Nokea
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.
You may also like to solve these questions
A patient is receiving epidural analgesics. What should the nurse monitor closely in this patient?
- A. Temperature elevation from 98°F to 99.2°F (36.6°C to 37.3°C)
- B. Increase in pulse rate from 88 to 99
- C. Decrease in respirations from 16 to 14
- D. Decrease in blood pressure from 120/80 to 110/68
Correct Answer: C
Rationale: Administering epidural analgesics requires close monitoring for respiratory depression. None of the other options is indicative of opiate toxicity.
The nurse is assessing pain reported by a Latino male patient. What is important for the nurse to take into consideration when observing objective data?
- A. Latino men are suspicious of female caregivers.
- B. Latino men have a cultural bias against use of narcotics.
- C. Latino men believe pain is necessary for cure.
- D. Latino men feel it is unmanly to admit to pain.
Correct Answer: D
Rationale: Many Latino men feel that to admit to being in pain is unmanly.
When should a nurse administer prescribed analgesic medication when treating a postoperative patient?
- A. Before activity
- B. Only when requested by the health care provider
- C. Only when requested by the family
- D. Only when requested by the patient
Correct Answer: A
Rationale: To control pain early, an analgesic should be given 30 to 40 minutes before a patient must walk or perform an activity. PRN medications should be given around the clock to effectively control moderately severe to severe pain. Waiting for the patient or family to request analgesics results in delays in administration and inadequate pain control.
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.
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.