Chapter 7

The nurse explains that the pain threshold and pain tolerance are different. Which statement about the pain threshold is true? -Pain threshold is the point at which pharmacologic intervention is required. -Pain threshold is the point at which pain is perceived -Pain threshold is the point at which signs such as grimacing or groaning are observed -Pain threshold is the point at which the person responds to pain

-Pain threshold is the point at which pain is perceived

In order to provide the optimum nursing care, it is important for the nurse to know that the standard of pain and pain control is best determined by which person? -Patient's family -Patient -Nurse -Physician

-Patient

What is included in the "Six rights" of medication administration? Select all that apply, -Right Vital Signs -Right Dr. -Right Time -Right Patient -Right Documentation -Right Route

-Right Time -Right Patient -Right Documentation -Right Route

The patient who had abdominal surgery this morning refuses the opioid pain medication for fear of addiction. How should the nurse respond? -"Although addiction does occur, it is quickly reversed." -"Addiction is mainly a matter of attitude." -"Opioids are addictive, whereas nonsteroidal anti-inflammatory drugs (NSAIDs) are not." -"Fewer than 3% of people become addicted to drugs used for pain relief."

-"Fewer than 3% of people become addicted to drugs used for pain relief."

Traditional beliefs by Hispanics concerning the perception of pain include that pain is -something that must be endured. -something that must be controlled. -"God's will." -seen as a sign of sickness.

-"God's will."

The hospitalized postsurgical patient is reluctant to take the opioid pain medication because of drowsiness. Which response is most informative for the nurse to make? -"Mental stimulation after the medication will keep you more alert." -"Drowsiness is an undesirable side effect." -"Sleep and pain relief promote healing." -"The medication should be taken only before bedtime.

-"Sleep and pain relief promote healing."

LVN/LPN is doing patient teaching prior to being discharged to home. Patient asks the nurse, "So, I can take as much Tylenol as I want right? What would be the nurses best response. -"Yes you can take as many as you need as long as you are in pain." -"You can not take any Tylenol at all unless the dr. prescribes it." -"You can take up to 3,000 mg of Tylenol per day, if you need more you will need to call the dr." -"You should not take more than 4,000 mg of Tylenol in 24 hours.

-"You should not take more than 4,000 mg of Tylenol in 24 hours.

The nurse is planning care plans for multiple patients. Which patient does the nurse anticipate will experience the highest level of pain? -28-year-old experiencing pain related to a metatarsal fracture -79-year-old experiencing pain related to osteoarthritis -67-year-old experiencing chronic back pain -45-year-old experiencing pain following a laparoscopic cholecystectomy

-79-year-old experiencing pain related to osteoarthritis

The home health nurse educates the 75-year-old patient about the warm compresses he is using on his swollen elbow. Which information is most important to include in the teaching plan? -Apply the warm compress directly on the skin. -Alternate the warm compress with an ice pack every 10 minutes. -Take aspirin 30 minutes prior to applying the compress. -Allow the compress to remain in place for 15 to 20 minutes.

-Allow the compress to remain in place for 15 to 20 minutes.

Which culture has traditionally recognized the use of medicine men? -Europeans -Arabs -American Indians -Hispanics

-American Indians

The nurse is caring for the patient with neuropathic pain. Which agents will most effectively control this patient's pain? Select all that apply. -Anti-inflammatory agents -Antidepressants -Anticonvulsants -Analgesics -Opioids

-Anti-inflammatory agents -Antidepressants -Anticonvulsants

The nurse is providing medication information to a patient receiving pain medication with codeine. Which side effect should the nurse tell the patient is most likely to occur? -Tingling of the fingers and toes -Codiene has no side effects. -Diarrhea -Constipation

-Constipation

Because of the threat of lowering the seizure threshold, the home health nurse would suggest that the 85-year-old patient limit the use of which pain medication? -Ibuprofen (Motrin) -Naproxen (Aleve) -Acetaminophen (Tylenol) -Demerol

-Demerol

When assessing a patient who is experiencing acute pain and comparing the findings with the patient's baseline, what can the LPN/LVN expect to find? -Decrease in respiratory rate -Increase in blood pressure -Loss of muscle tension -Decrease in pulse pressure

-Increase in blood pressure

The nurse is using the gate theory as a guide to pain management. Which intervention(s) should the nurse plan to offer? Select all that apply. -Massage -Turing off lights and closing the door at all times. -Large meals -Social activities -Interactive distraction

-Massage -Social activities -Interactive distraction

Although the patient with a kidney stone denies pain, the nurse assesses cues that indicate that pain is perceived. Which assessments indicate that acute pain may be present? -Muscle tension -Diaphoresis Rapid respirations -Decreased respiratory rate -Elevated blood pressure

-Muscle tension -Diaphoresis -Rapid respirations -Elevated blood pressure

The nurse is caring for a patient receiving a strong narcotic for pain control. During the assessment, the nurse notes the patient's respiratory rate to be 8 respirations per minute. Which medication may be necessary for this patient? -Potassium sulfate -Naloxone (Narcan) -Ipecac -Sodium chloride

-Naloxone (Narcan)

The patient is experiencing phantom pain following the amputation of her foot. Which type of pain is most associated with phantom pain? -Nociceptive -Uncontrollable -Mild -Neuropathic

-Neuropathic

What type of patient would it be contraindicated to place a TENS (Transctaneous Electrical Nerve Stimulation) unit on? -Patient with sever diarrhea -Patient that is allergic to Iodine -Patient with a pacemaker -Patient that has pain.

-Patient with a pacemaker

A postoperative patient is complaining of discomfort at the incision site. What term can best be used to describe this type of pain? -Somatic pain -Intractable pain -Neuropathic pain -Visceral pain

-Somatic pain

The nurse is educating the home health patient about indications for acetaminophen. Which information should the nurse include in the teaching plan? -Take acetaminophen sparingly and with caution -Take acetaminophen as frequently as needed -Take acetaminophen before pain becomes severe -Take acetaminophen when pain becomes unbearable

-Take acetaminophen before pain becomes severe

The nurse clarifies the basics of the gate theory of pain control. Which information should the nurse include? -The "gate" can be closed to pain by the use of nonpainful stimuli. -The "gate" swings back and forth, first allowing pain, then blocking it. -The patient can be trained to close the "gate" to pain. -Pain is perceived as opening a "gate" to pain symptoms.

-The "gate" can be closed to pain by the use of nonpainful stimuli.

The physician has prescribed nonsteroidal anti-inflammatory medications (NSAIDs) to manage the patient's pain. Based on your knowledge, how does this classification of drugs work? -The medication interrupts the transmission of pain. -The medication blocks neurotransmitter uptake. -The medication reduces the body's perception of pain -The medication blocks pain at the peripheral nervous system level

-The medication blocks pain at the peripheral nervous system level

The nurse is caring for a 45-year-old male Arab patient who is in pain. Which action can most likely be attributed to the patient's cultural belief about pain? -The patient becomes irritable and demanding when in pain. -The patient asks for pain relief to control pain. -The patient hides pain from his family. -The patient never requests pain medication.

-The patient asks for pain relief to control pain.

When reviewing medical records, the nurse notes that the patient has chronic back pain. Which characteristics of chronic pain is this patient likely to exhibit? Select all that apply. -elevated blood pressure due to pain -The patient has been experiencing back pain for more than 6 months. -depression -Symptoms will last a short time, less than 6 months

-The patient has been experiencing back pain for more than 6 months. -depression

Which is an understanding the LPN/LVN should have concerning pain? -If pain is present, there is a demonstrable cause. -A patient with low pain tolerance has no self-control -The person who has pain is the one to decide if the pain is tolerable -A patient with high pain tolerance is emotionally mature.

-The person who has pain is the one to decide if the pain is tolerable.

What is the correct order of events when a painful stimulus is experienced and detected by the body? -Modulation, transduction, transmission, and perception -Perception, transduction, modulation, and transmission -Transduction, modulation, perception, and transmission -Transduction, transmission, perception, and modulation

-Transduction, transmission, perception, and modulation

The nurse is planning to teach a family member about effective massage techniques. Which information is most important to include in the teaching plan? -Use long, firm strokes while avoiding areas of inflammation. -Pound painful areas with the sides of the hands. -Gently and firmly massage of areas of inflammation -Use heat and a mild menthol cream for comfort.

-Use long, firm strokes while avoiding areas of inflammation.

The patient on frequent doses of meperidine (Demerol) complains of constipation. Which initial intervention is best? -Offer fruit such as prunes or apricots. -Request an order for an enema -increase oral fluid intake. -Report the condition to the charge nurse.

-increase oral fluid intake.

What is/are the functions of endorphins? Select all that apply. Hint: 4 answers -reduce anxiety -Relief of pain -May produce feeling of euphoria -Inhibition of unpleasant stimuli -Increased blood pressure

-reduce anxiety -Relief of pain -May produce feeling of euphoria -Inhibition of unpleasant stimuli