ATI LPN
Timby's Introductory Medical-Surgical Nursing Thirteenth, North American Edition
Chapter 11 : Pain Management Questions
Question 1 of 5
A client has been using NSAIDs daily over an extended period. Which of the following effects should the nurse carefully monitor for in this client?
Correct Answer: D
Rationale: NSAIDs when used daily over an extended period may cause undesirable side effects such as gastrointestinal bleeding. Use of analgesics does not increase the risk for developing cardiac disorders, urinary tract infections, or hypothyroidism.
Question 2 of 5
Which phase of pain transmission occurs when the one is made aware of pain?
Correct Answer: D
Rationale: Perception is the pain process where one becomes aware of the pain as a result of neural activity. Modulation involves the response to noxious stimuli. Transduction refers to the processes by which noxious stimuli activate primary afferent neurons called nociceptors. Transmission describes the action potential that is created by transduction being transmitted along fibers.
Question 3 of 5
Which of the following is the most important potential nursing problem for the client receiving opiate therapy?
Correct Answer: B
Rationale: Problems that may develop with opioid and opiate therapy include impaired gas exchange due to respiratory depression, constipation (not diarrhea) due to slowed peristalsis, and injury risk due to drowsiness and unsteady gait.
Question 4 of 5
The nurse is aware that when glucocorticosteroids are administered, it is important that which of the following occurs?
Correct Answer: A
Rationale: When administering glucocorticosteroids, it is important to taper the doses when discontinuing. Excessive sedation is not a side effect of glucocorticosteroids. Avoidance of alcohol and monitoring of blood levels are not indicated with use of glucocorticosteroids.
Question 5 of 5
The nurse asks the client about a reddened area on the left arm. The client reports having been bitten by an insect, and the bite area burned briefly. What type of pain does the nurse document this as?
Correct Answer: A
Rationale: Superficial somatic pain, also known as cutaneous pain (such as that from an insect bite or a paper cut), is perceived as sharp or burning discomfort. Visceral pain arises from internal organs such as the heart, kidneys, and intestine that are diseased or injured. Causes for visceral pain are varied and include ischemia, compression of an organ, intestinal distention with gas, or contraction as occurs with gallbladder or kidney stones. Deeper somatic pain is caused by trauma and produces localized sensations that are sharp, throbbing, and intense. Neuropathic pain is processed abnormally by the nervous system and results from damage to either the pain pathways in peripheral nerves or pain-processing centers in the brain.