Comfort and pain

Which statement about transcutaneous electrical nerve stimulation (TENS) is incorrect?

TENS is helpful in reducing pain perception. Correct2 TENS is effective for chronic and postsurgical pain control. 3 A TENS unit consists of a battery-powered transmitter, lead wires, and electrodes. 4 TENS requires a health care provider's order that identifies the site(s) for electrode placement

A 65-year-old patient is experiencing mild musculoskeletal pain. Which drug is the primary health care provider most likely to prescribe?

1 Aspirin 2 Naproxen 3 Ibuprofen Correct4 Acetaminophen

Which drug is unsafe for the central nervous system as a supplement to epidural anesthesia?

1 Aspirin 2 Naproxen 3 Ibuprofen Correct4 Oxycodone

Which pain management drug is considered the best tolerated and safest analgesic?

1 Fentanyl 2 Tramadol t3 Acetylcysteine Correct4 Acetaminophen

Which class of pain management drugs may interfere with bowel or bladder function?

1 Anticonvulsants Correct2 Opioid analgesics 3 Nonopioid analgesics 4 Nonsteroidal antiinflammatory drugs

Which analgesic drug depresses the central nervous system?

1 Aspirin Correct2 Fentanyl 3 Naproxen 4 Ibuprofen

A patient is in the first postoperative day following a nephrectomy. The patient is receiving morphine through a patient-controlled analgesia (PCA) device for management of pain. The patient complains of pain in the shoulders. The nurse understands that it is a referred pain. What explanation should the nurse give to the patient regarding the referred pain?

1 It is a pain that occurs sporadically over time. 2 It is a moderate pain that occurs for more than 6 months constantly. Correct3 It is a pain that is sensed at a site away from its actual origin or pathology. 4 It is neuropathic pain that is caused generally after cancer or a tumor

A physician put a postoperative patient on a patient-controlled opioid analgesic pump to be used around the clock for a week. Which assessment should the nurse make at regular intervals?

1 Liver enzymes 2 Blood pressure Correct3 Respiratory rate 4 Body temperature

Which statement is true regarding opioiates for pain management?

1 Morphine is available only for oral administration. 2 Hydrocodone is only available intravenously. 3 Oxycodone is available for both oral and intravenous administration. Correct 4 Hydromorphone is available for both oral and intravenous administration.

Which statement is true regarding nonpharmacological pain interventions?

1 Nonpharmacological interventions should only be used alone. Correct2 Nonpharmacological interventions are useful for patients who cannot tolerate pain medications. 3 Nonpharmacological interventions have a clear set of guidelines regarding intensity and duration. 4 Nonpharmacological interventions should be used in place of pharmacological therapies for acute pain

Why would a primary health care provider prescribe acetylcysteine to a patient who is on pharmacological pain management therapy?

1 Overdose of aspirin 2 Overdose of fentanyl 3 Overdose of morphine Correct4 Overdose of acetaminophen

While treating a patient, the primary health care provider encourages the patient to watch funny videos. This is an example of which pain management technique?

1 Relaxation Correct2 Distraction 3 Acupressure 4 Music therapy

Which type of pain management is cold application?

1 Relaxation 2 Distraction Correct3 Cutaneous stimulation 4 Acupressure

A group of nursing students is learning about nociceptive and neuropathic pain. What are examples of neuropathic pain? Select all that apply.

1 Aching muscles Correct 2 Diabetic neuropathy Correct 3 Trigeminal neuralgia Correct 4 Nerve root compression 5 Throbbing pain at knee joint

The physician tells the nurse to administer a second drug to a patient already on oxycodone. Which drug would be safe for this patient?

Acetaminophen

What is the immediate intervention if a patient on oxycodone 10 mg/mL infusion therapy experiences respiratory depression?

Administering 0.4 mg of naloxone

A patient has had arthritic pain for 8 years. Which questions should the nurse ask to assess the patient's pain? Select all that apply

Correct 1 "Which factors relieve your pain?" Correct 2 "How would you describe the pain?" 3 "Are you having any trouble passing stools?" 4 "Are you allergic to any food item or medication?" Correct 5 "On a scale of 0 to 10, how high would you rate the pain?

A patient is in the first postoperative day following 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. What are the correct components of the ABCDE approach? Select all that apply.

Correct 1 A: Ask regularly about the pain. 2 A: Assess the pain once a week. Correct 3 B: Believe the patient about the pain. Correct 4 C: Choose pain control options appropriate to the patient. 5 D: Deny the use of painkillers and encourage the patient to bear the pain naturally

A primary health care provider prescribes medication for a patient in respiratory distress. Shortly after, the patient complains of severe pain. Which medication did the patient likely receive?

Correct1 Naloxone 2 Capsaicin 3 Lidoderm patch 4 Acetaminophe

A patient has had arthritic pain for 8 years and has surgery to remove a buildup of septic fluid. Postoperative, the patient received morphine through a patient-controlled analgesia (PCA) device for the management of pain. What is the advantage of PCA that the nurse should teach the patient?

Correct1 PCA allows self-administration of analgesics. 2 PCA is associated with a risk of overdose. 3 PCA does not allow administration of opioids. 4 PCA allows intramuscular administration of medications

The nurse is assessing a patient who has sustained severe injuries in a motor vehicle accident. The patient is in severe pain and is diaphoretic. On assessment, the patient's heart rate is increased, pupils are dilated, and blood pressure is decreased. Which finding is caused by the stimulation of the parasympathetic nervous system?

Decrease in blood pressure

The nurse is teaching a group of nursing students about pain sensations in infants. Which information should be included in the teaching about pain sensation in infants?

Infants learn to perceive pain by experiencing the first unpleasant stimulus

Which topical analgesic is effective for relieving postherpetic neuralgia in adults?

Lidoderm patch

A nurse administers epidural anesthesia to a patient in the terminal stages of cancer for pain relief. Which nursing intervention is then necessary?

Notifying the health care provider if the patient develops pain at the epidural insertion site

The nurse administers 250 mg of acetaminophen along with 5 mg of hydrocodone to a patient in pain. Why is acetaminophen part of this protocol?

To decrease the dose of opioid required for pain control

The nurse is teaching a group of nursing students about concepts of pain in infants. Which information should the nurse include in the teaching? Select all that apply.

correct 1 Infants cannot express pain. Correct 2 Absorption of drugs is faster than expected. 3 Infants are less sensitive to pain than adults are. Correct 4 Preterm neonates have greater sensitivity to pain than older children do. Correct 5 Assessment of pain involves behavioral cues and physiological indicators