Nokea
The nurse is planning interventions for a patient experiencing pain. Which of the following can act in a synergistic relationship?
- A. Inflammatory process
- B. Circulatory disorder
- C. Food allergy
- D. Fatigue
Correct Answer: D
Rationale: Fatigue, sleep disturbance, and depression act in a synergistic relationship.
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How long does acute pain usually last?
- A. 1 week
- B. Less than 6 months
- C. At least 9 months
- D. More than 1 year
Correct Answer: B
Rationale: Acute pain lasts less than 6 months.
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.
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 patient reports to the nurse that he is experiencing a moderate amount of back pain rated 6 out of 10 on the pain scale. What should the nurse recognize about this assessment?
- A. Pain is objective for the nurse.
- B. Pain is easy to recognize.
- C. Pain is subjective for the patient.
- D. Pain is easily relieved if found early.
Correct Answer: C
Rationale: Pain is subjective. Pain is exactly what the patient says it is.
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.