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What is the defining term for continuous or intermittent pain that may not be indicative of tissue damage?
- A. Acute
- B. Unrelieved
- C. Chronic
- D. Subacute
Correct Answer: C
Rationale: Chronic pain can be continuous or intermittent and may not be indicative of tissue damage.
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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.
When preparing a patient for sleep dimming the lights and decreasing the noise levels are examples of nursing interventions. What are these interventions designed to do?
- A. Mimic usual sleep patterns.
- B. Decrease environmental stimuli.
- C. Prepare the patient for sleep.
- D. Provide for more rest.
Correct Answer: B
Rationale: Environmental stimuli should be decreased when preparing the patient for sleep.
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.
The nurse should administer an analgesic to an unconscious patient after observing which signs?
- A. Increased heart rate from 82 to 94
- B. Decreased systolic blood pressure
- C. Increased muscle tension
- D. Perspiration on upper lip
- E. Facial grimacing
Correct Answer: A,C,D,E
Rationale: Pain indicators in the unconscious patient might include increased heart rate, blood pressure, and muscle tension; diaphoresis; and grimacing.
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.