NUR 139 Practice Questions and 100% Correct Answers
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Course
NUR 139
Institution
NUR 139
During the transduction phase of nociception, which method of pain control is most effective? 1) Tricyclic antidepressants 2) Opioids 3) Ibuprofen 4) Distraction 3) Ibuprofen
Rationale: During the transduction phase, tissue injury triggers the release of biochemical mediators such as prostaglandin...
NUR 139 Practice Questions and 100%
Correct Answers
During the transduction phase of nociception, which method of pain control is most
effective?
1) Tricyclic antidepressants
2) Opioids
3) Ibuprofen
4) Distraction ✅3) Ibuprofen
Rationale: During the transduction phase, tissue injury triggers the release of
biochemical mediators such as prostaglandin. Ibuprofen works by blocking the
production of prostaglandin. The coanalgesic medication in option 1 would affect the
modulation phase because coanalgesics inhibit the reuptake of norepinephrine and
serotonin, which increases the modulation phase that helps inhibit painful ascending
stimuli. Opioids block the release of neurotransmitters, particularly substance P, which
stops the pain at the spinal level that occurs during the transmission phase (option 2).
Distraction is best used during the perception phase when the client becomes
conscious of the pain. Distraction (e.g., music, guided imagery, TV) can help direct the
client's attention away from the pain (option 4).
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?
1) Pain tolerance
2) Pain intensity
3) Location of pain
4) Pain history ✅2) Pain intensity
Rationale: The client's pain intensity needs to be assessed first for effective pain
management. In a postoperative client it is important to assess pain intensity frequently
to manage the acute pain experience. Option 1: The most pain a person is willing to
tolerate before taking action can be discussed with the client after the pain intensity has
been assessed. Option 3, location of pain, is important, but it is not the priority. Option
4: This information is important but not for a client in acute pain. The priority would be to
assess the pain intensity.
A client who describes his pain as 6 on a scale of 1 to 10 is classified as having which
of the following?
1) Mild pain
2) Mild to moderate pain
3) Moderate to severe pain
4) Very severe pain ✅3) Moderate to severe 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?
1) Drowsy; drifts off to sleep before completing a sentence
2) Respirations = 18/minute
3) Drowsy; easily aroused
4) Pain rating 1-2/10 ✅1) Drowsy; drifts off to sleep before completing a sentence
The client has an order of morphine 2.5 to 5.0 mg intravenous (IV) every 4 hours. He
received 2.5 mg IV 4 hours ago for pain rated at 3 on a scale of 0 to 10. He is now
watching television and visiting with family members. When asked about his pain, he
rates it as a 5. His vital signs are stable. What nursing intervention is the most
appropriate?
1) Give morphine 3.5 mg IV and inform him to continue watching TV because it is a
distraction from the pain.
2) Give 2.5 mg of morphine IV to avoid the client becoming addicted.
3) Give nothing at this time because he is not exhibiting any signs of pain.
4) Give morphine 5.0 mg IV and reassess in 20 minutes. ✅4) Give morphine 5.0 mg IV
and reassess in 20 minutes.
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?
1) Physiological
2) Somatic
3) Visceral
4) Neuropathic ✅4) Neuropathic
Rationale: Options 2 and 3 are subcategories of physiological pain (option 1). A clue to
the answer is that the client has diabetes, which often leads to diabetic peripheral
neuropathy
Which interventions, when implemented by the nurse, would apply the gate control
theory of pain? Select all that apply.
1) Oral analgesics around the clock
2) Massage
3) Patient-controlled analgesia
4) Heat or cold application
5) Teaching ✅2) Massage
4) Heat or cold application
5) Teaching
Which statement best reflects the nurse's assessment of the fifth vital sign?
1) "Do you have any complaints?"
2) "Are you experiencing any discomfort right now?"
3) "Is there anything I can do for you now?"
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