Chapter 9- Pain Mangement Prep U Questions

Prostaglandins are chemical substances with what property? A. Increase the sensitivity of pain receptors B. Reduce the perception of pain C.Inhibit the transmission of pain D. Inhibit the transmission of noxious stimuli

A. Increase the sensitivity of pain receptors

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? A. Older clients should receive a reduced dose. B. Older clients should receive an increased dose. C. Opioid analgesics should not be used to treat older adults. D. Age has no impact on dosing.

A. Older clients should receive a reduced dose. Why?: A reduced dose of analgesics, especially opioid analgesics, may be prescribed for the older adult initially because older adults experience a higher peak effect and longer duration of pain relief from an opioid.

Which phase of pain transmission occurs when the one is made aware of pain? A. Perception B. Transmission C. Modulation D. Transduction

A. Perception

Which is a gastrointestinal route for administration of analgesics? A. Rectal B.Epidural space C. Oral mucosa D. Subcutaneous

A. Rectal

A client reports having joint pain that has gotten worse over the last year despite gradually increasing doses of an OTC pain reliever. Which type of pain will the nurse document as the chief complaint? A. chronic pain B. acute pain C. referred pain D. breakthrough pain

A. chronic pain

A client has a long history of diabetes mellitus and developed diabetic neuropathy more than 25 years ago. The client is without breakthrough pain at this point in time. How would this client's pain be classified? A. neuropathic and chronic B. nociceptive and chronic C. nociceptive and acute D. neuropathic and acute

A. neuropathic and chronic

A client has been given a patient-controlled analgesia (PCA) device to control postoperative pain. The client expresses concern about administering too much of the analgesic and accidentally overdosing. What topic should the nurse teach the client about? A.the limits on dose and frequency that are programmed into the PCA B. the fact that naloxone will be kept readily available at all times C. the use of non-pharmacologic pain interventions to minimize use of the PCA D. the importance of limiting the use of the PCA to no more than twice per hour

A. the limits on dose and frequency that are programmed into the PCA

A client with appendicitis has had an appendectomy. After surgery, what type of pain does the nurse anticipate the client will have? A.Acute pain B. Chronic pain C. Neuropathic pain D. Referred pain

A.Acute pain

A client with a terminal illness grimaces and begins to cry when being turned and repositioned in bed. Which action will the nurse take at this time? A.Ask the client to rate the pain. B. Support the body area that is painful. C. Coach the client with guided imagery. D. Stay with the client until pain from activity eases.

A.Ask the client to rate the pain.

A client who is prescribed morphine for undiagnosed abdominal pain reports that he is allergic to morphine. The nurse questions the client about his allergic reaction; the client responds that when he took it in the past, he experienced itching. The nurse plans to A. Refuse to administer the morphine. B. Notify the physician that the client is allergic to morphine. C. Administer prescribed diphenhydramine (Benadryl). D. Obtain an order for a skin cream to minimize itching.

Administer prescribed diphenhydramine (Benadryl).

A client is receiving morphine through a patient-controlled analgesia (PCA) system following surgery. The nurse states to the client A. "Whenever you hurt, push the button." B. "Only you are to push the button for medication." C. "Wait until your pain is severe before pushing the button." D. "This will completely relieve your pain."

B. "Only you are to push the button for medication."

Which of the following nursing interventions contributes to achieving a client's goal for pain relief? A. Minimize the client's description of pain or need for pain relief. B. Collaborate with the client about his or her goal for a level of pain relief. C. Use all forms of available pain management techniques. D. Prevent the client from self-administering analgesics.

B. Collaborate with the client about his or her goal for a level of pain relief.

Which nursing intervention should a nurse perform when caring for a client who is prescribed opiate therapy for pain? A. Avoid caffeine or other stimulants, such as decongestants B. Do not administer if respirations are less than 12 breaths per minute C. Monitor blood counts and liver function tests D. Monitor weight, vital signs, and serum glucose concentration

B. Do not administer if respirations are less than 12 breaths per minute

A high school football player hurts his foot while playing a game. The client complains of intense pain with muscle spasms and swelling of the toe. Which pain assessment tool will the nurse most likely use to assess the client's pain level? A. Wong-Baker FACES Pain Rating Scale B. Numeric Rating Scale (NRS) C. Visual Analog Scale (VAS) D. Verbal Descriptor Scales (VDS)

B. Numeric Rating Scale (NRS)

The nurse needs to carefully monitor a client with traumatic injuries. Which action by the nurse demonstrates understanding of the most essential component of the client's pain assessment? A. The nurse administers ketorolac upon admission to the unit. B. The nurse validates the client's report of pain by assessing the client's blood pressure. C. The nurse administers pain medication based on the client's reported pain level. D. The nurse assesses the response to medication after every meal consumed by the client.

C. The nurse administers pain medication based on the client's reported pain level.

The nurse is caring for a client with kidney stones who reports severe pain. What type of pain does the nurse understand this client is experiencing? A. Chronic pain B. Neuropathic pain C. Visceral pain D. Somatic pain

C. Visceral pain Why?: Visceral pain arises from internal organs such as the heart, kidneys, and intestine that are diseased or injured

The client is taking continuous-release oxycodone for chronic pain and now reports constipation. What should be the first question the nurse asks the client? A. "What do you usually take for constipation?" B. "Are you able to increase fluids and fiber in your diet?" C. "Can you take bisacodyl?" D. "When was your last bowel movement?"

D. "When was your last bowel movement?"

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? A. Acute pain B. Neuropathic pain C. Breakthrough pain D. Chronic pain

D. Chronic pain

The nurse is caring for a client in the hospital who has been taking an analgesic for pain related to a chronic illness and has developed a tolerance to the medication. What is the appropriate action by the nurse? A. Inform the client that they will not be able to receive more medication than the health care provider has prescribed. B. Suggest a consultation with a psychiatrist to treat the client's addiction. C. Tell the client the nurse will ask the health care provider to prescribe a non-narcotic analgesic. D. Consult with the prescriber regarding the need for an increased dose of the drug and not to reduce the frequency of administration.

D. Consult with the prescriber regarding the need for an increased dose of the drug and not to reduce the frequency of administration.

Which of the following is the appropriate intervention to avoid physical withdrawal on drugs in a client? A. Administer adjuvant drugs along with the prescribed drug. B. Administer subtherapeutic doses. C. Increase dosage of the drug. D. Discontinue drugs gradually.

D. Discontinue drugs gradually.

The nurse's major area of assessment for a patient receiving patient-controlled analgesia is assessment of what system? A. Cardiovascular B. Integumentary C. Neurologic D. Respiratory

D. Respiratory

The client is postoperative for a total hip arthroplasty and denies pain when asked by the nurse. The client remains still in the bed and refuses to move. She finally reports feeling pressure at the site upon continued questioning by the nurse. The best nursing intervention is to A. Wait to medicate the client until the client reports pain. B. Use a 0 to 10 numeric pain intensity scale to measure pain. C. Re-educate the client to use the word pain instead of pressure. D. Use the term "pressure" when asking the client about pain.

D. Use the term "pressure" when asking the client about pain.

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? A. Warm compresses B. Ice bag C. Elevation of the extremity D. Injection of a steroid into the joint space

Ice bag

The nurse, as a member of the patient's health care team, obtains pain assessment information to identify goals for pain management. Select the most important factor that the nurse would use for goal setting: A. Anticipated duration of the pain B. Anticipated harmful effects of the pain experience C. Medical interventions for pain management D. Severity of the pain as judged by the patient

Severity of the pain as judged by the patient

Which of the following is a reliable source for quantifying pain? A. The client's description of the pain B. The extent of the client's injury C. The nature of the client's injury or condition D. The client's vital signs

The client's description of the pain