Term
| The nurse teaches clients about nonpharmacological techniques for pain management. The nurse determines learning has occurred when the clients make which statement(s)? Select all that apply. |
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Definition
1.“Nonpharmacological techniques may be used in place of drugs.”
2.“Nonpharmacological techniques are a good adjunct to pharmacotherapy.” |
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Term
| The nursing instructor teaches the nursing students about neural mechanisms of pain. What does the nursing instructor teach about substance P? |
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Definition
| Substance P controls which pain signals reach the brain. |
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Term
| The client, addicted to heroin, is being treated for opioid dependence. He has been prescribed methadone (Dolophine). The client asks how this will help because methadone (Dolophine) is another opioid. What is the best response by the nurse? |
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Definition
| “Methadone (Dolophine) does not cause euphoria like heroin does.” |
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Term
| The client has intractable pain, and the physician has proposed a nerve block. The nurse plans to teach the client about nerve blocks. Which statement would be included in the best plan of the nurse? |
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Definition
| A nerve block stops pain transmission along the nerve to stop the pain. |
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Term
| The client receives morphine for pain. He asks the nurse how it works to relieve pain. What is the best response by the nurse? |
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Definition
| “It stimulates a receptor in your brain that induces pleasure.” |
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Term
| The client has a patient-controlled analgesia (PCA) pump following surgery. The nurse keeps naloxone (Narcan) in the client’s room as per protocol. What does the nurse recognize as the rationale for this protocol? |
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Definition
| Naloxone (Narcan) will reverse the effects of the narcotic in the patient-controlled analgesia (PCA) pump if an overdose occurs. |
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Term
| What is a priority assessment question to ask a post-surgical client prior to administration of an opioid analgesic? |
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Definition
| “Would you please rate your pain on a scale of 1-to-10?” |
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Term
| The post-surgical client has an order for morphine 2 mg IV push every two hours and propoxyphene 100 (Darvon 100) every three hours. He received the morphine two hours ago, and is complaining of pain again. What will the best plan of the nurse include? |
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Definition
| Plan to assess the client’s level of pain. |
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Term
| The client comes to the emergency department with a head injury, broken ribs, and internal bleeding. Opioid analgesics are contraindicated. What does the nurse recognize as the primary rationale for this? |
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Definition
| Opioids can mask changes in the client’s level of consciousness. |
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Term
| The client receives morphine for pain. Which comment by the client does the nurse assess to be a side effect of morphine? |
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Definition
| “I feel like I am going to throw up.” |
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Term
| The client is using a patient-controlled analgesia (PCA) pump with morphine to control pain. Prioritize the nursing interventions. |
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Definition
1.Assess the client’s pain level and vital signs frequently.
2.Instruct the client to use the patient-controlled analgesia (PCA) before the pain becomes severe.
3.Check the intravenous (IV) line for patency every 2 hours
4. Ask the physician if the client can switch to an oral analgesic. |
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Term
| The client receives aspirin. The nurse assesses an adverse effect to this drug when the client makes which response? |
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Definition
| “There is a constant ringing in my ears.” |
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Term
| The nurse provides care for several clients. For which client would the nurse assess acetaminophen (Tylenol) to be contraindicated? |
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Definition
| A 55-year old who socially drinks alcohol |
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Term
| What is an important instruction for the nurse to give to the client who is taking acetaminophen (Tylenol)? |
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Definition
| “Do not drink alcohol with acetaminophen (Tylenol).” |
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Term
| The client is to start on sumatriptan (Imitrex) for migraine headaches. What will the best plan of the nurse include as it relates to this medication? Select all that apply. |
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Definition
1.Plan to teach the client not to drive until the effects of the medication are known.
2.Plan to teach the client to avoid pseudoephedrine (Sudafed) with this medication. |
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Term
| A dull, aching pain is defined as: |
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Definition
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Term
| Identify the correct statement regarding the neural mechanism of pain: |
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Definition
| Alpha fibers are wrapped in myelin; C fibers are not. |
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Term
| Which of the following treatments has the highest potential to provide total pain relief? |
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Definition
| Neuronal injection of alcohol |
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Term
| Identify the correct statement regarding opioid receptors: |
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Definition
| 4. Opioid agonists will activate mu and kappa receptors, producing analgesia. |
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Term
| A patient on a morphine patient-controlled analgesic (PCA) IV pump has a respiratory rate of 8, and is difficult to arouse. Which of the following would be the priority intervention? |
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Definition
| 2. Administering a medication that blocks mu and kappa receptors |
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Term
| Which of the following is an adverse affect associated with morphine, and would be the priority if present? |
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Definition
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Term
| Which patient would be at greatest risk for developing opioid dependence? |
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Definition
| 24-year-old with sickle-cell anemia |
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Term
| Which statement is accurate concerning the management of migraine headaches? |
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Definition
| Vasoconstriction of cranial arteries helps reduce acute headache pain. |
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Term
| For which of the following patients suffering a migraine headache would sumatriptan (Imitrex) be indicated? |
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Definition
| 27-year-old asthmatic male |
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Term
| Which statement is accurate concerning the use of aspirin (ASA) to treat pain? |
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Definition
| Enteric-coated capsules are available to reduce GI side effects. |
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