Question 1

Which nursing diagnosis is most appropriate for the patient who returns from the postanesthesia care unit after undergoing right hemicolectomy surgery for colon cancer?

Accepted Answer

A)   Acute pain secondary to surgery
B)   Acute pain (abdominal) secondary to surgery for colon cancer
C)   Chronic pain secondary to cancer diagnosis
D)   Chronic pain (abdominal) secondary to abdominal surgeryE) A) and D)
F) B) and D)

Question 2

Which action should the nurse take first when the patient has a score of -4 on the sedation rating scale?

Accepted Answer

A)   Stimulate the patient.
B)   Prepare to administer naloxone (Narcan) .
C)   Administer a dose of pain medication.
D)   Notify the physician immediately.E) C) and D)
F) A) and B)

Question 3

Nursing assistive personnel (NAP) ask why so many clients seem to be complaining of pain.What should the nurse emphasize to the NAP about pain? Select all that apply.

Accepted Answer

A)   Pain is subjective.
B)   Pain is measured objectively.
C)   Pain is whatever the client says it is.
D)   Pain exists when the client says it does.
E)   Your expectations of clients' pain are influenced by individual values.F) D) and E)
G) C) and D)

Question 4

Which pain management task can be safely delegated to nursing assistive personnel (NAP) ?

Accepted Answer

A)   Assessing the quality and intensity of the patient's pain
B)   Evaluating the effectiveness of pain medication
C)   Providing a therapeutic back massage
D)   Administering an oral dose of acetaminophenE) C) and D)
F) A) and B)

Question 5

Despite being provided with interventions,a client continues to experience extreme pain.What should the nurse do to enhance this client's comfort?

Accepted Answer

A)   Determine whether the plan was implemented correctly.
B)   Increase the use of nonpharmacological interventions.
C)   Ask the healthcare provider to change pain medication.
D)   Determine whether the client is being truthful when evaluating pain level.E) A) and C)
F) B) and D)

Question 6

A 73-year-old patient admitted after a stroke has expressive aphasia.Which pain intensity scale would be appropriate to use with this patient? Select all that apply.

Accepted Answer

A)   Visual analog
B)   Numerical rating
C)   Wong-Baker FACES rating
D)   Simple descriptor
E)   Revised Faces Pain ScaleF) A) and E)
G) A) and B)

Question 7

The nurse is assessing an intubated patient who returned from coronary artery bypass surgery 3 hours ago.Which assessment finding might indicate that this patient is experiencing pain?

Accepted Answer

A)   Blood pressure 160/82 mm Hg
B)   Temperature 100.6°F
C)   Heart rate 80 beats/min
D)   Oxygen saturation 95%E) B) and C)
F) A) and D)

Question 8

After receiving ibuprofen (Motrin) 800 mg orally for right hip pain,the patient states that his pain is 8 out of 10 on the numerical pain scale.Which action should the nurse take?

Accepted Answer

A)   Use nonpharmacological therapy while waiting 3 more hours before the next dose.
B)   Administer an additional 800-mg oral dose of ibuprofen right away.
C)   Do nothing because the patient's facial expression indicates he is comfortable.
D)   Notify the prescriber that the current pain management plan is ineffective.E) A) and B)
F) B) and C)

Question 9

A patient had a bowel resection 5 days ago.Which request by the patient might alert the nurse that the patient has a history of substance abuse?

Accepted Answer

A)   Oral pain medication once every 6 to 8 hours
B)   Patient-controlled analgesic
C)   Oral pain medications instead of the IM form
D)   Only nonpharmacological pain measuresE) All of the above
F) C) and D)

Question 10

A patient with Raynaud's disease receives no symptomatic relief with diltiazem (Cardizem) .Which surgical intervention might be a treatment option for this patient to help provide symptomatic relief?

Accepted Answer

A)   Cordotomy
B)   Rhizotomy
C)   Neurectomy
D)   SympathectomyE) C) and D)
F) A) and C)

Question 11

A patient prescribed a nonsteroidal anti-inflammatory drug (NSAID) ,naproxen (Aleve,Naprosyn) ,for treatment of arthritis complains of stomach upset.What should the nurse instruct the patient to do?

Accepted Answer

A)   Notify the prescriber immediately.
B)   Take the medication with food.
C)   Take the medication with 8 ounces of water.
D)   Take the medication before bedtime.E) A) and B)
F) B) and C)

Question 12

How should the nurse classify pain that a patient with lung cancer is experiencing?

Accepted Answer

A)   Radiating
B)   Deep somatic
C)   Visceral
D)   ReferredE) A) and B)
F) A) and C)

Question 13

A patient is prescribed morphine sulfate 4 mg intravenously for postoperative pain.Which action should the nurse take before administering the medication?

Accepted Answer

A)   Monitor the patient's respiratory status.
B)   Auscultate the patient's heart sounds.
C)   Check blood pressure in supine and sitting positions.
D)   Monitor the patient for psychological drug dependence.E) A) and B)
F) B) and C)

Question 14

A patient diagnosed with lung cancer who is receiving morphine (MS Contin) complains of constipation.Which instruction by the nurse might help relieve the patient's constipation? Select all that apply.

Accepted Answer

A)   "Be sure the amount of fruit,vegetables,and fiber in your diet is adequate."
B)   "Drink at least eight 8-ounce glasses of water each day."
C)   "Avoid using stool softeners because they may become habit forming."
D)   "Increase your exercise routine to include 1 hour of exercise a day."
E)   "Take a laxative every day."F) D) and E)
G) None of the above

Question 15

In which process do peripheral nerves carry the pain message to the dorsal horn of the spinal cord?

Accepted Answer

A)   Transduction
B)   Transmission
C)   Perception
D)   ModulationE) C) and D)
F) B) and C)

Exam 32: Pain

Which pain management task can be safely delegated to nursing assistive personnel (NAP) ?

Correct Answer
verified

After receiving ibuprofen (Motrin) 800 mg orally for right hip pain,the patient states that his pain is 8 out of 10 on the numerical pain scale.Which action should the nurse take?

Correct Answer
verified

A patient diagnosed with lung cancer who is receiving morphine (MS Contin) complains of constipation.Which instruction by the nurse might help relieve the patient's constipation? Select all that apply.

Correct Answer
verified

How should the nurse classify pain that a patient with lung cancer is experiencing?

Correct Answer
verified

A patient prescribed a nonsteroidal anti-inflammatory drug (NSAID) ,naproxen (Aleve,Naprosyn) ,for treatment of arthritis complains of stomach upset.What should the nurse instruct the patient to do?

Correct Answer
verified

A patient had a bowel resection 5 days ago.Which request by the patient might alert the nurse that the patient has a history of substance abuse?

Correct Answer
verified

Despite being provided with interventions,a client continues to experience extreme pain.What should the nurse do to enhance this client's comfort?

Correct Answer
verified

In which process do peripheral nerves carry the pain message to the dorsal horn of the spinal cord?

Correct Answer
verified

Which action should the nurse take first when the patient has a score of -4 on the sedation rating scale?

Correct Answer
verified

A patient is prescribed morphine sulfate 4 mg intravenously for postoperative pain.Which action should the nurse take before administering the medication?

Correct Answer
verified

A patient with Raynaud's disease receives no symptomatic relief with diltiazem (Cardizem) .Which surgical intervention might be a treatment option for this patient to help provide symptomatic relief?

Correct Answer
verified

The nurse is assessing an intubated patient who returned from coronary artery bypass surgery 3 hours ago.Which assessment finding might indicate that this patient is experiencing pain?

Correct Answer
verified

A 73-year-old patient admitted after a stroke has expressive aphasia.Which pain intensity scale would be appropriate to use with this patient? Select all that apply.

Correct Answer
verified

Which nursing diagnosis is most appropriate for the patient who returns from the postanesthesia care unit after undergoing right hemicolectomy surgery for colon cancer?

Correct Answer
verified

Nursing assistive personnel (NAP) ask why so many clients seem to be complaining of pain.What should the nurse emphasize to the NAP about pain? Select all that apply.

Correct Answer
verified

Exam 32: Pain

Which pain management task can be safely delegated to nursing assistive personnel (NAP) ?

Correct AnswerverifiedShow Answer

After receiving ibuprofen (Motrin) 800 mg orally for right hip pain,the patient states that his pain is 8 out of 10 on the numerical pain scale.Which action should the nurse take?

Correct AnswerverifiedShow Answer

A patient diagnosed with lung cancer who is receiving morphine (MS Contin) complains of constipation.Which instruction by the nurse might help relieve the patient's constipation? Select all that apply.

Correct AnswerverifiedShow Answer

How should the nurse classify pain that a patient with lung cancer is experiencing?

Correct AnswerverifiedShow Answer

A patient prescribed a nonsteroidal anti-inflammatory drug (NSAID) ,naproxen (Aleve,Naprosyn) ,for treatment of arthritis complains of stomach upset.What should the nurse instruct the patient to do?

Correct AnswerverifiedShow Answer

A patient had a bowel resection 5 days ago.Which request by the patient might alert the nurse that the patient has a history of substance abuse?

Correct AnswerverifiedShow Answer

Despite being provided with interventions,a client continues to experience extreme pain.What should the nurse do to enhance this client's comfort?

Correct AnswerverifiedShow Answer

In which process do peripheral nerves carry the pain message to the dorsal horn of the spinal cord?

Correct AnswerverifiedShow Answer

Which action should the nurse take first when the patient has a score of -4 on the sedation rating scale?

Correct AnswerverifiedShow Answer

A patient is prescribed morphine sulfate 4 mg intravenously for postoperative pain.Which action should the nurse take before administering the medication?

Correct AnswerverifiedShow Answer

A patient with Raynaud's disease receives no symptomatic relief with diltiazem (Cardizem) .Which surgical intervention might be a treatment option for this patient to help provide symptomatic relief?

Correct AnswerverifiedShow Answer

The nurse is assessing an intubated patient who returned from coronary artery bypass surgery 3 hours ago.Which assessment finding might indicate that this patient is experiencing pain?

Correct AnswerverifiedShow Answer

A 73-year-old patient admitted after a stroke has expressive aphasia.Which pain intensity scale would be appropriate to use with this patient? Select all that apply.

Correct AnswerverifiedShow Answer

Which nursing diagnosis is most appropriate for the patient who returns from the postanesthesia care unit after undergoing right hemicolectomy surgery for colon cancer?

Correct AnswerverifiedShow Answer

Nursing assistive personnel (NAP) ask why so many clients seem to be complaining of pain.What should the nurse emphasize to the NAP about pain? Select all that apply.

Correct AnswerverifiedShow Answer

Correct Answer
verified

Correct Answer
verified

Correct Answer
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Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
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Correct Answer
verified

Correct Answer
verified