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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.
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The nurse is trying to establish an effective relationship with a patient in pain. What is the best statement for the nurse to make when beginning the assessment?
- A. I'll check to see if you can have anything.
- B. Let me give you a backrub and see if it helps.
- C. I believe you are in pain.
- D. When was your last medication for pain?
Correct Answer: C
Rationale: A nursing intervention to establish an effective relationship is to believe the patient. Although the other options are not wrong, they do not help establish an effective relationship.
Although denying pain a patient is irritable responds slowly and exhibits periods of tachycardia. What should the nurse assess for in this patient?
- A. Electrolyte imbalance
- B. Allergic response
- C. Sleep deprivation
- D. Constipation
Correct Answer: C
Rationale: With sleep deprivation, patients may experience a variety of physiologic and psychological symptoms.
A patient tearfully declares the use of relaxation techniques does not work for her. What is the best action for the nurse to implement?
- A. Give up on the idea.
- B. Encourage the patient to try again.
- C. Assure the patient that not everyone is successful.
- D. Give the patient a sedative.
Correct Answer: B
Rationale: Some alternative approaches to pain control require practice. Encouragement to try again is appropriate.
A patient is receiving an opioid narcotic. What common side effect should the nurse be aware of when assessing this patient?
- A. Addiction
- B. Vomiting
- C. Constipation
- D. Diarrhea
Correct Answer: C
Rationale: Constipation is the most common opioid narcotic side effect for which patients do not develop a tolerance.
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.