care provider about the use of salicylates before any procedure, and avoid over-the-counter analgesics consistently without consulting a physician.
About which issue should the nurse inform clients who use pain medications on a regular basis? (2)
Inform the primary health care provider about the use of salicylates before any procedure, and avoid over-the-counter analgesics consistently without consulting a physician.
When drafting a nursing care plan for a patient in pain, it is important for the nurse to determine if the pain is acute or chronic. Choose the best example of chronic pain. pg. 225-226
Intervertebral disk herniation
Which route of administration of medication is preferred in the most acute care situations? pg. 233
Intravenous
Opioid analgesics are effective pain management tools for many clients. A significant portion of a nurse's practice is older adults who suffer from chronic pain. What impact does a client's age have on initial dosing? pg. 244
Older clients should receive a reduced dose.
Which phase of pain transmission occurs when the brain experiences pain at a conscious level? pg. 229
Perception
The nurse asks the client about a reddened area on the left arm. The client states that he was bitten by an insect, and it burned briefly. What type of pain does the nurse document this as? pg. 227
Superficial somatic pain
A client is scheduled for abdominal surgery and states that he is afraid of postoperative pain. The best nursing action is to inform the client pg. 232
That medication will be prescribed for pain relief
A client comes to the clinic and informs the nurse that he needs more analgesics for chronic pain. The client states that the medication is not as strong, and he requires more than the prescribed dose. What does the nurse suspect is occurring with the client? pg. 238
Tolerance
Which type of pain arises from an internal organ, such as the kidneys? pg. 227
Visceral
According to The Joint Commission's pain assessment and management standards, which of the following are essential components of a comprehensive pain assessment? pg. 230
location, onset, alleviating factors, and aggravating factors
