Question 1

The patient has morphine sulphate prescribed for pain every 4 hours as needed (prn).The patient complains of severe pain and usually requests more morphine an hour before it is due.The nurse should (Select all that apply.)

Accepted Answer

The answer of The patient has morphine sulphate prescribed for...

Question 2

The patient voices concern to the nurse regarding his patient-controlled analgesia (PCA)pump.He states that he is afraid of getting an overdose if he pushes the button too many times.The nurse reassures the patient that (Select all that apply.)

Accepted Answer

The nurse should reassure the patient that there is a time delay (lockout) between patient doses, meaning the pump will not deliver another dose until a certain amount of time has passed. Additionally, there is a maximum dose the patient can receive, ensuring they will not receive too much medication. It is important to address the patient's concerns, but stating that the patient has a right to be concerned and needs to be careful may increase their anxiety. The suggestion to switch to a continuous infusion instead may not be appropriate without consulting with the healthcare provider and assessing the patient's pain management needs.

Question 3

Pain that extends beyond the period of healing and often lacks an identified pathological cause is known as _______________.

Accepted Answer

Persistent pain is pain that continues beyond the normal healing time and often does not have a clear pathological cause.

Question 4

Which of the following are characteristics of cancer pain? (Select all that apply.)

Accepted Answer

The answer of Which of the following are characteristics of...

Question 5

Pain is experienced differently by different people,because pain perception is based on which of the following? (Select all that apply.)

Accepted Answer

Pain perception is influenced by past experiences, personal values, cultural expectations, and emotions, as these factors shape how individuals interpret and respond to pain.

Question 6

___________ has an identifiable cause and rapid onset and generally disappears with healing.

Accepted Answer

Acute pain has an identifiable cause, rapid onset, and typically resolves with healing.

Question 7

The patient states that the patient-controlled analgesia (PCA)is not controlling his pain.The nurse checks the infusion setup and intravenous (IV)site and then evaluates the patient's ability to use the system.All looks in order.The nurse should notify the physician to (Select all that apply.)

Accepted Answer

The nurse should notify the physician to possibly change the medication or adjust the dosage to better manage the patient's pain.

Question 8

Which of the following statements about evaluating patients in pain is true?

Accepted Answer

Studies have shown that patients often underreport their pain due to fear of being labeled as drug seeking or being a burden to healthcare providers. Therefore, healthcare providers should actively ask about and assess pain to ensure adequate pain management. Choices A and D are incorrect because pain is subjective and the patient is the best judge of their own pain, and nonpharmacological interventions may be helpful but do not always substitute for analgesic medications. Choice B is incorrect because not all pain is visible and some patients may not exhibit obvious signs of pain.

Question 9

Catheter migration into the______________ can produce dangerously high medication levels.Only physicians and nurse anaesthetists administer medications in this space.

Accepted Answer

The subarachnoid space contains cerebrospinal fluid, and catheter migration into this space can lead to dangerously high medication levels due to direct access to the central nervous system.

Question 10

__________________ is an interactive method of pain management that permits patient control over pain through self-administration of analgesics.

Accepted Answer

Patient-controlled analgesia (PCA) is a method that allows patients to self-administer analgesics, typically through a programmable pump, to manage their pain.

Question 11

The _______________ is a potential space between the vertebral bones and the dura mater,the outermost meninges covering the brain and spinal cord.

Accepted Answer

The epidural space is the potential space located between the vertebral bones and the dura mater.

Question 12

Medications administered in the epidural space spread by (Select all that apply.)

Accepted Answer

The answer of Medications administered in the epidural space spread...

Quiz 16: Pain Assessment and Management

The patient has morphine sulphate prescribed for pain every 4 hours as needed (prn) .The patient complains of severe pain and usually requests more morphine an hour before it is due.The nurse should (Select all that apply.)

The patient voices concern to the nurse regarding his patient-controlled analgesia (PCA) pump.He states that he is afraid of getting an overdose if he pushes the button too many times.The nurse reassures the patient that (Select all that apply.)