Med Surg: Ch 12 thePoint

1

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? 1. neuropathic and chronic 2. nociceptive and chronic 3. nociceptive and acute 4. neuropathic and acute

1

A client is admitted with generalized abdominal pain, nausea, vomiting, and hypotension. The client has not passed stool in over 1 week and has been in pain for the past 4 days. Which type of pain would you expect the client to be experiencing? 1. Visceral 2. Neuropathic 3. Deeper somatic 4. Chronic

3

A client is being taught to self-administer a narcotic analgesic by means of an intravenous pump system. Which of the following functions is designed to help prevent the client from unintentionally overdosing? 1. Reducing the dosage of the narcotic analgesic 2. Reducing the frequency of administration of the narcotic analgesic 3. Programming the dosage and time interval into the device 4. Drawing up a schedule chart for the client

2

About which issue should the nurse inform clients who use pain medications on a regular basis? 1. Avoid harsh sunlight for 2 hours after administering analgesic agents or salicylates. 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. 3. Minimize fiber intake during the therapy. 4. Consume the medications just before or along with meals.

3

Acute pain can be distinguished from chronic pain by assessing which characteristic? 1. Acute pain responds poorly to drug therapy. 2. Chronic pain diminishes with healing. 3. Acute pain is specific and localized. 4. Chronic pain is symptomatic of primary injury.

2

An elderly client has a fractured hip and is in Buck's traction. The client is disoriented and cannot express herself. At 0730 the client was calm. Now, at 0930, the client is restless and agitated. The nurse reviews the medication administration record. The last dose of opioid was at 0330. The nurse assesses the client's agitation may be from 1. Effects of the opioid medication 2. Recurring pain 3. Diminished pain perception 4. Increased uptake of opioids

4

An older adult is being treated with opioids for pain relief. Which of the following should the nurse strongly recommend to this client? 1. Exercise regularly. 2. Avoid harsh sunlight. 3. Reduce fiber intake. 4. Follow a bowel regimen.

4

The client is taking oxycodone (Oxycontin) for chronic back pain and reports decreased pain relief when he began taking a herb to improve his physical stamina. The nurse asks if the herb is 1. Valerian 2. Kava-kava 3. Chamomile 4. Ginseng

3

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? 1. Older people are expected to experience chronic pain. 2. Older people have a decreased pain threshold. 3. Older people experience reduced sensory perception. 4. Older people have increased sensory perception.

4

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? 1. Asystole 2. Hypertension 3. Tachycardia 4. Bradypnea

4

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 most appropriate action by the nurse? 1. Inform the client that he will not be able to receive more medication than the physician has ordered. 2. Suggest a consultation with a psychiatrist to treat the client's addiction. 3. Inform the client that you will ask the physician to order a non-narcotic analgesic. 4. Consult with the prescriber regarding the need for an increased dose of the drug and not to reduce the frequency of administration.

3

The nurse is to administer meperidine 75 mg intramuscularly to a client. The medication is supplied in an ampule of 50 mg/mL. How many milliliters should the nurse administer to the client? 1. 0.5 2. 1.0 3. 1.5 4. 2.5

3

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? 1. The nurse administers ketorolac upon admission to the unit. 2. The nurse validates the client's report of pain by assessing the client's blood pressure. 3. The nurse administers pain medication based on the client's reported pain level. 4. The nurse assesses the response to medication after every meal consumed by the client.

4

The nurse's major area of assessment for a patient receiving patient-controlled analgesia is assessment of what system? 1. Cardiovascular 2. Integumentary 3. Neurologic 4. Respiratory

1

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: 1. Severity of the pain as judged by the patient 2. Anticipated harmful effects of the pain experience 3. Anticipated duration of the pain 4. Medical interventions for pain management

1

When a nurse asks a patient to describe the quality of the pain, what type of descriptive term does the nurse expect the patient to use? 1. Burning 2. Chronic 3. Intermittent 4. Severe

2

Which is a true statement regarding placebos? 1. A placebo effect is an indication that the client does not have pain. 2. A placebo should never be used to test a client's truthfulness about pain. 3. A placebo should be used as the first line of treatment for a client. 4. A positive response to a placebo indicates that the client's pain is not real.

3

Which of the following is a reliable source for quantifying pain? 1. The client's vital signs 2. The nature of the client's injury or condition 3. The client's description of the pain 4. The extent of the client's injury

2

Which route of administration of medication is preferred in the most acute care situations? 1. Epidural 2. Intravenous 3. Subcutaneous 4. Intramuscular