Pain (Practice Mode)- Www.Rnpedia.Com

7 Questions | Total Attempts: 2190

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Pain (Practice Mode)- Www.Rnpedia.Com

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Questions and Answers
  • 1. 
    1. A chronic pain client reports to you, the charge nurse, that the nurse have not been responding to requests for pain medication. What is your initial action? 
    • A. 

      Check the MARs and nurses’ notes for the past several days.

    • B. 

      Ask the nurse educator to give an in-service about pain management.

    • C. 

      Perform a complete pain assessment and history on the client.

    • D. 

      Have a conference with the nurses responsible for the care of this client

  • 2. 
    2. Family members are encouraging your client to “tough it out” rather than run the risk of  becoming addicted to narcotics. The client is stoically abiding by the family’s wishes. Priority nursing interventions for this client should target which dimension of pain? 
    • A. 

      Sensory

    • B. 

      Affective

    • C. 

      Sociocultural

    • D. 

      Behavioral

    • E. 

      Cognitive

  • 3. 
    3. A client with diabetic neuropathy reports a burning, electrical-type in the lower extremities that is not responding to NSAIDs. You anticipate that the physician will  order which adjuvant medication for this type of pain?   
    • A. 

      Amitriptyline (Elavil)

    • B. 

      Corticosteroids

    • C. 

      Methylphenidate (Ritalin)

    • D. 

      Lorazepam (Ativan)

  • 4. 
    • A. 

      A client with fibrolyalgia

    • B. 

      A client with phantom limb pain

    • C. 

      A client with progressive pancreatic cancer

    • D. 

      A client with trigeminal neuralgia

  • 5. 
    • A. 

      Make a note in the nurse’s file and continue to observe clinical performance

    • B. 

      Refer the new nurse to the in-service education department.

    • C. 

      Quiz the nurse about knowledge of pain management

    • D. 

      Give praise for the correct dose and time and discuss the deficits in charting.

  • 6. 
    6. In caring for a young child with pain, which assessment tool is the most useful? 
    • A. 

      Simple description pain intensity scale

    • B. 

      0-10 numeric pain scale

    • C. 

      Faces pain-rating scale

    • D. 

      McGill-Melzack pain questionnaire

  • 7. 
    7. In applying the principles of pain treatment, what is the first consideration? 
    • A. 

      Treatment is based on client goals.

    • B. 

      A multidisciplinary approach is needed.

    • C. 

      The client must be believed about perceptions of own pain.

    • D. 

      Drug side effects must be prevented and managed.