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NUR 310 Exam 4 Questions with Answers
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NUR 310 Exam 4 Questions with Answers
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NUR 310 Exam 4 Questions withAnswers
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.
Pain assessment may require multiple methods in order to ensure accurate pain data. -
Answer-Pain assessment may require multiple methods in order to ensure accurate
pain data.
Which is the priority assessment for a nurse caring for a client with a Patient Controlled
Analgesia (PCA) pump?
Respiratory
Cardiovascular
Peripheral Vascular
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
NSAIDs
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?
Confirm that age is the reason for many types of pain.
Gently mention that the client appears to be experiencing pain that can be treated.
Remind the client that pain can be tolerated instead of using addictive pain medication.
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.
The nurse preparing to admit a client receiving epidural opioids should make sure that
which of the following medications is readily available on the unit?
Naloxone
Digoxin
Furosemide
Lisinopril - Answer-Naloxone
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