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Med Surg Pain Questions And Answers With Verified Solutions Already Passed!!!
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Med Surg Pain Questions And AnswersWith Verified Solutions Already
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Pain is best described as?
a. a creation of a persons imagination
b. an unpleaseant, subjective experience
c. a maladaptive response to a stimulus
d. a neurologic event resulting from activation of nociceptors - ANSWER✔✔b. the
international association for the study of pain (IASP) defines pain as "an
unpleasant sensory and emotional experience associated with actual or potential
tissue damage or described in terms of such damage
a patient is receiving a PCA infusion after surgery to repain a hip fracture. she is
sleeping soundly but awakens when the nurse speaks to her in a normal tone of
voice. Her respirations are 8breaths/minute. the most appropriate nursing action in
this situation is to?
a. stop the PCA infustion
b. obtain an oxygen saturation level
c. continue to closely monitor the patient
d. administer naloxone and contact the physician - ANSWER✔✔c. close
monitoring is indicated for this patient with a sedation score of 3 and a respiratory
rate of 8 breaths/minute. if the respiration falls below 8 breaths/minute and the
sedation level is 5 or greater, the nurse should vigorously stimulate the patient and
try to keep the patient awake
which words are most ikely to be sued to describe neuropathic pain (select all that
apply)
a. dull
b. mild
c. burning
d. shooting
e. shock like - ANSWER✔✔c.d.e. Neuropathic pain is caused by damage to
peripheral nerves or structures in the central nervous system. typically describes as
numbing, hot or burning, shooting, stabbing, sharp, or electric shock like in nature,
neuropathic pain can be sudden, intense, shortlived or lingering
unrelieved pain is
,a. expected after major surgery
b. expected in a person with cancer
c. dangerous and can lead to many physical and psychologic complications
d. an annoying sensation, but it is not as important as other physical care needs -
ANSWER✔✔e. consequences of untreated pain include unnecessary suffering,
physical and psychosocial dysfunciton, impaired recovery from acute illness and
surgery, immunosuppression, and sleep disturbances. in the acutely ill patient,
unrelieved pain can result in increased morbidity as a result of respiratory
dysfunction, increased heart rate and cardiac workload, increased muscular
contraction and spasm, decreased gastrointertinal motility and transit, and
increased breakdown of body energy stores.
a cancer patient who reports ongoing, constant moderate pain with short periods of
severe pain during dressing changes is
a. probably exaggerating his pain
b. best treated by referral for surgical treatment of his pain
c. best treated by receiving both a long acting and short acting opioid
d. best treated by regularly scheduled short acting opioids plus acetaminophen -
ANSWER✔✔c. moderate to severe pain usually necessitates an opioid analgesic.
constant, moderate pain is treated with a long acting opioid, procedural severe pain
is treated with a short acting opioid.
an example of distraction to provide pain relief is
a. TENS
b. music
c. exercise
d. biofeedback - ANSWER✔✔b. distraction involves redirection of attention away
from the pain and to do something else. distraction can be achieved by engaging
the patient in any activity that can hold his or her attention
appropriate nonopioid analgesics for mild pain include (select all that apply)
a. oxycodine
b. ibuprofen (advil)
c. lorazepan (ativan)
d. acetaminophen (tylenol)
e. codine with acetaminophen (tylenol #3) - ANSWER✔✔b.d. nonopioid
analgesics include acetaminophen, aspirin and other salicylates, and nonsteroidal
antiinflamatory drugs (NSAIDS)
, an important nursing responsibility related to pain is to
a. leave the patient alone to rest
b. help the patient appear to not be in pain
c. believe what the patient says about the pain
d. assume responsibility for eliminating the patients pain - ANSWER✔✔c. pain is
a subjective experience, and patients need to feel confident that the nurse will
believe their reports of pain
providing opioid to a dying patient who is experiencing moderate to severe pain
a. may cause addiction
b. t will probably be ineffective
c. is an appropriate nursing action
d. will likely hasten the persons death - ANSWER✔✔c. opioid therapy is an
appropriate intervention for moderate to severe pain experienced by a dying
patient, and the drugs may be titrated upward many times over the course of
therapy to maintain adequate pain control
a nurse believes that patients with the same type of tissue injury should have the
sme amount of pain. this statement reflects
a. a belief that will contribute to appropriate pain management
b. an accurate statement about pain mechanisms and an expected goal of pain
therapy
c. a belief that will have no effect on the type of care provided to people in pain
d. a lack of knowledge about pain mechanisms, which is likely to contribute to
poor pain managementq - ANSWER✔✔d. genetic makeup and variability among
individuals affects the plasticity of the central nervous system; this phenomenon
helps explain individual differences in response to pain. poor knowledge of pain
mechanisms often lead to poor pain management.
Before administering celecoxib (Celebrex), the nurse will assess the patient's
medical record for which medication that would increase the risk of adverse
effects?
A. aspirin
b. scopolamine
c. theophylline
d. acetaminophen - ANSWER✔✔d. acetaminophen. celecoxib is a nonsteroidal
anti-inflammatory drug of the cyclooxgynenase 2 inhibitor type. Although
celecoxib dose not inhibit Cox-1 and thus has a decreased risk of bleeding.
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