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What action should the nurse take when evaluating the effectiveness of new or revised therapies for pain relief?
- A. Observe the patient performing activities of daily living.
- B. Observe the patient's facial expressions.
- C. Frequently assess subjective data.
- D. Perform evaluation of outcome goals.
Correct Answer: D
Rationale: Continuous evaluation allows the nurse to determine if new or revised therapies are required.
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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.
The nurse is caring for a patient using patient-controlled analgesia (PCA). What is a major advantage to this method?
- A. Less expensive
- B. More effective
- C. Less addictive
- D. Quicker
Correct Answer: D
Rationale: The use of the PCA gives quicker relief as there is no delay in waiting for the nurse to respond to the request for analgesia.
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 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.
What action should the nurse implement when assisting a postoperative patient with pain control and comfort?
- A. Pull the patient up in bed.
- B. Lift the patient up in bed.
- C. Tighten constricting bandages.
- D. Restrict fluid and dietary intake.
Correct Answer: B
Rationale: Pain control and comfort measures include loosening constricting bandages, lifting, not pulling the patient up in bed, and preventing constipation by encouraging appropriate fluid and dietary intake.