Chapter 4- Pain (NURS 309) Review Questions and Correct Answers
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Course
NUR 309
Institution
NUR 309
Family members are encouraging the patient to "tough out the pain" rather than risk drug addiction to opioids. The client is stoically abiding. The nurse recognizes the sociocultural dimension of pain is the current priority for the patient. Which question will the nurse ask?
1. "where is the pain...
Chapter 4- Pain (NURS 309) Review
Questions and Correct Answers
Family members are encouraging the patient to "tough out the pain" rather than risk
drug addiction to opioids. The client is stoically abiding. The nurse recognizes the
sociocultural dimension of pain is the current priority for the patient. Which question will
the nurse ask?
1. "where is the pain located, and does it radiate to other parts of your body?"
2. "How would you describe the pain, and how is it affecting you?"
3. "What do you believe about pain medication and drug addiction?"
4. "How often is the pain affecting your activity level and your ability to function?" ✅3.
"What do you believe about pain medication and drug addiction?"
A client with diabetic neuropathy reports a burning, electrical-type pain in the lower
extremities that is worse at night and not responding to nonsteroidal anti-inflammatory
drugs. Which medication will the nurse advocate for FIRST?
The nurse is caring for a postoperative client who reports pain. Based on recent
evidence-based guidelines, which approach would be BEST?
1. Multimodal strategies
2. Stading orders by protocol
3. Intravenous patient-controlled analgesia
4. Opioid dosage based on valid numerical scale ✅1. Multimodal strategies
In application of the principles of pain treatment, what is the FIRST consideration?
1. Treatment based on client goals
2. A multidisciplinary approach is needed
3. Client's perception of pain must be accepted
4. Drug side effects must be prevented and managed ✅3. Client's perception of pain
must be accepted
When an analgesic is titrated to manage pain, what is the PRIORITY goal?
1. Titrate to the smallest dose that provides relief with the fewest side effects.
2. Titrate upwards until the client is pain-free or acceptable level of pain is reached.
, 3. Titrate downward to prevent toxicity, overdose, and adverse effects.
4. Titrate to dosage that is adequate to mee the client's subjective needs. ✅1. Titrate
to the smallest dose that provides relief with the fewest side effects.
The health care provider prescribes 7 mg morphine IV as needed (PRN). The nursing
student prepares the medication and shows the syringe to the nursing instructor. (Filled
to 7 mL and picture shows 10 mg/mL) What should the nursing instructor do FIRST?
1. Tell the student to review the provider's prescription before administering the
medication.
2. Waste the medication and tell the student that remediation is required for serious
error.
3. Ask the student to demonstrate the calculations and steps required to prepare the
dose.
4. Accompany the student to the client's room and observe as the medication is
administered. ✅3. Ask the student to demonstrate the calculations and steps required
to prepare the dose.
A client received as needed (PRN) morphine, lorazepam, and cyclobenzaprine. The
unlicensed assistive personnel (UAP) reports that the client has a respiratory rate of 10
breaths/min. What is the PRIORITY action?
1. Call the healthcare provider to obtain an order for naloxone.
2. Assess the client's responsiveness and respiratory status.
3. Obtain a bag-valve mask and deliver breaths at 20 breaths per minute.
4. Double-check prescription to see which drugs were ordered. ✅2. Assess the client's
responsiveness and respiratory status.
In the care of clients with pain and discomfort, which task is MOST appropriate to
delegate to unlicensed assistive personnel (UAP)?
1. Assisting the client with preparation of a sitz bath.
2. Monitoring the client for signs of discomfort while ambulating.
3. Coaching the client to deep breath during painful procedures.
4. Evaluating relief after applying cold compress. ✅1. Assisting the client with
preparation of a sitz bath.
For a cognitively impaired client who cannot accurately report pain, what is the FIRST
action that the nurse should take?
1. Closely assess for nonverbal signs such as grimacing or rocking.
2. Obtain baseline behavioral indicators from family members.
3. Note the time of and client's response to the last dose of analgesic.
4. Give the maximum as needed (PRN) dose within the minimum time frame for relief.
✅2. Obtain baseline behavioral indicators from family members.
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