Nokea
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.
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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.
What is the best approach for a nurse to use when planning pain relief measures?
- A. Use a variety of pain relief methods.
- B. Use only nonopioid analgesics.
- C. Use at least three alternating methods.
- D. Use only one method at a time.
Correct Answer: A
Rationale: A variety of methods applied simultaneously have an additive effect on pain control.
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.
A patient tearfully declares the use of relaxation techniques does not work for her. What is the best action for the nurse to implement?
- A. Give up on the idea.
- B. Encourage the patient to try again.
- C. Assure the patient that not everyone is successful.
- D. Give the patient a sedative.
Correct Answer: B
Rationale: Some alternative approaches to pain control require practice. Encouragement to try again is appropriate.
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.