Question 1

_______________________ is a massage technique used on tense muscles to "knead" muscles,promote relaxation,and stimulate local circulation.

Accepted Answer

Pétrissage

Question 2

Pain that extends beyond the period of healing and often lacks an identified pathology is known as _______________.

Accepted Answer

chronic pain

Question 3

The _______________ is a potential space between the vertebral bones and the dura mater,the outermost meninges covering the brain and spinal cord.

Accepted Answer

epidural space

Question 4

The patient states that the patient-controlled analgesia (PCA) is not controlling his pain.The nurse checks the infusion setup and IV site and then evaluates the patient's ability to use the system.All looks in order.The nurse should notify the physician to:

Accepted Answer

A)  report suspected drug-seeking behavior.
B)  possibly change the drug being used.
C)  adjust the dosage of the drug being used.
D)  request placebo medication to evaluate true pain.E) A) and B)
F) B) and C)

Question 5

The patient has morphine sulfate ordered for pain every 4 hours "prn." The patient complains of severe pain and usually requests more morphine an hour before it is due.The nurse should:

Accepted Answer

A)  Request a "placebo order" from the physician.
B)  Offer the patient medication "around the clock" instead of "prn."
C)  Offer the patient massage between medication doses.
D)  Offer the patient a nonopioid medication between morphine doses if ordered.E) C) and D)
F) A) and B)

Question 6

The patient is admitted for chronic pain.He states that morphine sulfate has been used to relieve his pain,but recently he has been needing to use more of the medication to relieve pain.This patient's plan of care will have to incorporate interventions to deal with which of the following?

Accepted Answer

A)  Addiction
B)  Pseudoaddiction
C)  Drug tolerance
D)  Physical dependenceE) A) and C)
F) B) and D)

Question 7

When assessing a local infusion pump site,the nurse notes that which of the following requires an intervention?

Accepted Answer

A)  The device is labeled,indicating that an anesthetic is being used.
B)  The catheter connections are loose.
C)  Surgical dressings are dry and intact.
D)  No blood backup is present in the tubing.E) A) and D)
F) All of the above

Question 8

__________________ is an interactive method of pain management that permits patient control over pain through self-administration of analgesics.

Accepted Answer

Patient-co...

Question 9

The patient is admitted with chronic pain.She states that nothing takes the pain away totally,but that "Dilaudid works best." The fact that the patient calls the medication by name should alert the nurse to:

Accepted Answer

A)  suspect that the patient is drug seeking.
B)  expect that the patient may need smaller doses than normal.
C)  assess the patient's acceptable level of comfort.
D)  accept the fact that nothing will help this patient's pain.E) C) and D)
F) A) and B)

Question 10

The nurse who is caring for a patient postoperatively notes that he is expressing discomfort and is diaphoretic.Which of the following interventions is most appropriate?

Accepted Answer

A)  Straighten the bed linens.
B)  Change the saturated surgical dressing.
C)  Administer prescribed pain medications.
D)  Check for displaced equipment underneath the patient.E) A) and D)
F) B) and C)

Question 11

The patient voices concern to the nurse regarding his patient-controlled analgesia (PCA) pump.He states that he is afraid of getting an overdose if he pushes the button too many times.The nurse reassures the patient that:

Accepted Answer

A)  there is a time delay (lockout) between patient doses.
B)  there is a maximum dose the patient can receive.
C)  the patient has a right to be concerned and needs to be careful.
D)  the patient could be put on a continuous infusion instead,because it is safer.E) A) and C)
F) B) and C)

Question 12

________________ draws on internal experiences of memories,dreams,fantasies,and visions; explores the inner world of experience; protects the privacy of the patient; and fosters the imagination.

Accepted Answer

The answer of ________________ draws on internal experiences of memories,dreams,fantasies,and...

Question 13

The patient is scheduled for surgery late in the afternoon.His postoperative orders include patient-controlled analgesia (PCA) therapy.Which of the following nursing interventions is appropriate to perform?

Accepted Answer

A)  Teach the patient about PCA after the patient comes out of recovery.
B)  Teach the patient about PCA before surgery and before preoperative medication administration.
C)  Tell the patient not to use PCA unless he can no longer tolerate the pain.
D)  Inform the patient's family to watch him carefully and to depress the PCA administration button whenever they think he needs it.E) None of the above
F) All of the above

Question 14

Catheter migration into the______________ can produce dangerously high medication levels.Only physicians and nurse anesthetists administer drugs in this space.

Accepted Answer

The answer of Catheter migration into the______________ can produce dangerously...

Question 15

While reviewing a patient's medication history,the nurse determines that intraspinal analgesia is contraindicated as a result of:

Accepted Answer

A)  previous spinal anesthesia.
B)  recent administration of anticoagulants.
C)  a history of cardiac problems.
D)  a diagnosis of advanced cancer.E) C) and D)
F) A) and B)

Question 16

___________ has an identifiable cause and rapid onset and generally disappears with healing.

Accepted Answer

The answer of ___________ has an identifiable cause and rapid...

Question 17

Before administering an epidural medication,the nurse aspirates and suspects that the catheter has migrated into the subarachnoid space when:

Accepted Answer

A)  clear drainage is noted.
B)  no drainage is noted.
C)  purulent drainage is noted.
D)  redness,warmth,and edema are noted.E) A) and B)
F) A) and C)

Question 18

A nurse checks the continuous intravenous (IV) infusion for the intraspinal analgesia.The IV setup should be changed if:

Accepted Answer

A)  tubing with a Y-port is attached.
B)  an infusion pump is attached.
C)  the tubing connections are all taped.
D)  a diluted,preservative-free medication is used.E) C) and D)
F) B) and C)

Question 19

The nurse is caring for a patient who is a devout Orthodox Jew.The patient is on a patient-controlled analgesia (PCA) pump.What accommodations might the nurse have to make to conform to the patient's cultural needs?

Accepted Answer

A)  Ask the patient whether he will need alternative forms of medication for the Sabbath.
B)  Ask the patient specific questions because Jews tend to be stoic regarding pain.
C)  Medicate the patient "around the clock" instead of as needed ("prn") .
D)  Understand that Jews believe that suffering is a consequence of actions in a previous life.E) B) and C)
F) C) and D)

Question 20

The nurse caring for a patient who has a patient-controlled analgesia (PCA) knows that it:

Accepted Answer

A)  allows the family to participate in pain management for the patient.
B)  prevents mistakes in medication administration.
C)  can be used by all hospitalized patients.
D)  provides a more constant level of medication.E) B) and C)
F) A) and C)

Exam 16: Pain Management

_______________________ is a massage technique used on tense muscles to "knead" muscles,promote relaxation,and stimulate local circulation.

Correct AnswerverifiedPétrissage

Pain that extends beyond the period of healing and often lacks an identified pathology is known as _______________.

Correct Answerverifiedchronic pain

The _______________ is a potential space between the vertebral bones and the dura mater,the outermost meninges covering the brain and spinal cord.

Correct Answerverifiedepidural space

The patient states that the patient-controlled analgesia (PCA) is not controlling his pain.The nurse checks the infusion setup and IV site and then evaluates the patient's ability to use the system.All looks in order.The nurse should notify the physician to:

Correct AnswerverifiedShow Answer

The patient has morphine sulfate ordered for pain every 4 hours "prn." The patient complains of severe pain and usually requests more morphine an hour before it is due.The nurse should:

Correct AnswerverifiedShow Answer

The patient is admitted for chronic pain.He states that morphine sulfate has been used to relieve his pain,but recently he has been needing to use more of the medication to relieve pain.This patient's plan of care will have to incorporate interventions to deal with which of the following?

Correct AnswerverifiedShow Answer

When assessing a local infusion pump site,the nurse notes that which of the following requires an intervention?

Correct AnswerverifiedShow Answer

__________________ is an interactive method of pain management that permits patient control over pain through self-administration of analgesics.

Correct AnswerverifiedPatient-co...View AnswerShow Answer

The patient is admitted with chronic pain.She states that nothing takes the pain away totally,but that "Dilaudid works best." The fact that the patient calls the medication by name should alert the nurse to:

Correct AnswerverifiedShow Answer

The nurse who is caring for a patient postoperatively notes that he is expressing discomfort and is diaphoretic.Which of the following interventions is most appropriate?

Correct AnswerverifiedShow Answer

The patient voices concern to the nurse regarding his patient-controlled analgesia (PCA) pump.He states that he is afraid of getting an overdose if he pushes the button too many times.The nurse reassures the patient that:

Correct AnswerverifiedShow Answer

________________ draws on internal experiences of memories,dreams,fantasies,and visions; explores the inner world of experience; protects the privacy of the patient; and fosters the imagination.

Correct AnswerverifiedShow Answer

The patient is scheduled for surgery late in the afternoon.His postoperative orders include patient-controlled analgesia (PCA) therapy.Which of the following nursing interventions is appropriate to perform?

Correct AnswerverifiedShow Answer

Catheter migration into the______________ can produce dangerously high medication levels.Only physicians and nurse anesthetists administer drugs in this space.

Correct AnswerverifiedShow Answer

While reviewing a patient's medication history,the nurse determines that intraspinal analgesia is contraindicated as a result of:

Correct AnswerverifiedShow Answer

___________ has an identifiable cause and rapid onset and generally disappears with healing.

Correct AnswerverifiedShow Answer

Before administering an epidural medication,the nurse aspirates and suspects that the catheter has migrated into the subarachnoid space when:

Correct AnswerverifiedShow Answer

A nurse checks the continuous intravenous (IV) infusion for the intraspinal analgesia.The IV setup should be changed if:

Correct AnswerverifiedShow Answer

The nurse is caring for a patient who is a devout Orthodox Jew.The patient is on a patient-controlled analgesia (PCA) pump.What accommodations might the nurse have to make to conform to the patient's cultural needs?

Correct AnswerverifiedShow Answer

The nurse caring for a patient who has a patient-controlled analgesia (PCA) knows that it:

Correct AnswerverifiedShow Answer

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Pétrissage

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chronic pain

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epidural space

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Patient-co...
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