Chapter 31 Pain Management

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Chapter 31  Pain Management

 

 

Complete Chapter Questions And Answers
 

Sample Questions

 

MULTIPLE CHOICE

1. Kelly is a 17-year-old paraplegic patient who lost the use of his legs as a result of a spinal cord injury that he suffered when he was involved in a four-wheeler accident. Which of the following is one of the most important topics for patient teaching to prevent him from further injury?
A.
Reminding him that he can be injured and not feel pain below his waist
B.
Suggesting that his parents purchase a motorized wheelchair to prevent arm muscle strain
C.
Providing precautions against taking too much pain medication
D.
Reminding him to drink plenty of fluids to maintain hydration

ANS: A
Some patients (e.g., some with spinal cord injuries) are unable to sense painful stimuli. You must take special precautions to protect them from additional injury.

PTS: 1 DIF: Cognitive Level: Analysis REF: 873
OBJ: Describe the physiology of pain TOP: Nursing Process: Implementation
MSC: Client Needs: Physiological Integrity

2. Nellie is a student nurse who is working for a diabetes unit. Her nurse manager has prepared a very thorough orientation for her, which includes check-offs for taking vital signs. Nellie’s nurse manager has told her that their hospital has adopted the Joint Commission’s pain standard and that they will be assessing five vital signs. Nellie knows that the fifth vital sign is:
A.
arterial blood gasses.
B.
blood sugar.
C.
blood pressure.
D.
pain.

ANS: D
The Joint Commission has a pain standard that requires health care workers to assess all patients for pain on a regular basis. Many health care institutions have adopted this standard by recommending pain as a “fifth vital sign.”

PTS: 1 DIF: Cognitive Level: Application REF: 873
OBJ: Assess a patient experiencing pain TOP: Nursing Process: Implementation
MSC: Client Needs: Safe and Effective Care Environment

3. Kevin is a registered nurse who works for the emergency department. He sees a lot of patients who seek services due to pain. One of the things that Kevin learned in nursing school and has been validated in his practice is that pain is:
A.
caused by a single physiological sensation.
B.
due to a specific stimulus.
C.
subjective.
D.
universally the same for everyone.

ANS: C
Pain is more than a single physiological sensation caused by a specific stimulus. It is subjective and highly individualized. The person having pain is the only authority on it.

PTS: 1 DIF: Cognitive Level: Application REF: 873
OBJ: Assess a patient experiencing pain TOP: Nursing Process: Assessment
MSC: Client Needs: Physiological Integrity

4. Rhonda has been a registered nurse for more than 20 years. She has had a lot of experience caring for postsurgical patients. When Theresa, a student nurse, asked Rhonda why many of the seasoned nurses working on the surgical unit don’t give their patients the full amount of pain medication ordered by the surgeon, Rhonda replied that the literature shows that many nurses don’t give the full amount of pain medication because they:
A.
do not believe that the patient is experiencing that much pain.
B.
do not want to contribute to pain medication addiction.
C.
believe that limiting the amount of pain medication lowers costs.
D.
are concerned about drug interactions with pain medication and other postsurgical medications.

ANS: B
Many nurses avoid acknowledging a patient’s pain because of their own fear of contributing to addiction. These fears and beliefs lead to mistrust between the nurse and patient, increased patient recovery time, increased complications and mortality, increased psychological problems, and increased cost.

PTS: 1 DIF: Cognitive Level: Application REF: 892
OBJ: Discuss nursing implications for administering analgesics
TOP: Nursing Process: Planning
MSC: Client Needs: Safe and Effective Care Environment

5. When a person touches a hot stove, the resulting cellular damage causes a reaction that converts the stimuli into a pain impulse. What is the term for this conversion?
A.
Transduction
B.
Transmission
C.
Perception
D.
Modulation

ANS: A
Cellular damage from various stimuli release pain-producing substances, such as histamine, bradykinin, and potassium, which cause an action potential on nociceptors, converting the original stimuli into a pain impulse known as transduction.

PTS: 1 DIF: Cognitive Level: Knowledge REF: 873
OBJ: Describe the physiology of pain TOP: Nursing Process: Assessment
MSC: Client Needs: Physiological Integrity

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