Pain

Question 1 of 5

When doing a pain assessment for a patient who has been admitted with metastatic breast cancer, which question asked by the nurse will give the most information about the patient's pain?

A. How long have you had this pain?

B. How would you describe your pain?

C. How much medication do you take for the pain?

D. How many times a day do you medicate for pain?

Correct Answer:

Rationale:

Question 2 of 5

A patient who uses a fentanyl patch for persistent cancer pain complains to the nurse of the rapid onset of pain at a level 9 (0-10 scale) and requests 'something for pain that will work quickly.' Which of the following types of pain is the most appropriate for the nurse to document for this patient?

A. Somatic pain

B. Referred pain

C. Neuropathic pain

D. Breakthrough pain

Correct Answer:

Rationale:

Question 3 of 5

A postoperative patient asks the nurse how the prescribed ibuprofen will control the incisional pain. The nurse will teach the patient that ibuprofen interferes with the pain process by decreasing which of the following physiological responses?

A. Modulating effect of descending nerves

B. Sensitivity of the brain to painful stimuli

C. Production of pain-sensitizing chemicals

D. Spinal cord transmission of pain impulses

Correct Answer:

Rationale:

Question 4 of 5

The nurse is caring for a patient who is taking an opioid for postoperative pain. Which of the following interventions should the nurse include in the patients plan of care to manage possible adverse effects of opioids?

A. Ensure the medication is given PRN only.

B. Administer the prescribed stool softener OD

C. Ensure the administration route maximizes drug concentration at the site of the adverse effect.

D. Request a prescription for a different classification of medication.

Correct Answer:

Rationale:

Question 5 of 5

A patient with persistent abdominal pain has learned to control the pain with the use of imagery and hypnosis. A family member asks the nurse how these techniques work. Which of the following reasons provide the basis for the nurse's response in relation to the effectiveness of these strategies?

A. Impact the cognitive and affective components of pain.

B. Increase the modulating effect of the efferent pathways.

C. Prevent transmission of nociceptive stimuli to the cortex.

D. Slow the release of transmitter chemicals in the dorsal horn.

Correct Answer:

Rationale:

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