1. What is the most appropriate way to
assess the pain of a patient who is ori- ented and has recently had surgery?
A. Assess the patient's body
... [Show More] language. B.Observe cardiac monitor for increased
heart rate. C.Ask the patient to rate the level of pain. D.Ask the patient to describe the effect
of pain on the ability to cope. A nurse is caring for a patient who re- cently had an abdominal hysterectomy
and states that she is experiencing se- vere pain. The patient's blood pressure
is 110/60, and her heart rate is 60. Additionally, the patient does not appear to be
in any distress. Which response by the
nurse is most therapeutic?
A. "Your vitals do not show that you
are having pain; can you describe your
pain?" B."You do not look like you are in pain." C. "OK, I will go get you some narcotic
pain relievers immediately." D."What would you like to try to alleviate
your pain?" 3.Which of the following statements
made by a patient reflects that the patient understands the relationship between the gate control theory of pain and
the use of meditation to relieve pain?
A."Meditation controls pain by blocking
pain impulses from coming through the
gate." B. "Meditation will help me sleep through
the pain because it opens the gate." C."Meditation stops the occurrence of
C. Ask the patient to rate the level of pain.
D. "What would you like to try to alleviate
your pain?"
A."Meditation controls pain by blocking
pain impulses from coming through the
gate."
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pain stimuli." D."Meditation alters the chemical com- position of pain neuroregulators, which
closes the gate." 4. A nursing student is planning care for
an elderly patient who is experiencing
pain. Which of the following statements
made by the nursing student indicates
the need for the nursing professor to clarify the nursing student's knowledge?
A Older patients often have difficulty determining what is causing their pain." B. "It is safe to administer opioids to
older adults as long as you start with
small doses and frequently assess the
patient's response to the medication." C."As adults age, their ability to perceive
pain decreases." D."Patients who have dementia probably
experience pain, and their pain is not
always well controlled." 5. The nurse is caring for two patients;
both are having a hysterectomy.The first
patient is having the hysterectomy after
a complicated birth. The second patient
has uterine cancer. What will most likely
influence the experience of pain for these
two patients?
A. Neurological factors
B.Competency of the surgeon
C.Meaning of pain
D. Postoperative support personnel
6.The nurse anticipates administering an
opioid fentanyl patch to which patient?
A.A 15-year-old adolescent with a broB. "It is safe to administer opioids to
older adults as long as you start with
small doses and frequently assess the
patient's response to the medication."
C. Meaning of pain
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ken femur
B.A 30-year-old adult with cellulitis
C. A 50-year-old patient with prostate
cancer
D. An 80-year-old patient with a broken
hip
7.What nursing intervention is most effective in preventing injury to a patient
following administration of epidural anesthesia?
A Keeping the reversal agent in a syringe
in the patient's bedside table
B. Applying a gauze dressing to the
epidural catheter insertion site
C. Labeling the tubing that leads to the
epidural catheter
D.Asking the nursing assistive personnel
to check on the patient at least once
every 2 hours
8.A 24-year-old Asian woman is in la- bor and refuses to receive any sort of
anesthesia medication. Which alternative treatment is best for this patient?
A. Relaxation and guided imagery
B.Transcutaneous electrical nerve stim- ulation (TENS)
C.Herbal supplements with analgesic effects
D.Pudendal block
9.Which of the following statements
made by the patient indicates to the
nurse that teaching on a patient-controlled analgesia (PCA) device has been
effective?
A. "This is the only pain medication I will
C. A 50-year-old patient with prostate
cancer
C. Labeling the tubing that leads to the
epidural catheter
A. Relaxation and guided imagery
Pain management qui [Show Less]