ATI LPN
Timby's Introductory Medical-Surgical Nursing Thirteenth, North American Edition
Chapter 11 : Pain Management Questions
Question 1 of 5
The client will be using transcutaneous electrical nerve stimulation (TENS) for the treatment of lower back pain. What does the nurse explain to the client that this will do for the back pain?
Correct Answer: A
Rationale: TENS is a pain management technique that delivers bursts of electricity to the skin and underlying nerves. It is safe for managing acute and chronic pain and does not produce systemic side effects or addiction. The electricity is delivered from a battery-operated TENS unit through electrode patches that are placed at appropriate sites, such as directly over the affected area, at areas along a nerve pathway, or at points distal to the painful area. Cold compresses cause decrease in vasodilation. Warm compresses cause heat to the skin and subcutaneous tissues. A cordotomy interrupts the pain pathways in the spinal cord.
Question 2 of 5
The nurse is providing a gentle massage on a painful area of a client's hip. What is the goal of the nurse in providing this intervention?
Correct Answer: C
Rationale: Gently massaging a painful area or the same area on the opposite side of the body will promote the release of endorphins and enkephalins that moderate the sensation. Warm or cool compresses to a painful sensory site will flood the brain with alternative stimuli closes the spinal gates that transmit pain. Visualizing a pleasant experience will interrupt the pain perception. Administration of an analgesic will keep the pain at a manageable level.
Question 3 of 5
The nurse is caring for a client with chronic back pain. The nurse is aware of the following characteristic(s) of chronic pain. Select all that apply.
Correct Answer: B,E
Rationale: Chronic pain lasts greater than 6 months. The client suffering increases. The pain is generalized and nonspecific. The pain persists beyond the healing stage. Chronic pain is not associated with sympathetic nervous system responses.
Question 4 of 5
Which of the following is the only reliable source for quantifying pain?
Correct Answer: D
Rationale: The client is the only responsible source for quantifying pain. The nurse, the pain assessment tool, and the health care provider are not reliable sources to quantify pain.
Question 5 of 5
A client is being taught to self-administer a narcotic analgesic by means of an intravenous pump system. Which of the following functions is designed to help prevent the client from unintentionally overdosing?
Correct Answer: C
Rationale: When the client is being taught to self-administer a narcotic analgesic, the dosage and time interval between doses are programmed into the intravenous pump system to prevent accidental overdose. The frequency or dosage of the narcotic analgesic need not be reduced. Although a schedule chart is useful to the client, it does not effectively prevent accidental overdose.