EAQ #6 Week 4

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Which statement by the nurse that works in a postsurgical ward, indicates a common misconception about pain? Select all that apply.

Psychogenic pain is not real. (correct)

Chronic pain is not psychological.

Administering analgesics regularly leads to drug addiction. (correct)

Patients who abuse substances overreact to discomfort. (correct)

A patient is in the first postoperative day after a nephrectomy. The patient is receiving morphine through a patient-controlled analgesic (PCA) device for management of pain. The nurse decides to use the ABCDE approach while assessing and managing pain for this patient. Which component of the ABCDE approach is correct? Select all that apply.

Ask about the pain regularly. (correct)

Believe the patient about the pain. (correct)

Choose pain control options appropriate for the patient. (correct)

Evaluate pain control methods regularly.

Which statement by the patient who is under treatment for cocaine dependence indicates a need for further teaching?

"Physical dependence is a state of adaptation."

"Physical dependence is a neurobiological disease."

"Physical dependence is the same as experiencing addiction." (correct)

"Physical dependence has withdrawal symptoms like chills and stomach pain."

A registered nurse is teaching a nursing student about various non pharmacological pain management interventions. Which statement by the the student indicates a need for further teaching?

"Guided imagery provides effective pain relief for a patient who has acute appendicitis." Signup and view all the answers

A registered nurse is teaching a nursing student about using non steroidal anti-inflammatory drug (NSAIDS) for pain management, Which statement by the student indicates a need for further teaching?

"NSAIDs work by depressing the central nervous system." Signup and view all the answers

Which pain management method is considered a non pharmacological complementary and alternative intervention?

Therapeutic touch Signup and view all the answers

What chemical do non steroidal antiinflammatory drugs (NSAIDs) react with?

Prostaglandin Signup and view all the answers

Which type of pain-management therapy is preferred for relieving chronic cancer pain?

Epidural analgesia Signup and view all the answers

The nurse has conducted an informative session on discouraging pseudo addiction to group of people in a community, Which group of patients would be the main target for the nurse's teachings?

Patients who repeatedly seek multiple medical opinions for chronic pain relief Signup and view all the answers

The nursing instructor asks the student nurse too differentiate between A-delta and C peripheral nerve fibers. Which statement by the student nurse indicates effective learning?

"The A-delta fibers are myelinated, and the C fibers are unmyelinated." Signup and view all the answers

Which inhibitory neurotransmitter of pain is in the brain? Select all that apply.

Serotonin Signup and view all the answers

Which pain management is considered the best-tolerated and safest analgesic?

Acetaminophen Signup and view all the answers

Which reason would a health care provider have for prescribing acetylcysteine to a patient who is on pharmacological pain management therapy?

Overdose of acetaminophen Signup and view all the answers

Which analgesic drug depresses the central nervous system?

Fentanyl Signup and view all the answers

The nurse is assessing a patient who has sustained severe injuries in a motor vehicle accident. The patient is in severe pain and is diaphoretic. On assessment, the patient[s heart rate is increased, pupils are dilated, and blood pressure is decreased. Which finding is caused by then stimulation of the parasympathetic nervous system?

Decrease in blood pressure Signup and view all the answers

While treating a patient, the health care provider encourages the patient to watch funny videos. Which pain management technique is this an example of?

Distraction Signup and view all the answers

Which type of pain management is cold application?

Cutaneous stimulation Signup and view all the answers

Which condition is an example of a polyneuropathy

Diabetic neuropathy Signup and view all the answers

Which topical analgesic is effective for relieving postherpetic neuralgia in adults?

Lidocaine patch Signup and view all the answers

Which statement is true regarding opiates for pain management?

Hydromorphone is available for both oral and intravenous administration. Signup and view all the answers

Which class of pain management drugs may interfere with bowel or bladder function?

Opioid analgesics Signup and view all the answers

Which statement about transcutaneous electrical nerve stimulation (TENS) is incorrect?

TENS is effective for chronic and postsurgical pain control. Signup and view all the answers

Which drug is the health care provider most likely to prescribe for a 65-year-old patient who is experiencing mild musculoskeletal pain.

acetaminophen Signup and view all the answers

Which information would the nurse include when teaching a group of caregivers about the concept of pain in older adults. Select all that apply.

Older patients underreport pain. Signup and view all the answers

What manifestation results from sympathetic stimulation in response to pain? Select all that apply.

increased heart rate Signup and view all the answers

The registered nurse is teaching a patient about the use of cold therapy in acute pain management. Which of the patient's statements indicates a need for further teaching?

"I will place ice between my thumb and index finger if I have shoulder pain" Signup and view all the answers

A patient who underwent abdominal surgery experiences constipation and severe cramping. Which nonpharmacological nursing interventions may provide relief to this patient? Select all that apply.

helping the patient walk Signup and view all the answers

Which medication for pain management might the health care provider avoid prescribing for a patient who has a history of asthma? Select all that apply.

Naproxen Signup and view all the answers

The registered nurse is teaching a nursing student about applying transcutaneous electrical nerve stimulation (TENS) to a patient. Which of the nursing student's statements indicate a need for further teaching? Select all that apply.

"I should use TENS on patients who have chronic cancer pain" Signup and view all the answers

The nurse is teaching a group of nursing students about concepts of pain in infants. Which information should the nurse include in the teaching? Select all that apply.

absorption of drugs is faster than expected Signup and view all the answers

Which statements about opioid analgesics for pain management are correct? Select all that apply.

opioid analgesics act on higher centers of the brain Signup and view all the answers

The nurse is reviewing the clinical data of four patients who are on pain management therapy. Which patient is at highest risk of renal insufficiency?

Patient B Signup and view all the answers

A patient with rheumatoid arthritis reports acute joint pain in the hand. Which intervention is inappropriate for providing pain relief?

collaborating with an occupational therapist to provide assistive devices for grooming Signup and view all the answers

Which adjuvant drug relieves pain caused by inflammation and bone metastasis?

corticosteroids Signup and view all the answers

Which adjuvant drugs are preferred for treating neuropathic pain?

anticonvulsants Signup and view all the answers

The patient is receiving morphine through a patient-controlled analgesia (PCA) device for the management of pain in the first postoperative day after a nephrectomy. The patient complains of pain in the shoulders. Which explanation would the nurse give to the patient regarding the referred pain?

It is pain that is sensed at a site away from its actual origin or pathology. Signup and view all the answers

the health care provider tells the nurse to administer a second drug to a patient already on oxycodone. Which drug would be safe for this patient?

acetaminophen Signup and view all the answers

Which intervention would the nurse perform first if a patient on morphine 10 mg/mL infusion therapy experiences severe respiratory depression?

Administering 0.4 mg of naloxone Signup and view all the answers

What are examples of neuropathic pain? Select all that apply.

Diabetic neuropathy Trigeminal neuralgia Nerve root compression Signup and view all the answers

Which statement describes an advantage of patient-controlled analgesia (PSA) that the nurse would teach the patient preparing to have surgery?

PCA allows self-administration of analgesics. Signup and view all the answers

Which statement is true about acute pain? Select all.

Acute pain has an identifiable cause. Signup and view all the answers

The registered nurse and a nursing student are discussing opioid pain management therapy and naloxone. Which statement by the student indicates a need for further teaching? Select all

"The infusion rate of an IV push of naloxone should be 0.5 m: for 1 minute." Signup and view all the answers

Which area of the body would the nurse avoid when providing massage for pain relief in a patient recovering from spinal surgery? Select all.

Legs Signup and view all the answers

Which type of pain management therapy causes a release of endorphins that can block the transmission of painful stimuli? select all.

Massage Signup and view all the answers

Which drugs may provide relief from bone pain? Select all.

calcitonin Signup and view all the answers

A patient in pain mentions a history of allergy to aspirin. Which drug might the health care team avoid in this patient? Select all.

naproxen Signup and view all the answers

a patient is in the first postoperative day after a nephrectomy. Which teaching would the nurse give the patient that is receiving morphine through a PCA device for management of pain?

opioids can be used safely in cases of moderate to severe pain Signup and view all the answers

The nurse is assessing the touch, pain, and temperature sensation of a patient who is diagnosed with diabetic neuropathy. Arrange in ascending order the parts of the central nervous system through which pain sensation is carried.

spinal cord, medulla, pons, midbrain, thalamus, cerebrum, Signup and view all the answers

A patient has had arthritic pain for 8 years. which question would the nurse ask to assess the patients pain? Select all

on a scale of 0 to 10 how high would you rate the pain? Signup and view all the answers

the nurse is assessing a patient who complains of back pain. After taking the patients history, the nurse does not expect the health care provider to recommend acetaminophen. Which patient statement led the nurse to this conclusion?

I was diagnosed with hep B 2 months ago Signup and view all the answers

a health care provider prescribes 10 mg of codeine every 4 hours to a patient who has chronic pain from cancer. However, after taking a second dose of the prescribed drug, the nurse notices that the patient is very drowsy and nauseous. Which dose alteration may provide effective pain relief while improving drowsiness and nausea?

5 mg codeine every 4 hours Signup and view all the answers