ATI LPN
Timby's Introductory Medical-Surgical Nursing Thirteenth, North American Edition
Chapter 11 : Pain Management Questions
Question 1 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 2 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 3 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 4 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.
Question 5 of 5
Which of the following nursing interventions contributes to achieving a client's pain relief?
Correct Answer: B
Rationale: The nurse should collaborate with each client to set a goal for a level of pain relief; this helps implement interventions for achieving the goal. The client's description of pain or need for pain relief should never doubted or minimized. The client need not refrain from self-administering analgesics; providing a client with equipment to self-administer analgesics promotes a more consistent level of pain relief. The nurse should also inform the client of available pain management techniques and incorporate any preferences or objections to interventions for pain management that the client may have when establishing a plan of care; using all forms of available pain management techniques is not necessary.