NUR 310 Exam 4 Questions And Correct
Answers
A 5-year-old client reports abdominal pain. Which action(s) will the nurse take to assess the
pain? Select all that apply.
Use the numeric rating scale.
Observe the client.
Use the Wong-Baker FACES pain rating scale.
Ask the parents if the client ...
A 5-year-old client reports abdominal pain. Which action(s) will the nurse take to assess the
pain? Select all that apply.
Use the numeric rating scale.
Observe the client.
Use the Wong-Baker FACES pain rating scale.
Ask the parents if the client is in pain.
Ask the client to describe the pain. - answer✔Use the Wong-Baker FACES pain rating scale.
Observe the client.
Ask the client to describe the pain.
A nurse is caring for a client who complains of an aching pain in the abdomen. The nurse also
noted that the client is guarding the area. The client is experiencing:
cutaneous pain.
somatic pain.
visceral pain.
neuropathic pain. - answer✔visceral pain.
Which principle should the nurse integrate into the pain assessment and pain management of
pediatric clients?
A numeric scale should be used to assess pain if the child is older than 5 years of age.
Pharmacologic pain relief should be used only as an intervention of last resort.
The developing neurologic system of children transmits less pain than in older clients.
Neuromuscular - answer✔Respiratory
A client has been prescribed patient-controlled analgesia and the nurse is setting up the system
and educating the client about safe and effective use of PCA. Which teaching point should the
nurse provide to the client?
"If you feel severe pain, either push the button yourself or ask one of your family members to
push the button."
"The pump is programmed with safeguards to limit the possibility overmedication."
"I'll have the unit's care aide come check on you every few minutes after I set up the system."
"We'll be monitoring your use of the system closely, to ensure you don't develop an addiction to
your pain medication." - answer✔"The pump is programmed with safeguards to limit the
possibility overmedication."
When the male client on his first postoperative day after chest surgery appears stoic and does not
ask for any pain medication, the nurse should:
assume the client does not need medication.
ask the client's family if he ever uses pain medicines.
document the client's lack of medication.
actively solicit information about the client's pain level. - answer✔actively solicit information
about the client's pain level.
A client reports severe pain following a mastectomy. The nurse would expect to administer what
type of pain medication to this client?
Opioid analgesics
Nonopioid analgesics
Corticosteroids - answer✔Opioid analgesics
A nurse is assessing a client's pain. The nurse notes which database finding that is indicative of
acute pain?
increased blood pressure
pupil constriction
decreased respiratory rate
decreased pulse rate - answer✔increased blood pressure
The nurse prepares to promote the client's comfort using guided imagery. Which actions should
the nurse take? Select all that apply.
Ask the client to imagine oneself in a favorite place.
Ask the client to concentrate on the details of a pleasant image.
Play the client's favorite music in the background.
Instruct the client how to breathe properly for relaxation.
Read a book to the client who is postoperative.
Ask the client to focus on tightening and relaxing a particular muscle group. - answer✔Ask the
client to imagine oneself in a favorite place.
Ask the client to concentrate on the details of a pleasant image.
The nurse is employing gate theory in the care of a client with pain in the lower back. What
actions by the nurse may assist in pain relief for the client?
Administer opioid analgesics
Use massage and heat application to the lower back
Encourage the client to have an epidural steroid injection
Have the client perform active exercises to stretch the back muscles - answer✔Use massage and
heat application to the lower back
When asking an older adult client about abdominal pain, the client reports, "I do not want to be a
bother because nothing hurts too much." The nurse notes that the client grimaces and splints the
abdomen when moving. What is the appropriate nursing action?
Document the client's statement, and do nothing further. - answer✔Gently mention that the client
appears to be experiencing pain that can be treated.
A postoperative vaginal hysterectomy client complains of pain that is more intense than this
morning. This factor should be explained to the client as
"You will need more pain medication as the days progress."
"Your present pain is worse because you had your packing removed."
"I will call your doctor because you may have loosened sutures when walking."
"Acute pain tends to increase during the day and is called a routine pain response" -
answer✔"Acute pain tends to increase during the day and is called a routine pain response"
A client reports after a back massage that his lower back pain has decreased from 8 to 3 on the
pain scale. Which opioid neuromodulator does the nurse know is released with skin stimulation
and is more than likely responsible for this increased level of comfort?
Melatonin
Serotonin
Endorphins
Dopamine - answer✔Endorphins
The nurse is conducting an admission assessment, and asks the client what medication is taken
for pain. The client responds, "I take a little white pill to control my pain, but I don't know the
name of it," and presents the nurse with a plastic baggie full of white pills. What is the priority
nursing intervention?
Tell the healthcare provider that the client is unsure of the pain medication taken.
Ask the client if he or she has the bottle the drug was dispensed in from the pharmacy.
Document what the client states.
Call the pharmacy to attempt to identify the pill. - answer✔Ask the client if he or she has the
bottle the drug was dispensed in from the pharmacy.
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