christensen chapter 16

Question 1

Questions
1.Which of the following statements best describes a characteristic of pain?
Responses to pain vary
Is a situation that is not demanding
Often occurs where there is actual or potential tissue damage
Pain is objective in nature

Answer 1

often occurs where there is actual or potential tissue damage

Question 2

A new patient is admitted to the hospital with a diagnosis of rheumatoid arthritis. The patient reports that she has had difficulties with pain in her leg for the last 2 years. This is an example of what type of pain?
 Acute pain 
 Chronic pain 
 Referred pain 
 Fight or flight response

Answer 2

chronic pain

Question 3

3.Your patient has just returned to the unit from surgery. The patient's skin color is pink; the dressing is intact with no drainage noted to be coming through, but the patient is moaning and showing facial grimacing and is restless. Which vital sign are you going to check?
 Blood pressure 
 Pulse 
 Respirations 
 Pain

Answer 3

pain

Question 4

4.The nurse is caring for a 6-year-old child who complains of pain. To provide proper documentation of this pain, what would the nurse use to assess the level of pain?
 0-5 pain scale 
 FACES pain scale 
 0-10 pain scale 
 Intensity pain scale

Answer 4

Faces pain scale

Question 5

5.For the nurse to assist in helping the patient with comfort and pain control, which of the following interventions can be done? Select all that apply.
Leave bed linens with wrinkles.
Lift, not pull the patient up in bed.
Leave dressing as they are, even if constricting.
Check Foley catheter for patency.
Limit fluid intake to minimize moving.

Answer 5

lift, not pull the patient up in bed.

check foley catheter for patency

Question 6

6.The LPN is working in a long-term care facility. Which of the following analgesics is a particularly poor choice for pain control in older adults?
 Acetaminophen (Tylenol) 
 Meperidine (Demerol) 
 Ibuprofen (Motrin) 
 Morphine

Answer 6

Meperidine

Question 7

7.At which stage of NREM sleep are sleep walking and enuresis most likely to occur?
 Stage 1 
 Stage 2 
 Stage 3 
 Stage 4

Answer 7

stage 4

Question 8

8.Opioids are commonly given to patients for pain control. Constipation is the most common side effect of opioid use. Which of the following interventions will help reduce the risk of constipation?
Add stool softeners to medication list.
Maintain bedrest.
Minimal intake of fiber.
Decrease fluid intake.

Answer 8

add stool softeners to medication list

Question 9

9.When a patient complains of pain, the nurse should:
Wait awhile to provide any pain medications.
Believe what the patient says.
Distract the patient since he is not really in pain.
Call the family to see if this is a normal reaction.

Answer 9

believe what the patient says

Question 10

10.A patient went to bed around 8:00 PM. At 9:00 PM the patient is calling the nurse with the complaint of being unable to sleep. The patient does not have an order for sleep medication. Which of the following interventions would be appropriate for the nurse to do?
Offer to turn on the TV.
Get the patient up and go for a walk.
Offer a bedtime snack and glass of milk.
Encourage patient to wait awhile to see if he goes to sleep.

Answer 10

offer a bedtime snack and a glass of milk