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lOMoARcPSD|11969435Medical-Surgical Nursing in Canada - Chapter 10: Pain
Adult Illness Concepts II (Lakehead University)
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Downloaded by Henry Lionel (henry.lionel12@gmail.com)
, lOMoARcPSD|11969435
Medical-Surgical Nursing in Canada 4th Edition Lewi Test Bank
Chapter 10: Pain
Lewis: Medical-Surgical Nursing in Canada, 4th Canadian Edition
MULTIPLE CHOICE
1. When doing a pain assessment for a client who has been admitted with metastatic breast
cancer, which question asked by the nurse will give the most information about the client’s
pain?
a. “How long have you had this pain?”
b. “How would you describe your pain?”
c. “How much medication do you take for the pain?”
d. “How many times a day do you medicate for pain?”
ANS: B
Because pain is a multidimensional experience, asking a question that addresses the client’s
experience with the pain is likely to elicit more information than the more specific
information asked in the other three responses. All of these questions are appropriate, but the
response beginning “How would you describe your pain?” is the best initial question.
DIF: Cognitive Level: Application TOP: Nursing Process: Assessment
MSC: NCLEX: Physiological Integrity
2. A client who uses a fentanyl patch for chronic cancer pain complains to the nurse of the rapid
onset of pain at a level 9 (0–10 scale) and requests “something for pain that will work
quickly.” Which of the following types of pain is the most appropriate for the nurse to
document for this client?
a. Somatic pain NURSINGTB.COM
b. Referred pain
c. Neuropathic pain
d. Breakthrough pain
ANS: D
Pain that occurs beyond the chronic pain already being treated by appropriate analgesics is
termed breakthrough pain. Neuropathic pain is caused by damage to peripheral nerves or the
central nervous system (CNS). Somatic pain is localized and arises from bone, joint, muscle,
skin, or connective tissue. Referred pain is pain that is localized in uninjured tissue.
DIF: Cognitive Level: Application TOP: Nursing Process: Implementation
MSC: NCLEX: Physiological Integrity
3. A postoperative client asks the nurse how the prescribed ibuprofen will control the incisional
pain. The nurse will teach the client that ibuprofen interferes with the pain process by
decreasing which of the following physiological responses?
a. Modulating effect of descending nerves
b. Sensitivity of the brain to painful stimuli
c. Production of pain-sensitizing chemicals
d. Spinal cord transmission of pain impulses
ANS: C
Downloaded byNURSINGTB.COM
Henry Lionel (henry.lionel12@gmail.com)
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