Question 1

The nurse receives the patient in the postanesthesia recovery unit and assesses the epidural analgesic infusion.Which is the nurse's priority?

Accepted Answer

A)   The filter needle is attached to the catheter tubing.
B)   The distal end of the tubing is attached to the catheter.
C)   The infusion contains an opioid and a local anesthetic.
D)   The pump settings match the provider prescription.E) None of the above
F) A) and B)

Question 2

The patient who receives morphine sulfate intravenously by patient-controlled analgesia (PCA) tells the nurse that the pain level is 8 on a scale of 0 to 10.Which is the best intervention for the nurse?

Accepted Answer

A)   Check the volume of morphine in the PCA syringe.
B)   Check the frequency of patient-controlled dosing.
C)   Collaborate with the provider to increase basal rate.
D)   Instruct the family to activate the patient-controlled dose.E) B) and C)
F) All of the above

Question 3

The patient received treatment for a sprained ankle and is receiving home care instructions regarding cold therapy.Which instructions should the nurse include?

Accepted Answer

A)   Place the gel pack on the ankle for 30 minutes every 4 hours for the first 48 hours after the injury.
B)   Wrap the ankle with a lightweight cloth before applying the ice bag to it.
C)   Wrap the elastic bandage firmly before applying the ice to the ankle.
D)   Immerse the foot in a pan of ice water every 4 hours for as long as the patient can wiggle his toes.E) C) and D)
F) A) and B)

Question 4

The nurse prepares to administer patient-controlled analgesia (PCA)  to a patient. Rank the nursing interventions in sequential order.

-5. Step 1

Accepted Answer

A)   Allow the patient to depress the PCA system button before infusion begins.
B)   Prime the tubing with medication from the drug reservoir.
C)   Instruct the patient that lockout time prevents overdose.
D)   Insert the PCA tubing into the injection port nearest the patient.E) None of the above
F) A) and C)

Question 5

The nurse caring for a female patient 1 day after a thoracotomy assesses that the patient is in pain,but the patient states that she has no pain.Which does the nurse use to confirm the patient's pain?(Select all that apply.)

Accepted Answer

A)   Facial grimacing during linen changes
B)   Eats a full liquid diet without assistance
C)   Uses the incentive spirometer every hour
D)   Patient's culture forbids complaints of pain
E)   Has received nothing for pain since surgeryF)  Heart rate 110, blood pressure 169/90G) A) and B)
H) All of the above

Question 6

The nurse admits a patient with left hand and wrist cellulitis.Which action does the nurse take when applying dry heat to the area using an aquathermia pad?

Accepted Answer

A)   Keeps the fluid chamber in the device empty
B)   Covers the pad with a towel or pillowcase
C)   Positions the patient directly on the pad
D)   Sets the aquathermia temperature at 36.6° C (98° F) E) None of the above
F) A) and B)

Question 7

MATCHING
The nurse prepares to administer pain medication to a patient. Place the following nursing interventions in order, beginning with the initial action of the nurse to administer pain medication safely.

-4. Step 4

Accepted Answer

A)  Compare routes on an equianalgesic chart.
B)  Determine the patient response to analgesia.
C)  Ask the patient to rate the pain a scale of 1 to 10.
D)  Check the last analgesia administration time.E) All of the above
F) C) and D)

Question 8

The patient has metastatic bone pain from cancer with nausea and vomiting after receiving periodic opioid analgesia intravenously.Which can the nurse implement to manage the patient's pain effectively without nausea and vomiting?

Accepted Answer

A)   Dispense the opioid 30 minutes after providing food.
B)   Combine the opioid with an antiemetic or antihistamine.
C)   Collaborate with the healthcare provider for around-the-clock analgesia.
D)   Replace the analgesic with a nonsteroidal anti-inflammatory agent.E) All of the above
F) A) and C)

Question 9

The nurse assesses the patient and realizes that patient pain is interfering with postoperative therapies.Which does the nurse determine before using medication and relaxation techniques simultaneously to reduce patient pain? (Select all that apply.)

Accepted Answer

A)   The patient has used guided imagery in the past successfully.
B)   Nonpharmacological relaxation methods appeal to the patient.
C)   The patient moves in the bed and disrupts the nurse incessantly.
D)   The provider plans to discharge the patient to home in 2 days.
E)   The patient understands written information on relaxation techniques.F)  The patient cannot receive additional analgesia for unresolved pain.G) A) and E)
H) A) and B)

Question 10

The patient who receives patient-controlled analgesia (PCA) with an opioid analgesic reports that the pain level is 9 on a scale of 0 to 10.Which does the nurse implement to increase patient pain control?

Accepted Answer

A)   Elevates the head of the bed (HO
B)   to 30 degrees
B)   Increases the interval between demand doses
C)   Increases the demand and the basal doses
D)   Checks patient manipulation of the PCA buttonE) A) and B)
F) A) and C)

Question 11

The patient complains of a slight burning-like pain and numbness on the skin under a cold compress.Which action should the nurse take immediately?

Accepted Answer

A)   Reassure the patient that some numbness is expected.
B)   Assess the entire patient before continuing the treatment.
C)   Remove the compress and assess the affected area.
D)   Provide a warm blanket for the patient's treatment.E) B) and D)
F) B) and C)

Question 12

A patient is receiving care for a soft tissue sports injury.Which explanation by the nurse explains part of the treatment using the acronym PRICE?

Accepted Answer

A)   "I'll be alternating ice and heat to the injured area."
B)   "You'll be exercising with ice packs for a while."
C)   "Rest is indicated before and after cold treatments."
D)   "The cold therapy decreases venous congestion."E) B) and C)
F) A) and B)

Question 13

The nurse prepares to administer patient-controlled analgesia (PCA)  to a patient. Rank the nursing interventions in sequential order.

-6. Step 2

Accepted Answer

A)   Allow the patient to depress the PCA system button before infusion begins.
B)   Prime the tubing with medication from the drug reservoir.
C)   Instruct the patient that lockout time prevents overdose.
D)   Insert the PCA tubing into the injection port nearest the patient.E) All of the above
F) B) and D)

Question 14

The school nurse provides first aid to the 10-year-old student with a new uncomplicated arm fracture.The nurse wants to provide nonpharmacological pain relief and minimize regional edema.Which first-aid treatment does the nurse provide for the patient?

Accepted Answer

A)   A cold compress
B)   A covered ice bag
C)   An aquathermia pad
D)   A moist heat compressE) A) and B)
F) B) and D)

Question 15

The nurse prepares an oral opioid analgesic for the patient who has dementia and pain.After checking the patient's medication administration record (MAR) for the last administration time and the patient's response to pain medication,the nurse chooses the correct analgesic and compares the patient's picture and wristband to the medical record.Which is the most important intervention for the nurse to implement before administering pain medication to the patient?

Accepted Answer

A)   Fill the pitcher with water.
B)   Record the administration time.
C)   Check the medication dose.
D)   Help the patient to sit upright.E) A) and B)
F) A) and D)

Exam 13: Pain Management

MATCHING The nurse prepares to administer pain medication to a patient. Place the following nursing interventions in order, beginning with the initial action of the nurse to administer pain medication safely. -4. Step 4

Correct Answer
verified

The patient received treatment for a sprained ankle and is receiving home care instructions regarding cold therapy.Which instructions should the nurse include?

Correct Answer
verified

The nurse admits a patient with left hand and wrist cellulitis.Which action does the nurse take when applying dry heat to the area using an aquathermia pad?

Correct Answer
verified

The nurse caring for a female patient 1 day after a thoracotomy assesses that the patient is in pain,but the patient states that she has no pain.Which does the nurse use to confirm the patient's pain?(Select all that apply.)

Correct Answer
verified

The nurse assesses the patient and realizes that patient pain is interfering with postoperative therapies.Which does the nurse determine before using medication and relaxation techniques simultaneously to reduce patient pain? (Select all that apply.)

Correct Answer
verified

The school nurse provides first aid to the 10-year-old student with a new uncomplicated arm fracture.The nurse wants to provide nonpharmacological pain relief and minimize regional edema.Which first-aid treatment does the nurse provide for the patient?

Correct Answer
verified

The patient who receives patient-controlled analgesia (PCA) with an opioid analgesic reports that the pain level is 9 on a scale of 0 to 10.Which does the nurse implement to increase patient pain control?

Correct Answer
verified

The nurse receives the patient in the postanesthesia recovery unit and assesses the epidural analgesic infusion.Which is the nurse's priority?

Correct Answer
verified

The nurse prepares to administer patient-controlled analgesia (PCA) to a patient. Rank the nursing interventions in sequential order. -6. Step 2

Correct Answer
verified

Correct Answer
verified

The nurse prepares to administer patient-controlled analgesia (PCA) to a patient. Rank the nursing interventions in sequential order. -5. Step 1

Correct Answer
verified

The patient who receives morphine sulfate intravenously by patient-controlled analgesia (PCA) tells the nurse that the pain level is 8 on a scale of 0 to 10.Which is the best intervention for the nurse?

Correct Answer
verified

The patient complains of a slight burning-like pain and numbness on the skin under a cold compress.Which action should the nurse take immediately?

Correct Answer
verified

The patient has metastatic bone pain from cancer with nausea and vomiting after receiving periodic opioid analgesia intravenously.Which can the nurse implement to manage the patient's pain effectively without nausea and vomiting?

Correct Answer
verified

A patient is receiving care for a soft tissue sports injury.Which explanation by the nurse explains part of the treatment using the acronym PRICE?

Correct Answer
verified

Exam 13: Pain Management

MATCHING The nurse prepares to administer pain medication to a patient. Place the following nursing interventions in order, beginning with the initial action of the nurse to administer pain medication safely. -4. Step 4

Correct AnswerverifiedShow Answer

The patient received treatment for a sprained ankle and is receiving home care instructions regarding cold therapy.Which instructions should the nurse include?

Correct AnswerverifiedShow Answer

The nurse admits a patient with left hand and wrist cellulitis.Which action does the nurse take when applying dry heat to the area using an aquathermia pad?

Correct AnswerverifiedShow Answer

The nurse caring for a female patient 1 day after a thoracotomy assesses that the patient is in pain,but the patient states that she has no pain.Which does the nurse use to confirm the patient's pain?(Select all that apply.)

Correct AnswerverifiedShow Answer

The nurse assesses the patient and realizes that patient pain is interfering with postoperative therapies.Which does the nurse determine before using medication and relaxation techniques simultaneously to reduce patient pain? (Select all that apply.)

Correct AnswerverifiedShow Answer

The school nurse provides first aid to the 10-year-old student with a new uncomplicated arm fracture.The nurse wants to provide nonpharmacological pain relief and minimize regional edema.Which first-aid treatment does the nurse provide for the patient?

Correct AnswerverifiedShow Answer

The patient who receives patient-controlled analgesia (PCA) with an opioid analgesic reports that the pain level is 9 on a scale of 0 to 10.Which does the nurse implement to increase patient pain control?

Correct AnswerverifiedShow Answer

The nurse receives the patient in the postanesthesia recovery unit and assesses the epidural analgesic infusion.Which is the nurse's priority?

Correct AnswerverifiedShow Answer

The nurse prepares to administer patient-controlled analgesia (PCA) to a patient. Rank the nursing interventions in sequential order. -6. Step 2

Correct AnswerverifiedShow Answer

Correct AnswerverifiedShow Answer

The nurse prepares to administer patient-controlled analgesia (PCA) to a patient. Rank the nursing interventions in sequential order. -5. Step 1

Correct AnswerverifiedShow Answer

The patient who receives morphine sulfate intravenously by patient-controlled analgesia (PCA) tells the nurse that the pain level is 8 on a scale of 0 to 10.Which is the best intervention for the nurse?

Correct AnswerverifiedShow Answer

The patient complains of a slight burning-like pain and numbness on the skin under a cold compress.Which action should the nurse take immediately?

Correct AnswerverifiedShow Answer

The patient has metastatic bone pain from cancer with nausea and vomiting after receiving periodic opioid analgesia intravenously.Which can the nurse implement to manage the patient's pain effectively without nausea and vomiting?

Correct AnswerverifiedShow Answer

A patient is receiving care for a soft tissue sports injury.Which explanation by the nurse explains part of the treatment using the acronym PRICE?

Correct AnswerverifiedShow Answer

Correct Answer
verified

Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
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