Nokea
Marissa Jones suffers from a sleep disorder that awakens her during the night, and she is experiencing chronic fatigue. Which sleep disorder is Marissa suffering?
- A. Insomnia
- B. Somnambulism
- C. Sleep apnea
- D. Narcolepsy
Correct Answer: C
Rationale: Sleep apnea causes nighttime awakenings due to breathing interruptions, leading to chronic fatigue.
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Joseph Walker is suffering from chronic back pain and is requesting pain medication. Upon reviewing his medical administration record, you notice it is too early to have pain medication. What nonpharmacologic methods can you use to relieve his pain?
- A. Massage
- B. Hot and cold packs
- C. Transcutaneous electrical nerve stimulation
- D. Acupressure
- E. Relaxation
Correct Answer: A,B,C,D,E
Rationale: Nonpharmacologic methods like massage, heat/cold, TENS, acupressure, and relaxation can reduce chronic pain.
Captain Julius James, a veteran of the Vietnam War, lost his right foot in combat. He is hospitalized with pneumonia, and you are assigned to admit and care for him during your shift. While interviewing Captain James, he tells you that he has right foot pain a lot in the evenings. You would document this as ____ pain in the admission assessment.
- A. Phantom pain
- B. Referred pain
- C. Neuropathic pain
- D. Intractable pain
Correct Answer: A
Rationale: Phantom pain is pain perceived in a missing limb, common in amputees.
Which of the following individuals is the expert regarding the amount of pain Brad Monett is experiencing?
- A. The nurse
- B. The health-care provider
- C. Brad
- D. The pain clinic representative
Correct Answer: C
Rationale: The patient is the expert on their own pain experience, as pain is subjective.
Which of the following are NSAIDs?
- A. Hydrocodone
- B. Codeine
- C. Ibuprofen
- D. Naproxen
- E. Meperidine
- F. Aspirin
Correct Answer: C,D,F
Rationale: Ibuprofen, naproxen, and aspirin are NSAIDs, which reduce inflammation and pain, unlike opioids.
Christy Leigh is complaining of a burning, searing pain along the lateral aspect of her left foot. When you assess Christy's foot, you see no wounds or abnormalities. She tells you that she has not injured the foot but has been having this pain intermittently for approximately 1 month. Upon reviewing her chart, you read that Christy has severe diabetes. Which type pain do you think Christy is having?
- A. Neuropathic pain
- B. Cutaneous pain
- C. Visceral pain
- D. Nociceptive pain
Correct Answer: A
Rationale: Neuropathic pain, common in diabetes, presents as burning or searing without visible injury, due to nerve damage.