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Foundations Ch 34 Prep U

Terms in this set (20)

A nurse is caring for a client who complains of an aching pain in the abdomen. The nurse also noted that the client is guarding the area. What kind of pain is the client experiencing?

a) Neuropathic pain
b) Visceral pain
c) Cutaneous pain
d) Somatic pain
b) Visceral pain
A client reports after a back massage that his lower back pain has decreased from 8 to 3 on the pain scale. What opioid neuromodulator does the nurse know is released with skin stimulation and is more than likely responsible for this increased level of comfort?

a) Serotonin
b) Endorphins
c) Melatonin
d) Dopamine
b) Endorphins
A client with chronic pain uses a machine to monitor his physiologic responses to pain. The unit transforms the data into a visual display and through seeing the pain responses, the client is taught to regulate his physiologic response and control pain through relaxation, imagery, or breathing exercises. This technique for pain control is known as:

a) hypnosis.
b) Therapeutic Touch (TT).
c) transcutaneous electrical nerve stimulation (TENS).
d) biofeedback.
d) biofeedback.
A client comes to the emergency department complaining of a shooting pain in his chest. When assessing the client's pain, which behavioral response would the nurse expect to find?

a) High blood pressure
b) Guarding of the chest area
c) Increased respiratory rate
d) Decreased heart rate
b) Guarding of the chest area
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?

a) Epinephrine
b) Naloxone
c) Atropine
d) Diphenhydramine
b) Naloxone
The nurse is visiting a client at home who is recovering from a bowel resection. The client reports constant pain and discomfort and displays signs of depression. When assessing this client for pain, what should be the nurse's focal point?

a) beginning pain medications before the pain is too severe
b) judging whether the client is in pain or is just depressed
c) administering a placebo and performing a reassessment of the pain
d) reviewing and revising the pain management treatment plan
d) reviewing and revising the pain management treatment plan
A client prescribed pain medication around the clock experiences pain one hour before the next dose of the pain medication is due. Which is the most appropriate action by the nurse?

a) Assess the client for signs of narcotic addiction.
b) Tell the client he has to wait for one hour.
c) Assess for medication order for breakthrough pain.
d) Administer the next dose of the pain medication.
c) Assess for medication order for breakthrough pain.
Three days after surgery, a patient continues to have moderate to severe incisional pain. Based on the gate control theory, what action should the nurse take?

a) Reposition the patient and gently massage the patient's back.
b) Administer pain medications in smaller doses but more frequently.
c) Advise the patient to try to sleep following administration of pain medication.
d) Decrease external stimuli in the room during painful episodes.
a) Reposition the patient and gently massage the patient's back.
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?

a) "One advantage of the TENS unit is it increases blood flow."
b) "I may need fewer pain medications with the TENS unit in place."
c) "Wearing the TENS unit should not interfere with my daily activities."
d) "I could use the TENS unit if I feel pain somewhere else on my body."
d) "I could use the TENS unit if I feel pain somewhere else on my body."
The nurse that ascribes to the gate control theory of pain would be most likely to prescribe which of the following for the relief of pain? (Select all that apply.)

a) Heat
b) Percocet
c) Cold
d) Tylenol
e) Massage
a) Heat

c) Cold

e) Massage
The nurse preparing to admit a client receiving epidural opioids should make sure that which of the following medications is readily available on the unit?

a) Lopressor
b) Narcan
c) Lasix
d) Digoxin
b) Narcan
A nurse consults with a nurse practitioner trained to perform acupressure to teach the method to a client being discharged. What process is involved in this pain relief measure?

a) percutaneous electrical nerve stimulation
b) patient controlled analgesia
c) biofeedback
d) cutaneous stimulation
d) cutaneous stimulation
A nurse is treating a young boy who is in pain but cannot vocalize this pain. What would be the nurse's best intervention in this situation?

a) Ask the boy to draw a cartoon about the color or shape of his pain.
b) Medicate the boy with analgesics to reduce the anxiety of experiencing pain.
c) Ignore the boy's pain if he is not complaining about it.
d) Distract the boy so he does not notice his pain.
a) Ask the boy to draw a cartoon about the color or shape of his pain.
Which medication would the nurse most likely see on the medication administration record (MAR) of a client with diabetic neuropathy?

a) Hydromorphone
b) Morphine
c) Gabapentin
d) Lorazepam
c) Gabapentin
A client is ordered pain medication every 4 to 6 hours as needed. When the nurse enters the client's room to administer the medication, the client is laughing with visitors. The client's pulse rate is 64, respirations 16, and blood pressure 120/80. The client states that they are in pain and wants the medication. What is the most appropriate action by the nurse?

a) Hold the pain medication at this time.
b) Encourage the client to use alternative pain relief measures.
c) Administer the pain medication.
d) Reassess the need for pain medication in 30 minutes.
c) Administer the pain medication.
Which of the following is the priority assessment for a nurse caring for a client with a Patient Controlled Analgesia (PCA) pump?

a) Cardiovascular
b) Peripheral Vascular
c) Nueromuscular
d) Respiratory
d) Respiratory
Which guideline regarding pain should be included in the nurse's education plan for a group of parents with infants and toddlers?

a) Toddlers often try to be brave and not cry.
b) Infants cannot express pain until 8 months of age.
c) Pain can be a source of fear and threat to the toddler's security.
d) Toddlers are often reluctant to express pain.
c) Pain can be a source of fear and threat to the toddler's security.
Which of the following means of pain control is based on the gate control theory?

a) Biofeedback
b) Hypnosis
c) Distraction
d) Acupuncture
d) Acupuncture
The nurse is providing education to a client about the role of endogenous opioids in the transmission of pain. Which information about the release of endogenous opioids is most accurate?

a) They bind to opioid receptor sites throughout the CNS.
b) They occupy cell receptors for neurotransmitters.
c) They react with acetylcholine and serotonin.
d) They block glutamate receptors and peptides.
a) They bind to opioid receptor sites throughout the CNS.
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?

a) 1
b) 2
c) 3
d) 4
c) 3
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