Chapter 27 Pain Management

Chapter 27  Pain Management

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. Who is the MOST consistent health team member involved in client pain management?
a.
anesthesiologist
c.
pharmacist
b.
nurse
d.
physician

ANS: B
Nurses can use a variety of tools to assess location, intensity, and quality of pain; factors precipitating and alleviating pain; and the impact of pain on a person’s quality of life.

PTS: 1 DIF: Knowledge REF: White (2010)

2. Which of these data provide the MOST accurate information about the pain a client is experiencing?
a.
objective changes in vital signs such as increased respiratory rate, heart rate, and blood pressure
b.
the amount of tissue damage actually occurring or already present
c.
facial expressions and level of mobility
d.
self-report

ANS: D
Although many factors contribute to individual responses to pain, the nurse’s primary consideration when assessing pain is that the client is the only authority about the existence and nature of his or her pain.

PTS: 1 DIF: Comprehension REF: White (2010)

3. A client who had a myocardial infarction yesterday has pain medication ordered PRN for discomfort or agitation. The evening nurse’s initial assessment indicates the client has not received any pain medications all day. Vital signs are within normal limits, but the client is sweating profusely. Smiling, the client informs the nurse that he has been experiencing some pain since early morning. Which of these actions should the nurse take?
a.
Administer the largest dose of pain medication allowed, since the client has not received it all day.
b.
Administer the minimum dose of pain medication, and reassess the client’s level of pain 30 minutes after administration and again at the minimal time interval for repeat dosing.
c.
Continue to withhold the ordered pain medication because vital signs are within normal limits and the client is smiling.
d.
Encourage the client to continue to do without ordered pain medication to avoid addiction.

ANS: B
The measures the client thinks will be most effective should be used, including nontraditional measures such as folk remedies. Other interventions may be used on a trial-and-error basis until pain relief is achieved. The second principle is to use a preventive approach. This means that the nurse should seek to initiate interventions when the client’s pain is mild or when it is anticipated, rather than waiting until the pain becomes severe.

PTS: 1 DIF: Application REF: White (2010)

4. Which of these statements about acute pain is TRUE?
a.
It is most often described as dull, diffuse, and aching.
b.
Its onset is sudden and of relatively short duration.
c.
It increases as healing occurs.
d.
It is usually nonspecific in nature.

ANS: B
Acute pain has a sudden onset and a comparatively short duration, ranging in intensity from mild to severe, with the intensity usually decreasing over time. This type of pain is usually localized and associated with some pathological change in the body, such as an injury. Acute pain experiences range from a simple headache to postoperative pain and include many other experiences that occur throughout the life span.

PTS: 1 DIF: Comprehension REF: White (2010)

5. Which of these statements about chronic pain is TRUE?
a.
It is accompanied by elevated heart rate, respiratory rate, and blood pressure.
b.
It occurs for at least 6 months.
c.
It is usually described as sharp but is difficult to pinpoint.
d.
Its signs and symptoms are often similar to depression.

ANS: D
Chronic pain is persistent or recurrent and lasts for more than 6 months; it may continue after the initiating cause has been resolved. For example, low-back pain may linger after an initial back injury that occurred when the person lifted a heavy object. Chronic acute pain occurs on a daily basis over an extended time period, such as the pain associated with the pathophysiology of cancer.

PTS: 1 DIF: Comprehension REF: White (2010)