Nokea
A young athlete asks the nurse why he felt little pain when he broke his leg during a game. Which of the following can have an effect on this patient's perception of pain?
- A. Hormones
- B. Enzymes
- C. Adrenaline
- D. Endorphins
Correct Answer: D
Rationale: Endorphins found in the pituitary gland and other areas of the central nervous system create the same effect as morphine, producing an analgesic effect.
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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 home health nurse is caring for a patient with an implanted pacemaker. What type of pain management would be contraindicated?
- A. Peripheral analgesics
- B. A TENS unit
- C. Opioid analgesics
- D. Adjuvant analgesics
Correct Answer: B
Rationale: A TENS unit may interfere with the function of the pacemaker.
The nurse is trying to reassure a patient who is concerned about receiving addictive drugs. What percentage of patients become addicted to analgesics?
- A. Less than 0.1%
- B. Less than 1%
- C. Less than 5%
- D. Less than 6%
Correct Answer: B
Rationale: Research findings suggest that less than 1% of patients receiving analgesics become addicted.
When preparing a patient for sleep dimming the lights and decreasing the noise levels are examples of nursing interventions. What are these interventions designed to do?
- A. Mimic usual sleep patterns.
- B. Decrease environmental stimuli.
- C. Prepare the patient for sleep.
- D. Provide for more rest.
Correct Answer: B
Rationale: Environmental stimuli should be decreased when preparing the patient for sleep.
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.