NUR 300 CH 44 REVIEW QUESTIONS AND CORRECT ANSWERS
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Course
NUR 300
Institution
NUR 300
Which information would the nurse include when teaching a patient about transcutaneous electrical nerve stimulation (TENS)? TENS electrodes are applied near or directly on the site of pain.
In which situation would drug administration be considered palliative? Pain management for a patient with te...
NUR 300 CH 44 REVIEW QUESTIONS
AND CORRECT ANSWERS
Which information would the nurse include when teaching a patient about
transcutaneous electrical nerve stimulation (TENS)? ✅TENS electrodes are applied
near or directly on the site of pain.
In which situation would drug administration be considered palliative? ✅Pain
management for a patient with terminal cancer
A patient with cancer is administered 60 mg oral morphine per day for chronic pain. The
response to this dose is decreasing after repeated administration. The patignt now
needs to increase the dose of the morphine to achieve adequate pain control. Which
phenomenon is this called? ✅Tolerance
The nurse is teaching the patient how to use patient-controlled analgesia (PCA). Patient
teaching is an example of which step of the nursing process? ✅Implementation
Which information is obtained by referring to
the morphine equianalgesic chart? Select all
that apply. One, some, or all responses may be correct. ✅Morphine (oral route) dose
equivalent to hydromorphone (oral route) dose
Morphine (oral route) dose equivalent to
fentanyl transdermal patch
Morphine (intravenous route) dose equivalent
to fentanyl transdermal patch
Which recommendation by the World Health Organization (WHO) analgesic ladder
would the nurse follow while caring for a patient with cancer pain? ✅Transitioning use
of adjuvants with nonsteroidal antiinflammatory drugs (NSAIDs) to opioids
A postoperative patient reports pain at the site of surgery. On examination, the nurse
finds that the incision is healing well and there are no signs of infection. The nurse
instructs a student nurse to give a placebo drug to the patient. Which action would be
the most appropriate action for the student nurse to take?
Follow the instructions given by the nurse
Question the action of the placebo prescription.
Administer another analgesic drug.
, Administer the placebo and inform the health care provider immediately. ✅Question
the action of the placebo prescription.
Which nursing process step is involved when observing for symptoms of nausea in a
patient undergoing treatment using patient-controlled analgesia (PCA)? ✅Evaluation
The nurse is caring for a patient who has severe pain caused by muscle cramps. The
nurse recognizes this as which type of pain? ✅Somatic
During a pain assessment, the patient reports numbness and tingling sensations
interspersed with shooting or electric-like pain.
Which type of pain does the nurse infer that the patient is experiencing? ✅Neuropathic
Neuropathic pain is characterized by burning, shooting, or electric-like pain
accompanied by a tingling sensation.
Which action would be first for the nurse when a patient returns to the nursing unit after
knee surgery and is verbalizing pain at the surgical site? ✅Assess the characteristics
of the pain.
The nurse notices that a patient has received oxycodone/acetaminophen. (5 mg/325
mg), two tablets PO every 3 hours for the past 3 days. Which information concerns the
nurse the most? ✅The amount of daily acetaminophen
The major adverse effect of acetaminophen is hepatotoxicity. The maximum 24-hour
dose is 4 g. It is often combined with opioids (e.g., oxycodone) because it reduces the
dose of opioid needed to achieve successful pain control.
A patient rates his pain as a 6 on a scale of 0 to
10. The patient's wife says that he cannot be in that much pain because he has been
sleeping for 30 minutes. Which resource is most accurate for assessing the pain?
✅The patient's report of pain is the best method for assessing the pain.
Which site is most likely for referred pain for a male patient with myocardial infarction?
Select all that apply. One, some, or all responses may be correct. ✅Jaw
Left arm
Left shoulder
The nurse is assessing a hospitalized patient with acute pain. Which question would the
nurse ask the patient for an appropriate assessment? Select all that apply. One, some,
or all responses may be correct. ✅"What makes your pain worse?"
"Can you describe your pain?"
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