A patient reports to the nurse that he is experiencing a moderate amount of back pain rated 6 out of 10 on the pain scale. What should the nurse recognize about this assessment?
- A. Pain is objective for the nurse.
- B. Pain is easy to recognize.
- C. Pain is subjective for the patient.
- D. Pain is easily relieved if found early.
Correct Answer: C
Rationale: Pain is subjective. Pain is exactly what the patient says it is.
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The nurse clarifies that the term peripheral analgesics describes the group of drugs also referred to as ___.
Correct Answer: NSAIDs
Rationale: Peripheral analgesics are also the group of drugs referred to as NSAIDs.
A male patient reports to the home health nurse that he does not feel rested although he has slept 8 hours. For what should the nurse assess?
- A. Having vivid dreams
- B. Eating a heavy meal before going to bed
- C. Consuming an excessive amount of alcohol
- D. Taking an anxiolytic medication
Correct Answer: D
Rationale: Anxiolytic (antianxiety) medications interfere with REM sleep, which is when people achieve full rest.
A patient is receiving an opioid narcotic. What common side effect should the nurse be aware of when assessing this patient?
- A. Addiction
- B. Vomiting
- C. Constipation
- D. Diarrhea
Correct Answer: C
Rationale: Constipation is the most common opioid narcotic side effect for which patients do not develop a tolerance.
The nurse is trying to establish an effective relationship with a patient in pain. What is the best statement for the nurse to make when beginning the assessment?
- A. I'll check to see if you can have anything.
- B. Let me give you a backrub and see if it helps.
- C. I believe you are in pain.
- D. When was your last medication for pain?
Correct Answer: C
Rationale: A nursing intervention to establish an effective relationship is to believe the patient. Although the other options are not wrong, they do not help establish an effective relationship.
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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