CLIENTS WITH PAIN
1.The most effective way for the nurse to
administer pain medication to a client who is
experiencing severe pain related to metastatic
liver cancer is to
a administer medication only when other methods
of pain relief are ineffective.
b give only intravenous pain medications.
c. dispense pain medications on a regular basis.
d respond promptly to as-needed (prn)
pain requests.
2.A client who has been dealing with a chronic
pain for the past 2 years would like to try
biofeedback as a method of pain relief. The
statement that indicates that the client
understands this method of treatment is
a It will be nice to try something that wont cost
. me anything.
b I work really well with groups. I think that
. support will be just what I need.
c. Im willing to try to control how blood flows to
different parts of my body.
d I want to give my attention to something other
. than my pain.
3.A client who has been in chronic pain after
an automobile accident successfully reduces
his pain through a combination of biofeedback
and meditation. The conclusion the nurse may
draw from his success is that the
a. pain was psychological in nature.
b. placebo effect occurred.
c. therapy caused physiologic changes.
d. pain was acute in nature.
4.In caring for a person receiving an opioid
analgesic through an epidural catheter, the
nursing responsibility of prime importance is
a. assisting the client with frequent position changes.
b. establishing a baseline laboratory profile.
c. hourly inspection of the catheter insertion site.
d. assessing for respiratory depression.
5.A client is having a small wart removed from
his index finger. The nurse assisting with this
procedure would question the use of
a. procaine.
b. lidocaine.
c. Xylocaine.
d. Novocain with epinephrine.
6.The nurse practitioner (NP) infiltrates the
area around a lesion to be incised with
procaine. The NP should anticipate a waiting
period of
a. no significant time.
b. 3 to 10 minutes.
c. to hour.
d. optimally, 1 hour.
7.A client who is receiving morphine (IM) 10
mg prn for severe postoperative pain should
have a respiratory assessment
a. immediately after the morphine is given.
b. 10 minutes after the morphine is given.
c. 30 minutes after the client has been medicated.
d. continuously with an apnea monitor.
8.Because of the need to reverse respiratory
depression after administration of a narcotic
analgesic, the charge nurse keeps on hand the
drug
a. aminophylline (Amoline).
b. furosemide (Lasix).
c. naloxone (Narcan).
d. oxymorphone (Numorphan).
9.The teaching plan for an individual receiving
transcutaneous electrical nerve stimulation
(TENS) should include the information that
a. one electrode only is used over the painful site.
b. the electrode wires should be visible to detect
early problems.
c. the client can adjust both voltage and pulsation.
d. this therapy is useful for very few clients.
10.The client with neuropathic pain develops
allodynia, which
a. is relieved by daily doses of opioids.
b. responds to NSAIDs taken several times a day.
c. is pain due to a stimulus that does not normally
cause pain.
d. is a vague pain that is difficult for the client to
describe.