Nur 155 ch 35 and 46 Questions and Correct
Answers
During the transduction phase of nociception which method of pain control is most
effective?
A. Tricyclic antidepressants
B. Opiods
C. Ibuprofen
D. Distraction
✓ ~~~ Ibuprofen
When a client has arrived at the nursing unit from surgery the nurse is most likely to
give priority to which of the following assessments?
A. Pain tolerance
B. Pain intensity
C.Location of pain
D.Pain history
✓ ~~~ Pain intensity
A client who describes his pain as 7 on a scale of 0 to 10 is classified as having
which of the following?
A. No pain
B. Mild pain
C. Moderate pain
D.Severe pain
✓ ~~~ Moderate pain
A client who had abdominal surgery 4 hours ago is receiving a continuous epidural
infusion of an analgesic. Which of the following observations indicates the nurse
should monitor the client closely?
A. Drowsy; drifts off to sleep before completing a sentence
B. Respiration; 18/min
c. Drowsy; easily aroused
D. Pain rating 1-2/10
✓ ~~~ Drowsy; drifts off to sleep before completing a sentence
The client has an order of morphine 2.5 to 5.0 mg IV every 4hrs. He received 2.5mg
IV 4hrs ago for pain rated a t 3 on scale of 0 to 10. He is now watching TV and
visiting with family members. When asked about his pain he rates it as a 5. His vitals
are stable. What nursing intervention is the most appropriate?
A. Give morphine 3.5 mg iv and inform him to continue watching TV bc it is a
distraction from pain.
B. Give 2.5 mg of morphine IV to avoid the client becoming addicted
C. Give noting at this time bc he is not exhibiting any signs of pain.
D. Give morphine 5.0 mg IV and reassess in 20mins
✓ ~~~ Give morphine 5.0 mg IV and reassess in 20 mins
, During an admission nursing assessment, a client with diabetes describes his leg
pain as a "dull burning sensation." The nurse recognizes this description to be
characteristic of which type of pain?
A. Physiological
B. Somatic
C. Visceral
D. Neuropathic
✓ ~~~ D. Neuropathic
Which interventions, when implemented by the nurse would apply the gate control
theory of pain? select all that apply
A. oral analgesics around the clock
B. massage
C. patient-controlled analgesia
D.Heat or cold application
E. Acupressure
✓ ~~~ B. massage, D. heat or cold application, E.Acupressure
Which statement best reflects the nurse's assessment of the fifth vital sign?
A. "Do you have and complaints?"
B."are you experiencing any discomfort right now?"
C. "Is there anything i can do for you now?"
D. Do you have any complaints of pain?"
✓ ~~~ B. "are you experiencing any discomfot right now?"
When planning a care for pain control of older clients which principles should the
nurse apply? select all that apply
A. Pain is a natural outcome of the aging process.
B. Pain perception increases with age
C. The client may deny pain
D. The nurse should avoid use of opioids
E. the client may describe pain as an "ache" or "discomfort"
✓ ~~~ D. The client may deny pain, E. The client may describe pain as an
"ache"or "discomfort"
A client recovering form abdominal surgery refuses analgesia, saying that he is "fine,
as long as he does't move." which nursing diagnosis should be a priority?
A. Deficient knowledge (pain control measures)
B.Ineffective health maintenance
C. Risk for ineffective airway clearance
D. Impaired physical mobility
✓ ~~~ A. Deficient knowledge (pain control measures)
A client tells the nurse, " this pill is a different color than the one that i usually take at
home." Which is the best response by the nurse?
A. "go ahead and take your medicine"
B. "I will recheck your medication orders"
C. "maybe the doctor ordered a different medication"
D. "i'll leave the pill here while i check with the doctor"
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