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Exam (elaborations)

MNL Acute and Chronic Pain Questions and Answers

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MNL Acute and Chronic Pain Questions and Answers Pain is described as 3 types of experience: physical cognitive emotional Pretest Question 1 The nurse administers an opioid analgesic to a client experiencing acute pain. Which assessment finding requires priority intervention from ...

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  • September 13, 2024
  • 10
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Mnl
  • Mnl
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MNL Acute and Chronic Pain Questions
and Answers
A client with a life-threatening illness has been treated with repeated doses of opioids
over a period of several weeks. Which symptoms obtained in the assessment indicate
the client is experiencing side effects related to medication administration?
(Select all that apply.)

Constipation

Sweating

Pruritus

Vomiting

Sedation - answer Constipation

Pruritus

Vomiting

Sedation

Opioid side effects include constipation, sedation, pruritus, and vomiting. Sweating can
occur with opioid withdrawal but is not a side effect related to opioid administration.

Casey Alexander, a 14-year-old high school football player, is admitted to your unit with
shingles (varicella zoster). He has painful lesions on his face and down one side of his
neck. His mother has decided to remain with him while he is on isolation precautions
and unable to leave his hospital room. After administering the prescribed analgesic,
which age-appropriate complementary therapy would you encourage the mother to do?

Blowing bubbles with her son

Reading a story to her son

Swaddling her son

Inviting friends to visit - answer Inviting friends to visit

Complementary methods of pain management for the pediatric client should be age
appropriate. Inviting friends to visit provides both a distraction and a means of social

, support for the adolescent client. Inviting friends to visit will allow the client to focus on
others rather than pain. The other interventions are not age appropriate for the
adolescent client.

Jackie Gardner is a 20-year-old college cheerleader who is brought to the emergency
department (ED) after landing incorrectly during a stunt and injuring her right ankle. The
ED healthcare provider makes the diagnosis of a right ankle fracture and orders an IV
narcotic for pain relief while waiting for the orthopedic surgeon to evaluate her injury.
Thirty minutes after you administer the medication, you return to evaluate her response
to the medication. Which will you include in your evaluation?


Client's reported pain level

Client's sleep patterns

Ability to move ankle

Respiratory status

Vital signs - answer Client's reported pain level

Respiratory status

Vital signs

Ongoing monitoring of the client who has been administered a narcotic pain medication
includes vital signs, respiratory status, and the client's reported pain level. These
indicators help determine the effectiveness of the medication and alert the nurse to
possible side or adverse effects. The surgeon will evaluate the client's ankle further. It is
not necessary to evaluate the client's sleep patterns at this time.

Nociception involves transmission of pain impulses from the site of injury to which
structures?

Tendons and ligaments

Brain and muscles

Spinal cord and brain

Muscles and spinal cord - answer Spinal cord and brain

Nociception is the transmission of pain impulses from the site of injury to the A-delta
and C fibers to the dorsal horn of the spinal cord and brain.

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