nan Verified Test Bank Nursing Care Of Patients In Pain Ch.9 - Medical Surgical Nursing 7e | Test Bank by LeMone, Burke, Bauldoff by LeMone, Burke, Gerene Bauldoff. DOCX document preview.
LeMone & Burke's Medical-Surgical Nursing, 7e (Bauldoff/Gubrud/Carno)
Chapter 9 Nursing Care of Patients in Pain
1) The nurse is assessing a patient's response to pain. Why should the nurse do this for every patient situation?
1. Everyone has a unique tolerance to pain.
2. Everyone has the same pain threshold.
3. Everyone perceives painful stimuli at the same intensity.
4. Most people have the same pain response to surgery.
Page Ref: 206
Cognitive Level: Analyzing
Client Need & Sub: Physiological Integrity: Basic Care and Comfort
Standards: QSEN Competencies: I.B.4. Assess presence and extent of pain and suffering | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches | NLN Competencies: Personal and Professional Development; Practice-Know-How; Apply decision making skills, particularly in the context of uncertainty and ambiguity | Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 9.4 Outline factors affecting responses to pain.
MNL Learning Outcome: 3. Analyze assessment data to determine a plan of care for patients in pain.
2) After assessing a patient for pain, the nurse concludes that the pain is caused by a mechanical stimulus. What should the nurse consider as a possible cause of this patient's pain?
1. Muscle tear
2. Burn
3. Frostbite
4. Myocardial infarction
Page Ref: 201
Cognitive Level: Analyzing
Client Need & Sub: Physiological Integrity: Basic Care and Comfort
Standards: QSEN Competencies: I.B.4. Assess presence and extent of pain and suffering | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches | NLN Competencies: Context and Environment; Practice-Know-How; Apply evidence to support decision making in situations characterized by ambiguity and uncertainty | Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 9.2 Describe the theories about, physiology of, pathways of, and modulation of pain.
MNL Learning Outcome: 1. Examine the pathophysiology, incidence, risk factors, and clinical manifestations for patients in pain.
3) The nurse is using the neuromatrix theory when determining a patient's pain. On what should the nurse focus when completing this assessment?
1. Cultural and genetic factors
2. Specificity
3. Pattern
4. Previous sensitization
Page Ref: 200
Cognitive Level: Applying
Client Need & Sub: Physiological Integrity: Basic Care and Comfort
Standards: QSEN Competencies: I.B.4. Assess presence and extent of pain and suffering | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches | NLN Competencies: Context and Environment; Practice-Know-How; Apply evidence to support decision making in situations characterized by ambiguity and uncertainty | Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 9.2 Describe the theories about, physiology of, pathways of, and modulation of pain.
MNL Learning Outcome: 1. Examine the pathophysiology, incidence, risk factors, and clinical manifestations for patients in pain.
4) A patient reports experiencing deep, burning pain. In which way is this patient's pain being transmitted in the body?
1. C fibers
2. A-delta fibers
3. Endorphins
4. Dynorphins
Page Ref: 201
Cognitive Level: Analyzing
Client Need & Sub: Physiological Integrity: Basic Care and Comfort
Standards: QSEN Competencies: I.B.4. Assess presence and extent of pain and suffering | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches | NLN Competencies: Context and Environment; Practice-Know-How; Apply evidence to support decision making in situations characterized by ambiguity and uncertainty | Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 9.2 Describe the theories about, physiology of, pathways of, and modulation of pain.
MNL Learning Outcome: 1. Examine the pathophysiology, incidence, risk factors, and clinical manifestations for patients in pain.
5) A patient asks why pain was felt in the left arm during a myocardial infarction. How should the nurse respond?
1. "Pain in the arm related to cardiac tissue damage is a type of referred pain."
2. "Cardiac pain is generally unexplainable."
3. "Were you doing some physical activity with your arm just prior to the event?"
4. "What you are describing relates to psychogenic pain."
Page Ref: 203
Cognitive Level: Applying
Client Need & Sub: Physiological Integrity: Reduction of Risk Potential
Standards: QSEN Competencies: I.A.3. Demonstrate comprehensive understanding of the concepts of pain and suffering, including physiologic models of pain and comfort | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches | NLN Competencies: Relationship-Centered Care; Practice-Know-How; Communicate information effectively | Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 9.3 Differentiate definitions and characteristics of acute, chronic, breakthrough, nociceptive, and neuropathic pain.
MNL Learning Outcome: 1. Examine the pathophysiology, incidence, risk factors, and clinical manifestations for patients in pain.
6) A patient is being treated for chronic pain. What should the nurse keep in mind when assessing this patient's level of pain?
1. The pain rating may be inconsistent with the underlying pathology.
2. There is usually a clear, physiologic cause.
3. Pain typically lasts 2 months or less.
4. The pain reported is usually less severe than acute pain.
Page Ref: 204
Cognitive Level: Analyzing
Client Need & Sub: Physiological Integrity: Reduction of Risk Potential
Standards: QSEN Competencies: I.A.3. Demonstrate comprehensive understanding of the concepts of pain and suffering, including physiologic models of pain and comfort | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches | NLN Competencies: Relationship-Centered Care; Practice-Know-How; Communicate information effectively | Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 9.3 Differentiate definitions and characteristics of acute, chronic, breakthrough, nociceptive, and neuropathic pain.
MNL Learning Outcome: 1. Examine the pathophysiology, incidence, risk factors, and clinical manifestations for patients in pain.
7) The nurse is managing care for a group of patients with pain. For which health problem should the nurse expect the patient to experience acute pain?
1. Cholecystectomy
2. Phantom limb pain
3. Complex regional pain syndrome
4. Degenerative joint disease
Page Ref: 204
Cognitive Level: Analyzing
Client Need & Sub: Physiological Integrity: Reduction of Risk Potential
Standards: QSEN Competencies: I.A.3. Demonstrate comprehensive understanding of the concepts of pain and suffering, including physiologic models of pain and comfort | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 9.3 Differentiate definitions and characteristics of acute, chronic, breakthrough, nociceptive, and neuropathic pain.
MNL Learning Outcome: 1. Examine the pathophysiology, incidence, risk factors, and clinical manifestations for patients in pain.
8) The nurse is planning care for a patient with chronic pain. Which pain control goal would be most appropriate for this patient?
1. Reduce the focus on pain.
2. Reduce the sympathetic stress response.
3. Be completely pain-free.
4. Improve patient outcomes.
Page Ref: 203
Cognitive Level: Applying
Client Need & Sub: Physiological Integrity: Reduction of Risk Potential
Standards: QSEN Competencies: I.A.3. Demonstrate comprehensive understanding of the concepts of pain and suffering, including physiologic models of pain and comfort | AACN Essentials Competencies: IX.3. Implement holistic, patient-centered care that reflects an understanding of human growth and development, pathophysiology, pharmacology, medical management and nursing management across the health-illness continuum, across lifespan, and in all healthcare settings | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 9.3 Differentiate definitions and characteristics of acute, chronic, breakthrough, nociceptive, and neuropathic pain.
MNL Learning Outcome: 3. Analyze assessment data to determine a plan of care for patients in pain.
9) A patient scheduled for knee surgery expects to experience less pain than what was experienced 20 years ago after a similar surgery. What should the nurse respond to this patient?
1. "There might be more pain, because the pain response can get worse with aging."
2. "You are most likely correct."
3. "It should not be quite as bad with the newer technology."
4. "Pain responses diminish with age."
Page Ref: 206
Cognitive Level: Applying
Client Need & Sub: Physiological Integrity: Basic Care and Comfort
Standards: QSEN Competencies: I.A.3. Demonstrate comprehensive understanding of the concepts of pain and suffering, including physiologic models of pain and comfort | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 9.4 Outline factors affecting responses to pain.
MNL Learning Outcome: 1. Examine the pathophysiology, incidence, risk factors, and clinical manifestations for patients in pain.
10) A female patient reports having pain so severe that it limits the ability to get out of bed at home. What should the nurse realize is contributing to this patient's pain?
1. Gender
2. Overuse of alcohol
3. Overuse of pain medication
4. Too much sleep and rest
Page Ref: 206
Cognitive Level: Analyzing
Client Need & Sub: Physiological Integrity: Reduction of Risk Potential
Standards: QSEN Competencies: I.A.3. Demonstrate comprehensive understanding of the concepts of pain and suffering, including physiologic models of pain and comfort | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 9.4 Outline factors affecting responses to pain.
MNL Learning Outcome: 3. Analyze assessment data to determine a plan of care for patients in pain.
11) A patient with depression reports having unrelenting pain over the last several weeks. What should the nurse consider as contributing to this patient's amount of pain?
1. Depression can cause an increase in pain sensations.
2. The pain medication has not been working.
3. Medication to treat the depression is interfering with the control of pain.
4. The patient is exaggerating the amount of pain.
Page Ref: 207
Cognitive Level: Analyzing
Client Need & Sub: Physiological Integrity: Reduction of Risk Potential
Standards: QSEN Competencies: I.A.3. Demonstrate comprehensive understanding of the concepts of pain and suffering, including physiologic models of pain and comfort | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 9.4 Outline factors affecting responses to pain.
MNL Learning Outcome: 1. Examine the pathophysiology, incidence, risk factors, and clinical manifestations for patients in pain.
12) A patient reports the inability to sleep through the night because of leg pain. What will the nurse most likely assess in this patient?
1. An increase in pain
2. A decrease in pain
3. A decrease in anxiety
4. An increase in concentration
Page Ref: 207
Cognitive Level: Applying
Client Need & Sub: Physiological Integrity: Basic Care and Comfort
Standards: QSEN Competencies: I.A.3. Demonstrate comprehensive understanding of the concepts of pain and suffering, including physiologic models of pain and comfort | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 9.4 Outline factors affecting responses to pain.
MNL Learning Outcome: 3. Analyze assessment data to determine a plan of care for patients in pain.
13) The nurse is caring for a patient recovering from surgery. Which intervention will provide the most pain relief for the patient?
1. Offer pain relief before the patient complains of pain.
2. Wait until the patient can describe the pain specifically.
3. Assess the pain level every 4 hours around the clock.
4. Allow the patient to "sleep off" the anesthesia, then offer pain medication.
Page Ref: 222
Cognitive Level: Analyzing
Client Need & Sub: Physiological Integrity: Pharmacological and Parenteral Therapies
Standards: QSEN Competencies: I.B.7. Initiate effective treatments to relieve pain and suffering in light of patient values, preferences and expressed needs | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 9.5 Describe interprofessional care, nursing care, and transitions of care for patients in pain.
MNL Learning Outcome: 4. Determine appropriate nursing interventions for patients in pain.
14) A patient with severe nerve pain from spinal cord compression is considering surgery to sever the nerves and relieve the pain. What should the nurse encourage the patient to consider prior to having this surgery?
1. There may be loss of motor function associated with the nerves that will be severed.
2. The surgery will need to be repeated when the nerves regenerate.
3. Pain medication will still be needed after the surgery.
4. The patient will be a paraplegic after the surgery.
Page Ref: 214
Cognitive Level: Applying
Client Need & Sub: Physiological Integrity: Reduction of Risk Potential
Standards: QSEN Competencies: I.B.7. Initiate effective treatments to relieve pain and suffering in light of patient values, preferences and expressed needs | AACN Essentials Competencies: IX.4. Communicate effectively with all members of the healthcare team, including the patient and the patient's support network | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 9.5 Describe interprofessional care, nursing care, and transitions of care for patients in pain.
MNL Learning Outcome: 2. Consider intraprofessional care for patients in pain.
15) A patient with chronic orthopedic pain is considering the use of a transcutaneous electrical nerve stimulator to reduce the pain. What advantage of using this device should the nurse review with the patient?
1. Avoids the adverse effects of pain medication
2. Is low in cost
3. Can be used by all patients
4. Can relieve all types of pain
Page Ref: 216
Cognitive Level: Applying
Client Need & Sub: Physiological Integrity: Reduction of Risk Potential
Standards: QSEN Competencies: I.B.7. Initiate effective treatments to relieve pain and suffering in light of patient values, preferences and expressed needs | AACN Essentials Competencies: IX. Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in their care | NLN Competencies: Relationship-Centered Care; Practice-Know-How; Communicate information effectively; listen openly and cooperatively | Nursing/Integrated Concepts: Nursing Process: Implementation/Teaching/Learning
Learning Outcome: 9.5 Describe interprofessional care, nursing care, and transitions of care for patients in pain.
MNL Learning Outcome: 2. Consider intraprofessional care for patients in pain.
16) A patient is watching a comedy on the television and has not requested pain medication for over 6 hours. Which form of pain control is this patient using?
1. Distraction
2. Meditation
3. Guided imagery
4. Biofeedback
Page Ref: 216
Cognitive Level: Analyzing
Client Need & Sub: Physiological Integrity: Basic Care and Comfort
Standards: QSEN Competencies: I.B.7. Initiate effective treatments to relieve pain and suffering in light of patient values, preferences and expressed needs | AACN Essentials Competencies: IX.3. Implement holistic, patient-centered care that reflects an understanding of human growth and development, pathophysiology, pharmacology, medical management and nursing management across the health-illness continuum, across lifespan, and in all healthcare settings | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Evaluation
Learning Outcome: 9.5 Describe interprofessional care, nursing care, and transitions of care for patients in pain.
MNL Learning Outcome: 4. Determine appropriate nursing interventions for patients in pain.
17) A patient is receiving a narcotic for severe acute pain. What should the nurse encourage the patient to consume in greater quantities due to the pain medication?
1. Fiber
2. Vitamin D
3. Protein
4. Carbohydrates
Page Ref: 212
Cognitive Level: Applying
Client Need & Sub: Physiological Integrity: Pharmacological and Parenteral Therapies
Standards: QSEN Competencies: I.B.7. Initiate effective treatments to relieve pain and suffering in light of patient values, preferences and expressed needs | AACN Essentials Competencies: IX.3. Implement holistic, patient-centered care that reflects an understanding of human growth and development, pathophysiology, pharmacology, medical management and nursing management across the health-illness continuum, across lifespan, and in all healthcare settings | NLN Competencies: Relationship-Centered Care; Practice-Know-How; Communicate information effectively | Nursing/Integrated Concepts: Nursing Process: Implementation/Teaching/Learning
Learning Outcome: 9.5 Describe interprofessional care, nursing care, and transitions of care for patients in pain.
MNL Learning Outcome: 2. Consider intraprofessional care for patients in pain.
18) A patient who is 2 hours postoperative following bowel resection surgery has four standing orders for pain medication. Which medication should the nurse consider providing to the patient for pain?
1. The one that is to be administered intravenously by the patient and is under patient control.
2. The one that will be given intramuscularly to work quickly.
3. The one that is ordered on a prn basis.
4. The one to be administered orally.
Page Ref: 214
Cognitive Level: Analyzing
Client Need & Sub: Physiological Integrity: Pharmacological and Parenteral Therapies
Standards: QSEN Competencies: I.B.7. Initiate effective treatments to relieve pain and suffering in light of patient values, preferences and expressed needs | AACN Essentials Competencies: IX.3. Implement holistic, patient-centered care that reflects an understanding of human growth and development, pathophysiology, pharmacology, medical management and nursing management across the health-illness continuum, across lifespan, and in all healthcare settings | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 9.5 Describe interprofessional care, nursing care, and transitions of care for patients in pain.
MNL Learning Outcome: 2. Consider intraprofessional care for patients in pain.
19) A patient recovering from abdominal surgery is refusing pain medication because of the fear of becoming addicted even though pain is rated as 10 out of 10. What statement should the nurse include as part of the patient's education? Select all that apply.
1. There is little to no risk of addiction when taking narcotics for pain.
2. Untreated pain can result in poor wound healing.
3. Patients with uncontrolled pain can develop altered immune function.
4. Dehydration can result from poorly managed pain.
5. Family members will not want to visit patients showing visible signs of pain.
Page Ref: 199
Cognitive Level: Applying
Client Need & Sub: Physiological Integrity: Pharmacological and Parenteral Therapies
Standards: QSEN Competencies: I.B.7. Initiate effective treatments to relieve pain and suffering in light of patient values, preferences and expressed needs | AACN Essentials Competencies: IX.3. Implement holistic, patient-centered care that reflects an understanding of human growth and development, pathophysiology, pharmacology, medical management and nursing management across the health-illness continuum, across lifespan, and in all healthcare settings | NLN Competencies: Relationship-Centered Care; Practice-Know-How; Communicate information effectively | Nursing/Integrated Concepts: Nursing Process: Implementation/Teaching/Learning
Learning Outcome: 9.1 Define pain; why it is called the fifth vital sign, the adverse effects of it, and myths and misconceptions about it.
MNL Learning Outcome: 1. Examine the pathophysiology, incidence, risk factors, and clinical manifestations for patients in pain.
20) A patient refusing to take pain medication for chronic back pain is asked to rate the pain on a scale from 0 to 10. What is the nurse attempting to do with this patient?
1. Assess the patient's level of pain
2. Determine if the patient should remain in the hospital
3. Decide if the patient is being argumentative
4. Figure out if the patient should leave the hospital against medical advice
Page Ref: 218
Cognitive Level: Applying
Client Need & Sub: Physiological Integrity: Basic Care and Comfort
Standards: QSEN Competencies: I.B.7. Initiate effective treatments to relieve pain and suffering in light of patient values, preferences and expressed needs | AACN Essentials Competencies: IX.3. Implement holistic, patient-centered care that reflects an understanding of human growth and development, pathophysiology, pharmacology, medical management and nursing management across the health-illness continuum, across lifespan, and in all healthcare settings | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 9.5 Describe interprofessional care, nursing care, and transitions of care for patients in pain.
MNL Learning Outcome: 3. Analyze assessment data to determine a plan of care for patients in pain.
21) The nurse is assessing a patient's vital signs. What should the nurse include in this assessment?
1. Peripheral pulses
2. Pain level
3. Ability to ambulate
4. Urine output
Page Ref: 199
Cognitive Level: Applying
Client Need & Sub: Physiological Integrity: Basic Care and Comfort
Standards: QSEN Competencies: I.B.7. Initiate effective treatments to relieve pain and suffering in light of patient values, preferences and expressed needs | AACN Essentials Competencies: IX.3. Implement holistic, patient-centered care that reflects an understanding of human growth and development, pathophysiology, pharmacology, medical management and nursing management across the health-illness continuum, across lifespan, and in all healthcare settings | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 9.1 Define pain; why it is called the fifth vital sign, the adverse effects of it, and myths and misconceptions about it.
MNL Learning Outcome: 1. Examine the pathophysiology, incidence, risk factors, and clinical manifestations for patients in pain.
22) The patient complaining of pain has been waiting for medication to relieve the pain. What should the nurse understand about this patient?
1. The patient's pain is real.
2. The patient just wants medication.
3. The patient wants attention.
4. The patient is demanding.
Page Ref: 199
Cognitive Level: Analyzing
Client Need & Sub: Physiological Integrity: Basic Care and Comfort
Standards: QSEN Competencies: I.B.7. Initiate effective treatments to relieve pain and suffering in light of patient values, preferences and expressed needs | AACN Essentials Competencies: IX.3. Implement holistic, patient-centered care that reflects an understanding of human growth and development, pathophysiology, pharmacology, medical management and nursing management across the health-illness continuum, across lifespan, and in all healthcare settings | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 9.1 Define pain; why it is called the fifth vital sign, the adverse effects of it, and myths and misconceptions about it.
MNL Learning Outcome: 1. Examine the pathophysiology, incidence, risk factors, and clinical manifestations for patients in pain.
23) A patient with a history of chronic pain reports doing things to help the body make a natural pain reliever. What should the nurse realize this patient is describing?
1. A theory of denial
2. A belief in alternative methods
3. A reason to reduce the amount of pain medication prescribed
4. The body's ability to make endorphins
Page Ref: 202
Cognitive Level: Analyzing
Client Need & Sub: Physiological Integrity: Basic Care and Comfort
Standards: QSEN Competencies: I.B.7. Initiate effective treatments to relieve pain and suffering in light of patient values, preferences and expressed needs | AACN Essentials Competencies: IX.3. Implement holistic, patient-centered care that reflects an understanding of human growth and development, pathophysiology, pharmacology, medical management and nursing management across the health-illness continuum, across lifespan, and in all healthcare settings | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 9.2 Describe the theories about, physiology of, pathways of, and modulation of pain.
MNL Learning Outcome: 1. Examine the pathophysiology, incidence, risk factors, and clinical manifestations for patients in pain.
24) A patient has a history of scoliosis and back pain. For which type of pain should the nurse plan care for this patient?
1. Recurrent acute pain
2. Ongoing time-limited pain
3. Chronic malignant pain
4. Chronic nonmalignant pain
Page Ref: 204
Cognitive Level: Applying
Client Need & Sub: Physiological Integrity: Reduction of Risk Potential
Standards: QSEN Competencies: I.B.7. Initiate effective treatments to relieve pain and suffering in light of patient values, preferences and expressed needs | AACN Essentials Competencies: IX.3. Implement holistic, patient-centered care that reflects an understanding of human growth and development, pathophysiology, pharmacology, medical management and nursing management across the health-illness continuum, across lifespan, and in all healthcare settings | NLN Competencies: Context and Environment; Practice-Know-How; Apply evidence to support decision making in situations characterized by ambiguity and uncertainty | Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 9.3 Differentiate definitions and characteristics of acute, chronic, breakthrough, nociceptive, and neuropathic pain.
MNL Learning Outcome: 3. Analyze assessment data to determine a plan of care for patients in pain.
25) A patient with a history of lumbar spinal cord nerve compression continues to complain of burning pain. Which type of pain should the nurse realize this patient is experiencing?
1. Complex regional pain syndrome
2. Myofascial pain syndrome
3. Chronic postoperative pain
4. Phantom limb pain
Page Ref: 205
Cognitive Level: Analyzing
Client Need & Sub: Physiological Integrity: Reduction of Risk Potential
Standards: QSEN Competencies: I.B.7. Initiate effective treatments to relieve pain and suffering in light of patient values, preferences and expressed needs | AACN Essentials Competencies: IX.3. Implement holistic, patient-centered care that reflects an understanding of human growth and development, pathophysiology, pharmacology, medical management and nursing management across the health-illness continuum, across lifespan, and in all healthcare settings | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 9.3 Differentiate definitions and characteristics of acute, chronic, breakthrough, nociceptive, and neuropathic pain.
MNL Learning Outcome: 1. Examine the pathophysiology, incidence, risk factors, and clinical manifestations for patients in pain.
26) A patient with a long history of pain rarely appears to be in pain and often forgoes the use of pain medication. What does the nurse realize about this patient?
1. The patient has a high pain tolerance.
2. The patient has a low pain tolerance.
3. The patient is addicted to pain medication.
4. The patient does not really have pain.
Page Ref: 206
Cognitive Level: Analyzing
Client Need & Sub: Physiological Integrity: Reduction of Risk Potential
Standards: QSEN Competencies: I.B.7. Initiate effective treatments to relieve pain and suffering in light of patient values, preferences and expressed needs | AACN Essentials Competencies: IX.3. Implement holistic, patient-centered care that reflects an understanding of human growth and development, pathophysiology, pharmacology, medical management and nursing management across the health-illness continuum, across lifespan, and in all healthcare settings | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 9.4 Outline factors affecting responses to pain.
MNL Learning Outcome: 1. Examine the pathophysiology, incidence, risk factors, and clinical manifestations for patients in pain.
27) A patient with chronic pain reports rarely sleeping more than 3 hours a night. Which health problem is this patient at risk for developing?
1. Chronic insomnia
2. Depression
3. High pain tolerance
4. Adult attention deficit disorder
Page Ref: 207
Cognitive Level: Analyzing
Client Need & Sub: Physiological Integrity: Basic Care and Comfort
Standards: QSEN Competencies: I.B.7. Initiate effective treatments to relieve pain and suffering in light of patient values, preferences and expressed needs | AACN Essentials Competencies: IX.3. Implement holistic, patient-centered care that reflects an understanding of human growth and development, pathophysiology, pharmacology, medical management and nursing management across the health-illness continuum, across lifespan, and in all healthcare settings | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 9.4 Outline factors affecting responses to pain.
MNL Learning Outcome: 1. Examine the pathophysiology, incidence, risk factors, and clinical manifestations for patients in pain.
28) A patient with chronic pain is desperately searching for something to relieve the pain. What should the nurse recommend for this patient?
1. A thorough analysis of the pain to determine if it is truly pain
2. Avoiding the use of narcotics
3. Evaluation by a psychiatrist to determine if the patient is depressed
4. A pain medication schedule to help avoid the onset of pain
Page Ref: 212
Cognitive Level: Applying
Client Need & Sub: Physiological Integrity: Basic Care and Comfort
Standards: QSEN Competencies: I.B.7. Initiate effective treatments to relieve pain and suffering in light of patient values, preferences and expressed needs | AACN Essentials Competencies: IX.3. Implement holistic, patient-centered care that reflects an understanding of human growth and development, pathophysiology, pharmacology, medical management and nursing management across the health-illness continuum, across lifespan, and in all healthcare settings | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 9.5 Describe interprofessional care, nursing care, and transitions of care for patients in pain.
MNL Learning Outcome: 4. Determine appropriate nursing interventions for patients in pain.
29) A patient has periodic severe nerve pain that is not well controlled with pain medication. Which pain management approach should be considered for this patient?
1. A nonsteroidal anti-inflammatory drug (NSAID)
2. A narcotic
3. An antidepressant
4. A local anesthetic
Page Ref: 212
Cognitive Level: Analyzing
Client Need & Sub: Physiological Integrity: Pharmacological and Parenteral Therapies
Standards: QSEN Competencies: I.B.7. Initiate effective treatments to relieve pain and suffering in light of patient values, preferences and expressed needs | AACN Essentials Competencies: IX.3. Implement holistic, patient-centered care that reflects an understanding of human growth and development, pathophysiology, pharmacology, medical management and nursing management across the health-illness continuum, across lifespan, and in all healthcare settings | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 9.5 Describe interprofessional care, nursing care, and transitions of care for patients in pain.
MNL Learning Outcome: 2. Consider intraprofessional care for patients in pain.
30) A patient who is receiving around-the-clock pain medication complains of an acute exacerbation of pain. What should the nurse do to help this patient?
1. Provide the medication prescribed for breakthrough pain.
2. Talk with the patient through the pain.
3. Encourage the patient to ignore the pain.
4. Give the patient a nonsteroidal anti-inflammatory drug (NSAID).
Page Ref: 213
Cognitive Level: Applying
Client Need & Sub: Physiological Integrity: Pharmacological and Parenteral Therapies
Standards: QSEN Competencies: I.B.7. Initiate effective treatments to relieve pain and suffering in light of patient values, preferences and expressed needs | AACN Essentials Competencies: IX.3. Implement holistic, patient-centered care that reflects an understanding of human growth and development, pathophysiology, pharmacology, medical management and nursing management across the health-illness continuum, across lifespan, and in all healthcare settings | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 9.5 Describe interprofessional care, nursing care, and transitions of care for patients in pain.
MNL Learning Outcome: 4. Determine appropriate nursing interventions for patients in pain.
31) A patient with chronic pain is being started on a "patch." What should the nurse instruct the patient about this pain-relieving delivery system?
1. It will not work as well as oral pain medications.
2. The dosage will be lower in the beginning.
3. The patient will never experience breakthrough pain.
4. The patient will never overdose with this delivery method.
Page Ref: 213
Cognitive Level: Applying
Client Need & Sub: Physiological Integrity: Pharmacological and Parenteral Therapies
Standards: QSEN Competencies: I.B.7. Initiate effective treatments to relieve pain and suffering in light of patient values, preferences and expressed needs | AACN Essentials Competencies: IX.7. Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in their care | NLN Competencies: Relationship-Centered Care; Practice-Know-How; Communicate information effectively | Nursing/Integrated Concepts: Nursing Process: Implementation/Teaching/Learning
Learning Outcome: 9.5 Describe interprofessional care, nursing care, and transitions of care for patients in pain.
MNL Learning Outcome: 4. Determine appropriate nursing interventions for patients in pain.
32) The nurse is helping a patient in pain by gently massaging the painful area. Which type of pain control is the nurse using?
1. Acupuncture
2. Biofeedback
3. Guided imagery
4. Cutaneous stimulation
Page Ref: 221
Cognitive Level: Applying
Client Need & Sub: Physiological Integrity: Basic Care and Comfort
Standards: QSEN Competencies: I.B.7. Initiate effective treatments to relieve pain and suffering in light of patient values, preferences and expressed needs | AACN Essentials Competencies: IX.3. Implement holistic, patient-centered care that reflects an understanding of human growth and development, pathophysiology, pharmacology, medical management and nursing management across the health-illness continuum, across lifespan, and in all healthcare settings | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 9.5 Describe interprofessional care, nursing care, and transitions of care for patients in pain.
MNL Learning Outcome: 4. Determine appropriate nursing interventions for patients in pain.
33) The nurse plans to assess a patient's pain perception. What should the nurse use for this assessment?
1. FACES scale
2. Psychological evaluation tool
3. PQRST guide
4. Biofeedback rating
Page Ref: 217
Cognitive Level: Applying
Client Need & Sub: Physiological Integrity: Basic Care and Comfort
Standards: QSEN Competencies: I.B.7. Initiate effective treatments to relieve pain and suffering in light of patient values, preferences and expressed needs | AACN Essentials Competencies: IX.3. Implement holistic, patient-centered care that reflects an understanding of human growth and development, pathophysiology, pharmacology, medical management and nursing management across the health-illness continuum, across lifespan, and in all healthcare settings | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 9.5 Describe interprofessional care, nursing care, and transitions of care for patients in pain.
MNL Learning Outcome: 3. Analyze assessment data to determine a plan of care for patients in pain.
34) A patient is seen talking and laughing in the clinic's waiting room yet complains of excruciating pain. What should the nurse realize this patient is demonstrating?
1. The desire for narcotics
2. Denial
3. Fake pain
4. Inconsistent behavioral response to pain
Page Ref: 219
Cognitive Level: Analyzing
Client Need & Sub: Psychosocial Integrity: Sensory/Perceptual Alterations
Standards: QSEN Competencies: I.B.7. Initiate effective treatments to relieve pain and suffering in light of patient values, preferences and expressed needs | AACN Essentials Competencies: IX.3. Implement holistic, patient-centered care that reflects an understanding of human growth and development, pathophysiology, pharmacology, medical management and nursing management across the health-illness continuum, across lifespan, and in all healthcare settings | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 9.5 Describe interprofessional care, nursing care, and transitions of care for patients in pain.
MNL Learning Outcome: 3. Analyze assessment data to determine a plan of care for patients in pain.
35) A patient receiving morphine sulfate 10 mg intramuscularly every 4 hours is being switched to an oral dose. Calculate the oral dosage range using the equianalgesic dosing formula: ________ mg. Record your answer rounding to the nearest whole number, using a dash ("-") to indicate the range.
Page Ref: 210
Cognitive Level: Applying
Client Need & Sub: Physiological Integrity: Pharmacological and Parenteral Therapies
Standards: QSEN Competencies: I.A.3. Demonstrate comprehensive understanding of the concepts of pain and suffering, including physiologic models of pain and comfort | AACN Essentials Competencies: IX.3. Implement holistic, patient-centered care that reflects an understanding of human growth and development, pathophysiology, pharmacology, medical management and nursing management across the health-illness continuum, across lifespan, and in all healthcare settings | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 9.5 Describe interprofessional care, nursing care, and transitions of care for patients in pain.
MNL Learning Outcome: 2. Consider intraprofessional care for patients in pain.
36) A patient is prescribed a fentanyl patch to administer 100 mcg/hour, uses one patch for 72 hours, and then is changed to an intravenous infusion of morphine 8 hours into the second patch. How many mg of the medication did the patient receive while wearing the patch? Record your answer rounding to the nearest whole number.
Page Ref: 210
Cognitive Level: Analyzing
Client Need & Sub: Physiological Integrity: Pharmacological and Parenteral Therapies
Standards: QSEN Competencies: I.A.3. Demonstrate comprehensive understanding of the concepts of pain and suffering, including physiologic models of pain and comfort | AACN Essentials Competencies: IX.3. Implement holistic, patient-centered care that reflects an understanding of human growth and development, pathophysiology, pharmacology, medical management and nursing management across the health-illness continuum, across lifespan, and in all healthcare settings | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Evaluation
Learning Outcome: 9.5 Describe interprofessional care, nursing care, and transitions of care for patients in pain.
MNL Learning Outcome: 2. Consider intraprofessional care for patients in pain.
37) The nurse is ranking a patient's prescribed pain medications according to their strengths. Using the WHO analgesic ladder, in what order, from weakest to strongest, should the nurse rank the medications?
Choice 1. Morphine sulfate 5 mg IV
Choice 2. Ibuprofen 400 mg PO with the anticonvulsant gabapentin (Neurontin) 300 mg PO
Choice 3. Propoxyphene HCL (Darvon) 250 mg PO
Choice 4. Acetaminophen (Tylenol) 325 mg PO
Page Ref: 208
Cognitive Level: Applying
Client Need & Sub: Physiological Integrity: Pharmacological and Parenteral Therapies
Standards: QSEN Competencies: I.A.3. Demonstrate comprehensive understanding of the concepts of pain and suffering, including physiologic models of pain and comfort | AACN Essentials Competencies: IX.3. Implement holistic, patient-centered care that reflects an understanding of human growth and development, pathophysiology, pharmacology, medical management and nursing management across the health-illness continuum, across lifespan, and in all healthcare settings | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 9.5 Describe interprofessional care, nursing care, and transitions of care for patients in pain.
MNL Learning Outcome: 4. Determine appropriate nursing interventions for patients in pain.
38) The nurse is explaining the pain response process to a patient experiencing chronic pain. In which order should the nurse identify the steps in the neural pain pathway? Place in order the steps of the process.
Choice 1. In the thalamus and cerebral cortex, the pain impulse becomes pain when the sensation reaches conscious levels and is perceived and evaluated by the person experiencing the sensation.
Choice 2. Dorsal horn synapses relay impulses up the spinal cord. Spinal neurons transmit the impulses via axons that cross over to the spinothalamic tract.
Choice 3. The impulses ascend the spinothalamic tracts and pass through the medulla and midbrain to the thalamus.
Choice 4. A noxious stimulus is perceived by cutaneous nociceptors and then transmitted through A-delta (AΔ) and even smaller C nerve fibers to the spinal cord dorsal horn.
Page Ref: 201-202
Cognitive Level: Applying
Client Need & Sub: Physiological Integrity: Physiological Adaptation
Standards: QSEN Competencies: I.A.3. Demonstrate comprehensive understanding of the concepts of pain and suffering, including physiologic models of pain and comfort | AACN Essentials Competencies: IX.3. Implement holistic, patient-centered care that reflects an understanding of human growth and development, pathophysiology, pharmacology, medical management and nursing management across the health-illness continuum, across lifespan, and in all healthcare settings | NLN Competencies: Context and Environment; Practice-Know-How; Apply evidence to support decision making in situations characterized by ambiguity and uncertainty | Nursing/Integrated Concepts: Nursing Process: Implementation/Teaching/Learning
Learning Outcome: 9.2 Describe the theories about, physiology of, pathways of, and modulation of pain.
MNL Learning Outcome: 1. Examine the pathophysiology, incidence, risk factors, and clinical manifestations for patients in pain.
39) The nurse is preparing to apply a transdermal analgesic patch to a patient. In what order should the nurse administer this medication? Place in order the steps of the process.
Choice 1. Choose a new site and cleanse and dry an upper torso location.
Choice 2. Clip chest hair and open the medication package.
Choice 3. Keep the patch intact for 72 hours.
Choice 4. Place the patch, making sure all edges are in contact with the skin.
Page Ref: 213
Cognitive Level: Applying
Client Need & Sub: Physiological Integrity: Pharmacological and Parenteral Therapies
Standards: QSEN Competencies: I.A.3. Demonstrate comprehensive understanding of the concepts of pain and suffering, including physiologic models of pain and comfort | AACN Essentials Competencies: IX.3. Implement holistic, patient-centered care that reflects an understanding of human growth and development, pathophysiology, pharmacology, medical management and nursing management across the health-illness continuum, across lifespan, and in all healthcare settings | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 9.5 Describe interprofessional care, nursing care, and transitions of care for patients in pain.
MNL Learning Outcome: 4. Determine appropriate nursing interventions for patients in pain.
40) A homebound hospice patient receiving opioid pain medication continues to experience pain. Which nonpharmacologic complementary methods should the nurse instruct the patient? Select all that apply.
1. Guided imagery
2. Progressive muscle relaxation
3. Distraction
4. Acupuncture
5. Regional pain management
Page Ref: 216-217
Cognitive Level: Applying
Client Need & Sub: Physiological Integrity: Physiological Adaptation
Standards: QSEN Competencies: I.A.3. Demonstrate comprehensive understanding of the concepts of pain and suffering, including physiologic models of pain and comfort | AACN Essentials Competencies: IX.3. Implement holistic, patient-centered care that reflects an understanding of human growth and development, pathophysiology, pharmacology, medical management and nursing management across the health-illness continuum, across lifespan, and in all healthcare settings | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Implementation/Teaching/Learning
Learning Outcome: 9.5 Describe interprofessional care, nursing care, and transitions of care for patients in pain.
MNL Learning Outcome: 4. Determine appropriate nursing interventions for patients in pain.
41) The nurse is caring for older patients in a long-term-care facility. Which factor should the nurse consider when managing pain in these patients? Select all that apply.
1. Increased A fiber transmission increases the potential for addiction in older adults.
2. An increased risk of depression in older adults is related to chronic pain.
3. Less reporting of referred pain may mask myocardial infarction in older adults.
4. Assessment of pain in the cognitively impaired older adult is not possible.
5. Delirium should be evaluated as pain.
Page Ref: 206
Cognitive Level: Analyzing
Client Need & Sub: Physiological Integrity: Physiological Adaptation
Standards: QSEN Competencies: I.A.3. Demonstrate comprehensive understanding of the concepts of pain and suffering, including physiologic models of pain and comfort | AACN Essentials Competencies: IX.3. Implement holistic, patient-centered care that reflects an understanding of human growth and development, pathophysiology, pharmacology, medical management and nursing management across the health-illness continuum, across lifespan, and in all healthcare settings | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 9.4 Outline factors affecting responses to pain.
MNL Learning Outcome: 3. Analyze assessment data to determine a plan of care for patients in pain.
42) A patient recovering from a broken leg asks why the pain is so sharp. What should the nurse explain about acute pain? Select all that apply.
1. The pain signal releases catecholamines.
2. The pain signal reduces blood flow to the gut.
3. The pain signal travels along nerve fibers to the spinal cord.
4. The pain signal travels up to the brain portion called the thalamus.
5. The pain signal spreads throughout the cortex, limbic system, and brainstem.
Page Ref: 201-202
Cognitive Level: Applying
Client Need & Sub: Physiological Integrity: Physiological Adaptation
Standards: QSEN Competencies: I.A.3. Demonstrate comprehensive understanding of the concepts of pain and suffering, including physiologic models of pain and comfort | AACN Essentials Competencies: IX.3. Implement holistic, patient-centered care that reflects an understanding of human growth and development, pathophysiology, pharmacology, medical management and nursing management across the health-illness continuum, across lifespan, and in all healthcare settings | NLN Competencies: Context and Environment; Practice-Know-How; Apply evidence to support decision making in situations characterized by ambiguity and uncertainty | Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 9.2 Describe the theories about, physiology of, pathways of, and modulation of pain.
MNL Learning Outcome: 1. Examine the pathophysiology, incidence, risk factors, and clinical manifestations for patients in pain.
43) A patient with bone pain complains that the pain is more intense when being repositioned in bed. For which type of pain should the nurse plan care?
1. Central
2. Incident
3. Nociceptive
4. Neuropathic
Page Ref: 205
Cognitive Level: Applying
Client Need & Sub: Physiological Integrity: Physiological Adaptation
Standards: QSEN Competencies: I.A.3. Demonstrate comprehensive understanding of the concepts of pain and suffering, including physiologic models of pain and comfort | AACN Essentials Competencies: IX.3. Implement holistic, patient-centered care that reflects an understanding of human growth and development, pathophysiology, pharmacology, medical management and nursing management across the health-illness continuum, across lifespan, and in all healthcare settings | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 9.3 Differentiate definitions and characteristics of acute, chronic, breakthrough, nociceptive, and neuropathic pain.
MNL Learning Outcome: 3. Analyze assessment data to determine a plan of care for patients in pain.
44) After completing an assessment, the nurse determines that a patient experiencing pain should avoid taking NSAIDs. What information caused the nurse to make this determination? Select all that apply.
1. The patient takes medication for peptic ulcer disease.
2. The patient has a pacemaker inserted for atrial fibrillation.
3. The patient had a total hip and total knee replacement a year ago.
4. The patient takes medication and vitamin K for a clotting disorder.
5. The patient performs peritoneal self-dialysis for chronic kidney failure.
Page Ref: 208
Cognitive Level: Analyzing
Client Need & Sub: Physiological Integrity: Pharmacological and Parenteral Therapies
Standards: QSEN Competencies: I.A.3. Demonstrate comprehensive understanding of the concepts of pain and suffering, including physiologic models of pain and comfort | AACN Essentials Competencies: IX.3. Implement holistic, patient-centered care that reflects an understanding of human growth and development, pathophysiology, pharmacology, medical management and nursing management across the health-illness continuum, across lifespan, and in all healthcare settings | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Diagnosis
Learning Outcome: 9.5 Describe interprofessional care, nursing care, and transitions of care for patients in pain.
MNL Learning Outcome: 4. Determine appropriate nursing interventions for patients in pain.
45) A patient with chronic pain is prescribed an anticonvulsant medication. What should the nurse instruct the patient to expect when taking this medication? Select all that apply.
1. Less nausea
2. Reduced pain
3. Improved sleep
4. Improved mobility
5. Reduced urine output
Page Ref: 212
Cognitive Level: Applying
Client Need & Sub: Physiological Integrity: Pharmacological and Parenteral Therapies
Standards: QSEN Competencies: I.A.3. Demonstrate comprehensive understanding of the concepts of pain and suffering, including physiologic models of pain and comfort | AACN Essentials Competencies: IX.7. Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in their care | NLN Competencies: Relationship-Centered Care; Practice-Know-How; Communicate information effectively | Nursing/Integrated Concepts: Nursing Process: Implementation/Teaching/Learning
Learning Outcome: 9.5 Describe interprofessional care, nursing care, and transitions of care for patients in pain.
MNL Learning Outcome: 4. Determine appropriate nursing interventions for patients in pain.
46) A patient is prescribed hydrocodone (Vicodin) for severe tooth pain. What should the nurse instruct the patient about taking this mediation? Select all that apply.
1. Avoid all alcohol.
2. Do not operate machinery.
3. Expect some respiratory depression.
4. Increase the intake of fluids and fiber.
5. Do not take with over-the-counter medications.
Page Ref: 212
Cognitive Level: Applying
Client Need & Sub: Physiological Integrity: Pharmacological and Parenteral Therapies
Standards: QSEN Competencies: I.A.3. Demonstrate comprehensive understanding of the concepts of pain and suffering, including physiologic models of pain and comfort | AACN Essentials Competencies: IX.7. Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in their care | NLN Competencies: Relationship-Centered Care; Practice-Know-How; Communicate information effectively | Nursing/Integrated Concepts: Nursing Process: Implementation/Teaching/Learning
Learning Outcome: 9.5 Describe interprofessional care, nursing care, and transitions of care for patients in pain.
MNL Learning Outcome: 4. Determine appropriate nursing interventions for patients in pain.
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