Nokea
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.
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Why should a nurse promptly administer a prescribed analgesic after a pain assessment?
- A. The health care provider has ordered it.
- B. It is an efficient use of time.
- C. Unrelieved pain can cause setbacks.
- D. It meets the goals of the nursing care plan.
Correct Answer: C
Rationale: Appropriate pain management can bring about quicker recoveries, shorter hospital stays, fewer readmissions, and can improve the quality of life.
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.
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.
A nurse is caring for a patient who requires long-term management for severe pain. What should be the drug of choice for this patient?
- A. Aspirin
- B. Morphine
- C. Oxycodone
- D. Acetaminophen
Correct Answer: B
Rationale: Morphine and hydromorphone are the opioids of choice for long-term management of severe pain.
The nurse is giving a backrub to a patient to relieve pain. What pain theory is the nurse using?
- A. Synergism
- B. Gate control
- C. Distraction
- D. Guided imagery
Correct Answer: B
Rationale: The pressure of a backrub will close the gate, according to the gate control theory of pain.