ATI LPN
Timby's Introductory Medical-Surgical Nursing Thirteenth, North American Edition
Chapter 11 : Pain Management Questions
Question 1 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 2 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 3 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.
Question 4 of 5
The nurse is caring for a client with kidney stones who is complaining of severe pain. What type of pain does the nurse understand this client is experiencing?
Correct Answer: B
Rationale: Visceral pain arises from internal organs such as the heart, kidneys, and intestine that are diseased or injured. Somatic pain is caused by mechanical, chemical, thermal, or electrical injuries or disorders affecting bones, joints, muscles, skin, or other structures composed of connective tissue. Neuropathic pain is pain that is processed abnormally by the nervous system. Chronic pain is discomfort that lasts longer than 6 months and is almost totally opposite from those of acute pain.
Question 5 of 5
A client arrives in the emergency department with reports of nausea and pain in the left shoulder and arm. The health care provider determines that the client is having a myocardial infarction. What type of pain does the nurse understand the client is experiencing because the location of the pain is not the chest?
Correct Answer: D
Rationale: Referred pain is a term used to describe discomfort that is perceived in a general area of the body but not in the exact site where an organ is anatomically located. Breakthrough pain is when chronic pain sufferers have periods of acute pain. Neuropathic pain is pain that occurs from a direct consequence of a disease or lesions that affects the peripheral nerves or pain-processing centers in the brain. Chronic pain refers to discomfort that lasts longer than 6 months.