100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
Lewis Med Surg Ch. 9 – Pain Exam Practice Questions and Answers $10.49   Add to cart

Exam (elaborations)

Lewis Med Surg Ch. 9 – Pain Exam Practice Questions and Answers

 1 view  0 purchase
  • Course
  • Lewis Medical-Surgical Nursing
  • Institution
  • Lewis Medical-Surgical Nursing

Lewis Med Surg Ch. 9 – Pain Exam Practice Questions and Answers A 45-year-old woman who had abdominal surgery yesterday received IV pain medication 30 minutes ago. Which assessment by the nurse would most accurately determine the effectiveness of the medication? A. The patient is resting qui...

[Show more]

Preview 3 out of 19  pages

  • October 23, 2024
  • 19
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Lewis Medical-Surgical Nursing
  • Lewis Medical-Surgical Nursing
avatar-seller
GraceAmelia
©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




Lewis Med Surg Ch. 9 – Pain Exam Practice
Questions and Answers


A 45-year-old woman who had abdominal surgery yesterday received IV pain medication 30 minutes

ago. Which assessment by the nurse would most accurately determine the effectiveness of the

medication?




A. The patient is resting quietly with eyes closed and is not grimacing.


B. The patient is talking with visitors and intermittently watching the television.


C. The patient states the pain has decreased from an 8 to a 3 on a 0 to 10 pain scale.


D. The patient's heart rate is 78 beats/minute with a blood pressure of 122/76 mm Hg. - Ans:✔✔-C. The

patient states the pain has decreased from an 8 to a 3 on a 0 to 10 pain scale.




Pain is a subjective experience. The patient is the best judge of his or her own pain and is the expert on

the effectiveness of treatment of the pain.


Which patient is most at risk for respiratory depression related to opioid administration for pain relief?

Page 1/19

, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




A. 82-year-old patient who had abdominal surgery 4 hours ago


B. 24-year-old patient who had a vaginal delivery 12 hours ago


C. 32-year-old patient with chronic neuropathic pain for 6 months


D. 20-year-old patient with a closed reduction of a fractured right arm - Ans:✔✔-A. 82-year-old patient

who had abdominal surgery 4 hours ago




Patients most at risk for respiratory depression include those who are older, have underlying lung

disease, have a history of sleep apnea, or are receiving other central nervous system depressants. For

postoperative patients the greatest risk is in the first 24 hours after surgery. Respiratory depression

related to opioid administration is higher in hospitalized patients who are opioid naïve.


The registered nurse (RN) is caring for patients on a surgical unit. Which tasks may the nurse delegate to

a licensed practical/vocational nurse (LPN/LVN)?




A. Administer oral pain medications to a patient after abdominal surgery.


B. Teach the patient how to use patient-controlled analgesia after surgery.



Page 2/19

, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




C. Determine strategies for pain management as part of a patient's discharge plan.


D. Evaluate whether the pain management plan is providing adequate pain control. - Ans:✔✔-A.

Administer oral pain medications to a patient after abdominal surgery.




An LPN/LVN may administer ordered pain medications, but depending on the state nurse practice act

and agency policy, the LPN/LVN may not be able to administer medication by all routes. The tasks of

teaching, evaluation, and discharge planning are within the scope of practice of an RN.


A 68-year-old man has chronic pain because of lung cancer that has metastasized to the bone in his back

and hip. The nurse is teaching the patient and his family about tolerance and physical dependence to

opioid medications. Which statement, if made by the patient, indicates a need for further teaching?




A. "High doses of the medication may cause more side effects than lower doses."


B. "If I need higher doses of the drug to relieve pain, I have developed an addiction."


C. "Physical dependence is expected when this drug is used for long periods of time."


D. "I may eventually need a higher dose of the medication to get the same pain relief." - Ans:✔✔-B. "If I

need higher doses of the drug to relieve pain, I have developed an addiction."




Page 3/19

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller GraceAmelia. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $10.49. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

83637 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$10.49
  • (0)
  Add to cart