Nokea
A nurse is caring for a patient who requires long-term management for severe pain. What should be the drug of choice for this patient?
- A. Aspirin
- B. Morphine
- C. Oxycodone
- D. Acetaminophen
Correct Answer: B
Rationale: Morphine and hydromorphone are the opioids of choice for long-term management of severe pain.
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An American Indian patient requests that an egg yolk be placed in a saucer and put under his bed to absorb the pain. What should the nurse do?
- A. Explain that medication will relieve the pain better.
- B. Place the egg in a saucer under the bed.
- C. Ask the health care provider for permission.
- D. Warn that housekeeping staff will remove the egg.
Correct Answer: B
Rationale: The nurse should use methods of pain control that the patient believes will work.
The nurse is using a pain scale of 0 to 10 to assess pain in a postoperative patient. What is considered the maximum pain level at which a patient can usually function effectively?
- A. 2
- B. 3
- C. 4
- D. 5
Correct Answer: C
Rationale: Most patients do not function effectively if the pain level exceeds 4 on a scale of 10.
Which documentation sample is the most helpful to share assessment findings and pain relief interventions?
- A. 1600: Patient reports chest pain. Medicated with morphine sulfate.
- B. 1600: Patient reports sharp chest pain. Morphine sulfate given IM.
- C. 1600: Patient reports sharp pain in left chest radiating to neck. Morphine sulfate 5 mg administered IM in right deltoid.
- D. 1600: Patient requested medication for pain in left chest. Morphine sulfate 10 mg PO given.
Correct Answer: C
Rationale: The nurse should record subjective information relative to the pain, as well as the intervention and administration route.
The nurse is aware that the state at which a person is mentally relaxed free from worry and is physically calm is ___.
Correct Answer: rest
Rationale: When a person is mentally relaxed, free from worry, and is physically calm, he or she is at rest.
The nurse is planning interventions for a patient experiencing pain. Which of the following can act in a synergistic relationship?
- A. Inflammatory process
- B. Circulatory disorder
- C. Food allergy
- D. Fatigue
Correct Answer: D
Rationale: Fatigue, sleep disturbance, and depression act in a synergistic relationship.