ECU Nursing Process Exam #4

Questions and Answers

Why is it most important for the nurse to understand the various ways in which pain is classified?

So that he can develop an effective pain management plan. (correct)

So that he can educate the client thoroughly.

So that he can be clear in his communication with the physician.

So that he can document the client's pain using accurate terms.

When assessing a confused client to determine their level of pain, the nurse should:

Observe the client carefully for changes in behavior or vital signs. (correct)

Be aware that confused clients don't feel as much pain due to their confusion.

Use only pain scales that feature numbers or 'faces' the client can point to.

Ask the client's family how much pain the client normally has.

In relation to Mr. Xenobia's long-acting morphine, what is an appropriate response by the nurse regarding his increased pain?

I'm worried if we increase your dose that you will stop breathing.

I'll call the physician and ask for an increased dose. (correct)

If you take more morphine, it will not change your pain effect.

The amount you are taking now is all I can give you.

What does the difference in pain management experiences between Mr. Mitchell and Mr. Farrell illustrate?

Patient's pain tolerance. Signup and view all the answers

What question would the nurse first ask the patient when establishing a plan for pain control?

How does the presence of this pain affect your life? Signup and view all the answers

The use of percutaneous electrical stimulation as an effective means to control pain is based on which theory?

Gate-control theory. Signup and view all the answers

Based on his injury, which type of pain is a 73-year-old patient with a right hip fracture most likely experiencing?

Deep somatic. Signup and view all the answers

Which pain management task can the nurse safely delegate to nursing assistive personnel?

Asking about pain during vital signs. Signup and view all the answers

Study Notes

Pain Classification and Management

Understanding pain classification is essential for developing effective pain management plans.
Different modalities in pain treatment depend on how pain is classified.

Assessing Pain in Confused Patients

Confused clients may still experience pain, requiring careful observation.
Changes in behavior or vital signs can be indicators of pain in nonverbal patients.

Opioid Dosage and Cancer Pain Management

Patients with chronic pain may develop tolerance to opioids, necessitating dosage adjustments.
Communication with physicians is important for addressing increased pain and potential dosage increases.

Pain Tolerance Variations

Individual differences in pain tolerance can explain varying responses to similar pain levels.
Personalities influence how pain is perceived and tolerated by patients.

Pain Control Planning

The patient's perception of pain is crucial to forming an effective pain management plan.
Questions about the pain's impact on life help gauge the severity and importance of pain control.

Pain Control Theories

Percutaneous electrical stimulation's effectiveness in pain control is rooted in the gate-control theory.

Types of Pain in Specific Injuries

Deep somatic pain is associated with injuries like hip fractures, originating in bones and connective tissues.
Understanding pain types helps in assessing and managing patient pain accurately.

Delegation of Pain Management Tasks

Certain pain management responsibilities can be delegated to nursing assistive personnel, such as asking about pain during vital sign checks.
Evaluation of pain management effectiveness and care planning should remain with the nurse.

Description

This quiz focuses on the key concepts related to the nursing process, specifically pain classification and its implications for effective pain management. It's designed for nursing students to assess their understanding and application of pain management strategies in clinical settings.