ch10.pdf - Chapter 10 Nursing Care of Patients in Pain Multiple Choice Identify the choice that best completes the statement or answers the question_1

ch10.pdf - Chapter 10 Nursing Care of Patients in Pain...

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Chapter 10. Nursing Care of Patients in Pain Multiple Choice Identify the choice that best completes the statement or answers the question. ____1. The nurse is preparing to assess a patient’s pain level. Which definition of pain should the nurse use to guide practice? a. Pain is whatever the experiencing person says it is. b. Pain is an unpleasant sensation caused by physical injury. c. Pain is a sensation that causes the patient to avoid its source. d. Pain is discomfort manifested by elevated vital signs and grimacing. ____2. The nurse answers a patient’s call for pain medication, only to find the patient laughing and joking with visitors. Which response by the nurse is appropriate? a. “You don’t need this pain medication after all, do you?” b. “I’ll bring your medication back later after your visitors are gone.” c. “I can see your pain is better. Call again when you need your medication.” d. “Would you like your visitors to step out while I give you your pain medication?” ____3. A nursing assistant, observing the licensed practical nurse (LPN) prepare medication for a patient asks why so much morphine is being provided since patients have quit breathing after receiving such a high dose. The patient has been receiving the same dose of medication for several days without respiratory compromise. Which response by the LPN is best? a. “I am a licensed professional and am able to decide what a safe dose is for my patient.” b. “You are correct; several days of this high a dose could be cumulative and cause problems.” c. “As long as I monitor the patient closely after giving the dose, breathing will not be affected.” d. “As long as the dose is increased gradually, patients develop tolerance to the side effects of morphine.” ____4. A patient has been on opioids for 3 months to control pain caused by injuries from a motor vehicle crash. The patient asks about the risk of withdrawal symptoms when the drugs are no longer needed. How should the nurse respond to the patient? a. “Ask your doctor for a sedative to get you through the worst of the withdrawal symptoms.” b. “As long as you taper the drug dose down slowly, you should not experience withdrawal symptoms.”
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c. “You would have to be on these drugs much longer than 3 months to have problems with withdrawal.” d. “You were using the drugs for legitimate pain, so you will not have to go through withdrawal when you stop them.” ____5. A patient has abdominal pain after gallbladder surgery. For which type of pain should the nurse provide care? a. Chronic b. Nociceptive c. Neuropathic d. Non-physiological ____6. A patient with terminal cancer describes a pain rating of 7 on a 0-to-10 scale. The nurse notes that the patient’s vital signs are unchanged and recalls that vital signs may be elevated with pain.
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