Nokea
The pain relief intervention that stimulates large cutaneous nerve fibers to "close the gate" is the ___ unit.
- A. PRI
- B. TENS
- C. CTG
- D. UTI
Correct Answer: B
Rationale: TENS (transcutaneous electric nerve stimulator) stimulates cutaneous nerve fibers with electric impulses, which follow the same spinal pathway as do pain impulses. The cutaneous nerves 'close the gate' to the pain impulses.
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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.
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.
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 teaches noninvasive pain relief techniques such as guided imagery biofeedback and relaxation. What is the primary advantage of these techniques?
- A. Can be done any time.
- B. Does not require a nurse.
- C. Gives the patient some control.
- D. Is most effective.
Correct Answer: C
Rationale: The greatest advantage of noninvasive pain relief techniques is that they give the patient some control.
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.