Chapter 11: Pain Management - Nurselytic

Correct Answer: A

Rationale: Routine scheduling of the administration of analgesics, rather than on an as-needed basis, often affords a uniform level of pain relief. Administering the analgesics intravenously or with increased dosage is not advisable unless prescribed by the physician.

Correct Answer: C

Rationale: Some pain medications may cause nausea or sedation. However, pain medications administered 30 to 45 minutes before meals may enable the client to consume enough food. Administering the medication with plenty of fruit juice, intravenously, or 30 to 45 minutes after meals does not minimize the risk for imbalanced nutrition in a client with pain.

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.

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.

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.