A
Which type of pain has a duration of less than six months?
A. Acute pain
B. Chronic pain
C. Neuropathic pain
D. Cancer pain
A.
Rationale: Acute pain has a sudden or slow onset and an anticipated or predictable end, lasting less than six months.
A patient is on postoperative day 2 after a nephrectomy. What is the most effective way to increase her peristalsis?
A. Ambulation
B. An enema
C. Encouraging hot liquids
D. Administering a laxative
A. Ambulation
Of the following individuals, who can best determine the experience of pain?
A. The person who has the pain
B. The person's immediate family
C. The nurse caring for the client
D. The physician diagnosing the cause
A. The person who has the pain
Rational: According to McCaffery, an expert on pain, "Pain is whatever the experiencing person says it is, existing whenever he (or she) says it does." The only one who can be a real authority on whether and how a person experiences pain is that individual.
A patient's admission weight is 90 kilograms. How much does he weigh in pounds?
198 pounds
A nurse in an urgent care center is collecting data from a client who reports taking an excessive amount of acetaminophen. Which of the following findings should the nurse identify as an indication of acute acetaminophen toxicity?
A. Elevated WBC count
B. Orange-red tinged urine
C. Tinnitus
D. Vomiting
D. Vomiting
Rationale: With acute acetaminophen toxicity, the client is at serious risk for hepatic necrosis. Early signs include nausea, vomiting, abdominal distress, diarrhea, and sweating.
A patient with chronic pain is being evaluated for a multimodal pain management plan. Which of the following is a key principle of multimodal pain management?
A. Combining medications from different classes for synergistic effects
B. Using only non-pharmacological methods to manage pain
C. Relying solely on opioid medications for severe pain
D. Discontinuing all medications once pain is tolerable
A. Combining medications from different classes for synergistic effects
Rationale: Combining medications from different classes can enhance pain relief and reduce side effects by targeting different pain pathways.
In which situation might surgery be delayed?
A. The patient is still taking anticoagulants.
B. An illegible signature is on the consent form.
C. The patient has taken Dilantin today.
D. The admission office is unable to confirm insurance coverage.
A. The patient is still taking anticoagulants.
Which of the following nursing interventions contributes to achieving a client's 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. Prevent the client from self-administering analgesics.
D. Use all forms of available pain management techniques.
B. Collaborate with the client about his or her goal for a level of pain relief.
Rational: The nurse should collaborate with each client about his or her goal for a level of pain relief; this helps implement interventions for achieving the goal.
The physician orders ibuprofen 600 mg po prn for cramping. The medication is supplied in 200-mg capsules. How many capsules will the nurse administer? _________________
3 capsules
What are some factors that influence pain?
A. Physiology, culture, anxiety, previous experience, support, and environment
B. Medication dosage, race, education level, and gender
C. Diet, exercise, occupation, and income level
D. Weather conditions, transportation, and social media
A. Physiology, culture, anxiety, previous experience, support, and environment
The most appropriate intervention by the nurse to decrease the pain of an abdominal incision while coughing would be to:
A. Support the surgical site with a pillow
B. Position patient in a side-lying position
C. Medicate with prescribed narcotic before coughing
D. Ask the patient to cross arms over the chest to increase force of cough
A. Support the surgical site with a pillow
An older adult is being treated with opioids for pain relief. Which of the following should the nurse strongly recommend to this client?
A. Exercise regularly.
B. Avoid harsh sunlight.
C. Follow a bowel regimen.
D. Reduce fiber intake.
C. Follow a bowel regimen.
Rational: The nurse should ensure that a bowel regimen to prevent constipation is started when any older adult is treated with opioids. A high-fiber diet along with increased fluids should be encouraged.
The intravenous prescription is 500 mL of 0.9% NaCl to run over 6 hours.The drop factor is 15 gtt/mL. The nurse plans to adjust the flow rate to how many drops /min. Round the answer to the nearest whole number)
21.
Which of the following best describes therapeutic pain?
A. Pain caused by tissue damage
Rationale: This response describes nociceptive pain, which is pain caused by tissue damage. Therapeutic pain refers to pain that is intentionally induced for a therapeutic purpose.
B. Pain that occurs after a surgical procedure
Rationale: This response describes postoperative pain, which is a specific type of acute pain. Therapeutic pain is intentionally induced for a therapeutic purpose.
C. Pain that is managed using nonpharmacological interventions
D. Pain that is experienced chronically
C. Pain that is managed using nonpharmacological interventions
Rationale: Correct! Therapeutic pain refers to pain that is intentionally induced for a therapeutic purpose. It can be managed using a variety of nonpharmacological interventions.
The nurse clarifies that serum potassium levels are determined before surgery to:
A. prevent arrhythmias related to anesthesia.
B. assess kidney function.
C. determine respiratory insufficiency.
D. measure functional liver capability.
A. prevent arrhythmias related to anesthesia.
Although denying pain, a patient is irritable, responds slowly, and exhibits periods of tachycardia. What should the nurse assess for in this patient?
A. Electrolyte imbalance
B. Sleep deprivation
C. Allergic response
D. Constipation
B. Sleep deprivation
With sleep deprivation, patients may experience a variety of physiologic and psychological symptoms.
A nurse is preparing to administer amoxicillin 350 mg PO. Available is amoxicillin 250 mg/5 mL. How many mL should the nurse administer? (Round to the nearest whole number.)
7mL
Have/Quantity = Desired/X
250 mg/5 mL = 350 mg/X mL
X = 7 mL
A nurse is collecting data for a client who has been receiving parenteral morphine 10 mg every 4 hr for the past week due to a serious traumatic injury to the pelvis and lower extremities. The client is awake and alert but states that the morphine no longer seems to be relieving her severe pain. Which of the following phenomena should the nurse realize the client is experiencing?
A. Opioid tolerance
B. Opioid addiction
C. Opioid toxicity
D. Opioid withdrawal
A. Opioid tolerance
Rationale: Opioid tolerance, as well as physical dependence, occurs over time when morphine is administered regularly for longer than 1 to 2 weeks. Tolerance occurs when a larger dose of opioid is required to relieve pain that was previously relieved by a smaller dose. For a client who has severe, ongoing pain, the dosage of morphine may need to be increased to control pain adequately.
While admitting a client for a cardiac catheterization, the nurse asks the client about allergies. Which of the following client food allergies should the nurse report to the provider prior to the procedure?
A. Shellfish
B. Eggs
C. Gelatin
D. Yeast
A. Shellfish
Rationale: The greatest risk to the client is an allergic reaction to the iodine-containing contrast agent the client will receive IV for the procedure. (Shellfish also contains iodine.) The nurse should notify the provider so a prescribed preventative medication can be administered to the client prior to the contrast agent being given.
A patient with chronic pain is being evaluated for a multimodal pain management plan. Which of the following is a key principle of multimodal pain management?
A. Combining medications from different classes for synergistic effects
B. Using only non-pharmacological methods to manage pain
C. Relying solely on opioid medications for severe pain
D. Discontinuing all medications once pain is tolerable
A. Combining medications from different classes for synergistic effects
Rationale: Combining medications from different classes can enhance pain relief and reduce side effects by targeting different pain pathways.
A nurse is caring for a postoperative client who is receiving fentanyl. Which of the following medications should the nurse plan to administer to the client if manifestations of fentanyl toxicity occur?
A. Protamine
B. Flumazenil
C. Atropine
D. Naloxone
D. Naloxone
Rationale: Fentanyl is an opioid analgesic. The nurse should have the opioid reversal agent naloxone and resuscitation equipment available in the event that the client develops manifestations of opioid toxicity such as sedation.