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A patient tells the nurse he is reluctant to report his pain because he does not want to be a bother. What problems is the nurse aware that unrelieved pain can cause?
- A. Decreased oxygen demand
- B. Depression
- C. Respiratory dysfunction
- D. Decreased GI motility
- E. Irritability
Correct Answer: B,C,D,E
Rationale: Pain, which is unrelieved, can cause many physical and psychological symptoms, including depression, respiratory dysfunction, decreased GI motility, and irritability. Pain causes increased oxygen demand.
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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.
The nurse obtains information from a patient about the site severity and duration of the pain. What type of data is this considered?
- A. Patient data
- B. Objective data
- C. Focused data
- D. Subjective data
Correct Answer: D
Rationale: Information from the patient concerning site, severity, and duration of the pain is subjective data that only the patient knows.
When assessing pain which of the following is included in pain assessment?
- A. The initial assessment
- B. Discharge planning
- C. Assessing vital signs
- D. Care planning
Correct Answer: C
Rationale: Making pain a vital sign would ensure that pain is monitored on a regular basis.
What action should the nurse take when evaluating the effectiveness of new or revised therapies for pain relief?
- A. Observe the patient performing activities of daily living.
- B. Observe the patient's facial expressions.
- C. Frequently assess subjective data.
- D. Perform evaluation of outcome goals.
Correct Answer: D
Rationale: Continuous evaluation allows the nurse to determine if new or revised therapies are required.
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.