Chapter 31 Pain

Chapter 31  Pain

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. A patient suddenly develops right lower-quadrant pain, nausea, vomiting, and rebound tenderness. How should the nurse classify this patient’s pain?
a)
Acute
b)
Chronic
c)
Intractable
d)
Neuropathic

ANS: A
Acute pain typically has a short duration and a rapid onset. Chronic pain lasts longer than 6 months and interferes with daily activities. Intractable pain is chronic and highly resistant to relief. Neuropathic pain is a type of chronic pain that occurs from injury to one or more nerves.

Difficulty: Easy
Nursing Process: Assessment
Client Need: PHSI
Cognitive Level: Comprehension

PTS: 1

2. How should the nurse classify pain that a patient with lung cancer is experiencing?
a)
Radiating
b)
Deep somatic
c)
Visceral
d)
Referred

ANS: A
Deep somatic pain originates in the ligaments, tendons, nerves, blood vessels, and bones. Deep somatic pain is localized and can be described as achy or tender. Cutaneous pain occurs in the superficial layers of the skin or subcutaneous tissue. Radiating pain starts at the source and extends to other locations. Visceral pain is commonly experienced in the abdominal cavity, cranium, or thorax. Visceral pain is not well localized and can be described as tight, pressure, or crampy pain.

Difficulty: Moderate
Nursing Process: Assessment
Client Need: PHSI
Cognitive Level: Comprehension

PTS: 1

3. A patient who underwent a left above-the-knee amputation reports pain in his left foot. The nurse should document this finding as what type of pain?
a)
Psychogenic
b)
Phantom
c)
Referred
d)
Radiating

ANS: B
The nurse should document this finding as phantom pain. Phantom pain is pain that is perceived to originate in an area that has been amputated. Psychogenic pain refers to pain experienced by a person that does not match the symptoms or the apparent source of pain. It is thought to arise from psychological factors and is disproportional to the painful stimuli. Referred pain occurs in an area distant from the original site. Radiating pain starts at the source but extends to other locations.

Difficulty: Easy
Nursing Process: Implementation
Client Need: PHSI
Cognitive Level: Comprehension

PTS: 1

4. A patient who sustained a leg laceration in an industrial accident is brought to the emergency department. The area around the laceration is red, swollen, and tender. Which substance is responsible for causing this response?
a)
Histamine
b)
Prostaglandin
c)
Bradykinin
d)
Serotonin

ANS: C
Tissue damage causes the release of the substances histamine, bradykinin, and prostaglandin. Bradykinin triggers the release of inflammatory chemicals that cause the injured area to become red, swollen, and tender. Serotonin is a neurotransmitter and not involved in the inflammatory response.

Difficulty: Difficult
Client Need: PHSI
Cognitive Level: Application

PTS: 1

5. In which process do peripheral nerves carry the pain message to the dorsal horn of the spinal cord?
a)
Transduction
b)
Transmission
c)
Perception
d)
Modulation

ANS: B
Peripheral nerves carry the pain message to the dorsal horn of the spinal cord during a process known as transmission. In a process called transduction, specialized nociceptors convert potentially damaging mechanical, thermal, and chemical stimuli into electrical activity that leads to the experience of pain. Perception involves the recognition of pain by the frontal cortex of the brain. During modulation, pain signals can be facilitated or inhibited, and the perception of pain can be changed.

Difficulty: Difficult
Client Need: PHSI
Cognitive Level: Knowledge

PTS: 1