Chapter 8 Adult Nursing

Pain has been defined as "whatever the person experiencing the pain says it is, existing whenever the patient says it does." This definition is problematic for the nurse when caring for which type of patient?
a. A patient placed on a ventilator
b. A patie

C

One the first postoperative day following a bowel resection, the patient complains of abdominal and incisional pain rated 9 on a scale of 0 to 10. Postoperative orders include morphine (4 g IV q4hr) for pain and may repeat morphine (4 mg IV) for breakthro

C

Once generated, what may block the transmission of an action potential along a peripheral along a peripheral nerve fiber to the dorsal root of the spinal cord?
a. Nothing can stop the action potential along an intact nerve until it reaches the spinal cord

C

A patient comes to the clinic with a complaint of a dull pain in the anterior and posterior neck. On examination, the nurse notes that the patient has full range of motion (ROM) of the neck and no throat redness or enlarged head or neck lymph nodes. What

A

While caring for an unconscious patient, the nurse discovers a stage 2 pressure ulcer on the patient's perception of pain?
a. The patient will have a behavioral response if pain is perceived
b. The area should be treated as a painful lesion, using gentle

B

Amitriptyline is prescribed for a patient with chronic pain from fibromyalgia. When the nurse explains that this drug is an antidepressant, the patient states that she is in pain, no depressed. What is the nurse's best response to the patient?
a. Antidepr

C

A patient with trigeminal neuralgia has moderate to sever burning and shooting pain. In helping the patient to manage the pain, the nurse recognizes what about this type of pain?
a. Includes treatment with adjuvant analgesics
b. Will be chronic and requir

A

A patient with advanced colorectal cancer has continuous, poorly localized abdominal pain at an intensity of 5 on a scale of 0 to 10. How does the nurse teach the patient to use pain med medications?
a. On a around-the-clock schedule
b. As often as necess

A

A patient who has been taking ibuprofen and imipramine (Tofranil) for control of cancer pain is having increased pain. What would nurse recommend to the HCP as an appropriate change in the medication plan?
a. Add PO oxycodone to the other medications
b. S

A

A patient with chronic cancer-related pain has strated using MS Contin for pain control and has developed common side effects of the drug. The nurse reassures the patient that tolerance will develop to most of these side effects but that continued treatme

C

A postoperative 68 yr old oopioid-naive patient is receiving morphine by patient-controlled analgesia (PCA) for postoperative pain. What is the rationale for not initiating the PCA analgesic with basal dose of analgesic as well?
a. Opioid overdose
b. Naus

D

Which measures of drugs may be effective in controlling pain in the physiologic pain process stage of transduction (select all that apply)?
a. distraction
b. corticosteroids
c. epidural opioids
d. local anesthetics
e. antiseizure medications
f. Nonsteroid

b, d, e, f

A patient is receiving a continuous infusion of morphine via and epideral catheter following major abdominal surgery. Which actions should the nurse include in the plan of care (select all that apply)?
a. label the catheter as an epidural access
b. assess

a, b, c, d, e, f

A patient with multiple injuries resulting from an automobile accident tells the nurse that he has "bad" pain but that he can "tough it out" and does not require pain medication. To gain the patient's participation in pain management, what is most importa

b

The patient has chronic pain that is no longer relieved with oral morphine. Which medication would the nurse expect to be ordered to provide better pain relief for this patient?
a. Fentanyl
b. Hydrocodone
c. Intranasal butorphanol
d. Morphine sustained-re

A

After the family members of a postoperative patient leave, the patient tells the nurse that his family gave him a headache by fussing over him so much. What is an appropriate intervention by the nurse?
a. Administer the PRN analgesic prescribed for this p

B