foundation ch.35
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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| The wife of a client with cancer is concerned that her husband's breakthrough doses of morphine have recently needed to be larger and more frequent in order for him to achieve pain relief. the client is likely showing the effects of: | show 🗑
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| Which opioid neuromodulator does the nurse know is released with skin stimulation and is more than likely responsible for this increased level of comfort? | show 🗑
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| show | Stop the medication infusion immediately and notify the primary care provider; prepare to administer oxygen and naloxone
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| show | visceral pain.
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| Which of the following is the priority assessment for a nurse caring for a client with a Patient Controlled Analgesia (PCA) pump? | show 🗑
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| show | Assess for medication prescription for breakthrough pain.
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| show | Gently mention that the client appears to be experiencing pain that can be treated.
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| A client tells the nurse, “Every time I think of my job, I get a debilitating headache and have to go lie down to make the pain go away.” Which nursing intervention will the nurse perform to practice according to the Gate Control Theory? | show 🗑
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| show | “The pump is programmed so that it's not possible for you to overdose on your pain medication.”
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| show | “Tell me more about your pain.”
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| A nurse observes that a client who underwent knee surgery 2 weeks ago needs progressively larger doses of analgesics to get relief from pain. The nurse interprets this as: | show 🗑
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| show | Pain can be a source of fear and threat to the toddler's security.
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| A nurse is assessing a client's pain. The nurse notes which database finding that is indicative of acute pain? | show 🗑
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| show | "Antidepressants have been shown to have pain-relieving qualities in clients with neuropathic pain."
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| A client in pain believes that the pain is a punishment from God, and feels angry and resentful. Which is the most appropriate action by the nurse? | show 🗑
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| show | How does the pain develop and progress?
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| show | Respiratory depression
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| show | When obtaining patient vital signs
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| show | sedation
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| A client describes pain in the lower leg and has been diagnosed with a herniated lumbar disk. The pain in the leg is what type of pain? | show 🗑
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| After sedating a client, the nurse assesses that the client is frequently drowsy and drifts off during conversations. What number on the sedation scale would the nurse document for this client? | show 🗑
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| show | 29-year-old who has a speech impediment
34-year-old with schizophrenia
41-year-old who is from a different country
60-year-old with early onset dementia
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| A client receiving epidural analgesia asks the nurse to put the head of the bed all the way down to sleep better. What is the correct response by the nurse? | show 🗑
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| show | restlessness
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| show | biofeedback.
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| Which principle should the nurse integrate into the pain assessment and pain management of pediatric clients? | show 🗑
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| show | guarding of chest area
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| show | Administer the pain medication.
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| The nurse is preparing to administer an NSAID to a client for pain relief. The nurse notices that the client is diagnosed with a bleeding disorder. What should the nurse do? | show 🗑
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| show | Reposition the client and gently massage the client’s back.
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| show | Use massage and heat application to the lower back
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| A client is postoperative day 1 and the nurse's assessment reveals signs of pain, such as grimacing and guarding. Which is the most reliable method for assessing the client's pain? | show 🗑
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| After the nurse has instructed a client with low-back pain about the use of a transcutaneous electrical nerve stimulation (TENS) unit for pain management, the nurse determines that the client has a need for further instruction when the client states what? | show 🗑
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| show | have an antiprostaglandin effect on the CNS.
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| show | A nurse applies intermittent heat and cold to a client's leg.
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| Which of the following is considered to be the most potent neuromodulators? | show 🗑
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| A 92-year-old woman is on an inpatient unit following hip replacement surgery. The nurse asks her if she is in pain, and she tells the nurse that she is fine. The nurse knows what to be true regarding pain in the older adult? | show 🗑
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| show | Administer the medication if respiratory rate is > 9.
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| show | Ask the boy to draw a cartoon about the color or shape of his pain.
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| , “Every time I think of my job, I get a debilitating headache and have to go lie down to make the pain go away.” Which nursing intervention will the nurse perform to practice according to the Neuromatrix Theory? | show 🗑
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| A client has been admitted to a post-surgical unit with a patient-controlled analgesia (PCA) system. Which statement is true of this medication delivery system? | show 🗑
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| show | Assess for pain control 30 minutes after administering an analgesic.
Consider cultural implications of the perception of pain.
Provide pain medication before activity that may increase pain.
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| A middle-age client with cancer has been prescribed patient-controlled analgesia (PCA). The nurse caring for the client explains the functioning of PCA. What is the main advantage of PCA? | show 🗑
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| show | FLACC scale
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| show | A client with shingles affecting her entire torso
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| A nurse giving a client a massage notes the presence of a nonblanching reddened area on the client's sacrum. What is the nurse's best action? | show 🗑
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| show | actively solicit information about the client's pain level.
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| show | Wong-Baker FACES® scale
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| The surgeon has prescribed acetaminophen/oxycodone for pain relief at home. What instructions would the nurse include when providing discharge teaching? Select all that apply. | show 🗑
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| The nurse is performing assessments for clients admitted in the emergency department. Which client is most likely experiencing somatic pain? | show 🗑
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| The nurse is caring for a client whose pain is being treated with epidural analgesia. Which nursing action is most appropriate? | show 🗑
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| A nurse is caring for a client with cancer who is experiencing pain. What would be the most appropriate assessment of the client's pain? | show 🗑
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| show | Elevated 30 degrees
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| A client is experiencing acute pain following the amputation of a limb. What nursing interventions would be most appropriate when treating this client? | show 🗑
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| show | Increased blood pressure
Muscle tension and rigidity
Nausea and vomiting
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| show | “I should only take medication when my pain is intense.”
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| show | Encourage deep breathing.
Play the client's favorite music.
Promote a restful environment.
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| The client responds, “I take a little white pill to control my pain, but I don’t know the name of it,” and presents the nurse with a plastic baggie full of white pills. What is the priority nursing intervention? | show 🗑
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| show | “Can you describe the type of pain you are having?”
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| show | Examine the effectiveness of the current pain regimen
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| The nurse's most recent assessment reveals that the client is drowsy and drifting off during conversation with the nurse; however, the client can be aroused. What is the nurse's most appropriate action? | show 🗑
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| show | actively solicit information about the client's pain level.
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| show | Elevated kidney function
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| A neonatal nurse is caring for a 2-day-old infant who experienced shoulder subluxation during delivery. What pain assessment scale should the nurse use to assess this client's pain? | show 🗑
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| show | It may cause depression in clients.
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| A nurse is assessing an adult client with back pain. The client is unable to speak English. Which pain scale is most appropriate for the nurse to use in assessing the client's pain? | show 🗑
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| A nurse administers pain medication to clients on a med-surg ward. The client that would benefit from a p.r.n. drug regimen as an effective method of pain control would be the client: | show 🗑
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| show | chronic
somatic
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| Endogenous opioids such as endorphins: | show 🗑
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| show | A client recovering from recent hip replacement surgery
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| show | Stop the PCA pump.
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| The nurse desiring to use laughter as a therapeutic modality for pain should assess for which therapeutic effects? | show 🗑
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| show | behavioral
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| show | Reposition the client and gently massage the client’s back.
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| show | The client exhibits restless, uncharacteristic behavior after receiving the drug.
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| Which medical client is most likely to be experiencing diffuse pain? | show 🗑
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| The nurse is implementing environmental changes to promote a client’s comfort and pain management. Which action is an example of this type of intervention? | show 🗑
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| Charles is an 86-year-old man with chronic lower back pain. He asks you what some appropriate treatments might be for his back pain. Which would you not expect to be ordered as first-line therapy? | show 🗑
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| a victim of domestic violence for years states to the nurse, “I know I should not feel this way, but every time I think of my former spouse, I get a horrible headache and have to go lie down.” Which reflects practice according to the Pattern Theory? | show 🗑
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| show | “How long have you experienced this pain?”
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| A postoperative client who has been receiving morphine for pain management is exhibiting a depressed respiratory rate and is not responsive to stimuli. Which drug has the potential to reverse the respiratory-depressant effect of an opioid? | show 🗑
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| show | “Acute pain tends to increase during the day and is called a routine pain response”
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| A nurse is evaluating the effectiveness of the preoperative education regarding pain control. Which statement by the client would indicate a need for further education? | show 🗑
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| A client reports after a back massage that his lower back pain has decreased from 8 to 3 on the pain scale. Which opioid neuromodulator does the nurse know is released? | show 🗑
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| show | Administer the pain medication
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Created by:
briannagrace