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BSN 445 Pain Management Exam Questions With Complete Solutions
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BSN 445 Pain Management Exam Questions With Complete Solutions
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BSN 445 Pain Management Exam Questions With CompleteSolutions
Challenges to Pain Assessment and Management in the Critical
Care Setting
Question 1 of 9
For which reason is it important to assess pain in delirious
patients admitted to the critical care unit? Select all that apply.
One, some, or all responses may be correct.
People with delirium still experience pain.
Delirium is highly prevalent in critically ill patients.
Pain is a nonmodifiable factor for delirium.
Uncontrolled pain can lead to chronic nervous system
complications.
Pain activates the sympathetic nervous system. Correct Answer
People with delirium still experience pain.
Delirium is highly prevalent in critically ill patients.
Uncontrolled pain can lead to chronic nervous system
complications.
Pain activates the sympathetic nervous system.
Nutrient Status:
Question 1 of 12
A patient in the critical care unit is experiencing stress and
malnutrition and requires a significant amount of glucose to be
released into the bloodstream. Which organ would the nurse
expect to provide this glucose?
Lungs
Intestines
Pancreas
Liver Correct Answer Liver
,Only the liver and, to a lesser extent, the kidney are capable of
producing significant amounts of glucose for release into the
blood for use by other tissues.
Nutrition Support
Question 1 of 6
Which clinical manifestation indicates that dumping syndrome
is occurring? Select all that apply. One, some, or all responses
may be correct.
Constipation
Tachycardia
Weakness
Abdominal cramping
Altered mental status Correct Answer Tachycardia
Dumping syndrome causes tachycardia from the rapid
hydrolysis that occurs.
Weakness
Dumping syndrome can cause weakness due to the rapid
hydrolysis of the carbohydrates in the duodenum.
Abdominal cramping
Dumping syndrome causes abdominal cramping and diarrhea.
Pain Assessment:
Question 1 of 12
Which factor makes the pain assessment process more complex
for critical care patients? Select all that apply. One, some, or all
responses may be correct.
Use of sedatives
Mechanical ventilation
,Altered level of consciousness
Delirium
Anxiety Correct Answer Use of sedatives
The use of sedatives limits a patient's ability to communicate
pain and can make the use of behavioral observation scales less
reliable.
Mechanical ventilation
The use of mechanical ventilation limits a patient's ability to
speak, but the nurse can find alternate methods of
communication.
Altered level of consciousness
An altered level of consciousness limits a patient's ability to
communicate pain, making pain assessment more difficult.
Delirium
Delirium limits a patient's ability to communicate pain, making
pain assessment more difficult.
Question 1 of 18
Which laboratory value would the nurse expect to find in a
patient with cardiovascular disease?
Increased serum lipids
Decreased total cholesterol
Decreased triglycerides
Increased high-density lipoproteins Correct Answer Increased
serum lipids
Patients with cardiovascular disease would have increased
serum lipid levels.
, Question 1 of 21
The nurse administers morphine to a patient with acute pain at
1400. At what time would the nurse reassess the patient's pain?
1410
1500
1700
1800 Correct Answer 1500
The peak effect of morphine is 1 hour after medication
administration. The nurse would reassess 1 hour after
medication administration.
Question 1 of 3
A patient with renal disease should restrict intake of which
nutritional element? Select all that apply. One, some, or all
responses may be correct.
Correct Answer
Exactly!
Fluid
Protein
Potassium
Calcium
Phosphorus Correct Answer Fluid
A patient with renal disease would need to restrict their fluid
intake to prevent hypervolemia.
Protein
A patient with renal disease would need to restrict their protein
intake.
Potassium
A patient with renal disease would need to restrict their
potassium intake to prevent hyperkalemia.
Phosphorus
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