MS--Chapter 11: Pain Management

The majority of clients in a pain management practice have chronic pain. The physician group utilizes several different methodologies to treat pain. During the holiday season, they sent CDs featuring a popular comedian to all their clients—not only as a gift but also as a treatment modality. This is an example of which treatment modality? All responses are correct. Humor Distraction Relaxation

All responses are correct

The nurse understands that which statement is true about tolerance and addiction? Although clients may need increasing levels of opioids, they are not addicted. Tolerance to opioids is uncommon. Addiction to opioids commonly develops. The nurse must be primarily concerned about development of addiction by a client in pain.

Although clients may need increasing levels of opioids, they are not addicted.

Which of the following is a misconception about pain and analgesia? Chronic pain is due to a psychological disturbance. No evidence exists that stress causes pain. It is rare for chronic pain patients to misrepresent their symptoms. The stress of managing the chronic pain may lead to depression.

Chronic pain is due to a psychological disturbance.

Which substance reduces the transmission of pain? Endorphins Acetylcholine Serotonin Substance P

Endorphins

The physician has ordered a mu opioid analgesic for a patient with pain. What drug does the nurse anticipate administering? Nubain Stadol Buprenex Fentanyl

Fentanyl

The advance nurse practitioner, who is treating a client diagnosed with neuropathic pain, decides to start adjuvant analgesic agent therapy. Which medication is appropriate for the nurse practitioner to prescribe? Tramadol Ketamine Gabapentin Hydromorphone

Gabapentin

The nurse is assessing an older adult patient just admitted to the hospital. Why is it important that the nurse carefully assess pain in the older adult patient? Older people are expected to experience chronic pain. Older people have a decreased pain threshold. Older people experience reduced sensory perception. Older people have increased sensory perception.

Older people experience reduced sensory perception.

The home health nurse is caring for a homebound client who is terminally ill and is delivering a patient-controlled analgesia (PCA) pump at today's visit. The family members will be taking care of the client. What would the nurse's priority interventions be for this visit? Teach the family the theory of pain management and the use of alternative therapies. Provide psychosocial family support during this emotional experience. Provide client and family teaching regarding the operation of the pump, monitoring the IV site, and knowing the side effects of the medication. Provide family teaching regarding use of morphine, recognizing morphine overdose, and offering spiritual guidance.

Provide client and family teaching regarding the operation of the pump, monitoring the IV site, and knowing the side effects of the medication.

What does the nurse understand is the advantage of using intraspinal infusion to deliver analgesics? (Select all that apply.) It is easily accessible by the nurse. Higher doses may be administered. Side effects of systemic analgesia are reduced. Effects on pulse, respirations, and blood pressure are reduced. The need for injections decreases in frequency.

Side effects of systemic analgesia are reduced. Effects on pulse, respirations, and blood pressure are reduced. The need for injections decreases in frequency.

The nurse in a pain clinic is caring for a client who has long-term, intractable pain. The pain team feels that first-line pharmacologic methods of pain relief have been ineffective. Which recommendation should guide this client's subsequent care? The client may benefit from new alternative pain management options that are available in other countries. The client may benefit from a multimodal approach to pain management. The client may need to increase exercise and activity levels significantly to create distractions. The client may need to relocate to long-term care to have activities of daily living needs met.

The client may benefit from a multimodal approach to pain management.

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? chronic pain acute pain referred pain breakthrough pain

chronic pain

A client who is recovering from knee replacement surgery asks for the lowest possible dose of pain medication, and reports having been able to handle pain ever since childhood. Which of the following aspects of pain is the client describing to the nurse? tolerance threshold perception transmission

tolerance