Exam 4 Ch. 36

20問 • 3年前

問題一覧

1. The nurse is caring for a patient recovering from knee replacement surgery. The patient complains of severe pain in the knee after receiving hydrocodone with acetaminophen (Vicodin) 2 hours previously. What is the nurse’s best action?

b. Apply ice packs to the knee.

2. The nurse is checking on the patient after administering pain medication 30 minutes previously. Which assessment finding best indicates to the nurse that the pain medication was effective?

b. The patient states a reduction of the pain.

3. The nurse is caring for a patient who has severe abdominal pain caused by acute cholecystitis. The nurse recognizes which type of pain is this patient experiencing?

a. Visceral pain

4. The nurse knows which is the best pain medication option for a patient to manage severe long-term cancer pain at home?

a. Fentanyl (Duragesic) 50 mcg transdermal patch q 72 hours

5. The nurse is caring for a patient with severe chronic pain and applied the first 50 mcg transdermal fentanyl (Duragesic) patch 2 hours ago. The patient states that the pain is presently rated at 9 on a 1 to 10 scale. What is the nurse’s best action?

b. Check the provider’s orders for a short-acting narcotic medication to administer for breakthrough pain.

6. The nurse is caring for a patient who has been taking ibuprofen (Motrin) 800 mg TID for the last several months to relieve knee pain from arthritis. Which assessment finding must be reported by the nurse to the provider promptly?

a. The patient has abdominal pain and pale skin.

7. The nurse is caring for a patient who just underwent laparoscopic appendectomy. The patient complains of severe postoperative pain between the shoulder blades. Which term best describes the pain that this patient is having?

a. Referred pain

8. The nurse administered 100 mcg sublingual fentanyl spray (Subsys) at 10:00 a.m. to a patient experiencing severe breakthrough pain. At what time will the nurse ask the patient if pain relief was obtained?

a. 10:30 a.m.

9. The nurse is caring for a patient who will be using a hydromorphone (Dilaudid) PCA analgesia pump following surgery. Which intervention is the highest priority for the nurse to include in the patient’s care plan related to this pump?

a. Assess the patient’s respiratory status frequently after PCA pump started.

10. The nurse is caring for a 6-month-old infant who has just undergone surgery. The infant’s facial muscles are tight with a furrowed brow and the infant’s respirations are shallow and irregular. The infant is mildly fussy and softly crying without muscular rigidity in the arms and legs. What score will the nurse give to the infant on the Neonatal Infant Pain Scale?

c. 4

11. The nurse is caring for a patient who is recovering from thoracotomy surgery and notes that the patient’s pain is rated 9/10 and is unable to focus on anything. Which intervention by the nurse is the highest priority?

a. Administer prescribed IV pain medication and evaluate impact in 30 minutes.

12. The nurse is caring for a patient with rheumatoid arthritis who is in constant severe pain. Which nursing diagnosis is the highest priority for this patient?

d. Chronic pain r/t ongoing inflammatory tissue damage and joint destruction.

13. The nurse is caring for a cancer patient with ongoing pain from widespread metastasis to the bones. The nurse notes that the patient’s morphine dosage had to be increased to sufficiently manage the discomfort. What is the nurse’s interpretation of this assessment finding?

a. The patient became tolerant to the previous morphine dosage.

14. The nurse identifies which patient to be best suited for PCA analgesia?

b. A patient recovering from total hysterectomy surgery.

15. What is the priority nursing assessment for a patient who is receiving postoperative epidural analgesia with hydromorphone (Dilaudid)?

a. Respiratory rate, depth, and pattern

16. The nurse is caring for a diabetic patient who has painful foot neuropathy. The patient asks why the nurse is administering gabapentin (Neurontin) when there is no history of seizure disorder. What is the nurse’s best response?

d. “Gabapentin works on the nervous system to help relieve the burning pain in your feet.”

17. The nurse is caring for a patient who has a PCA pump following total hysterectomy surgery. The nurse sees the visitor push the PCA button while the patient is sleeping quietly. What is the best response of the nurse?

b. “Please do not push the button for the patient—she could receive more medication than she needs.”

18. Which assessment question helps the nurse determine the character of the patient’s pain?

a. “What does the pain feel like?”

19. The nurse is caring for a patient who only speaks a foreign language. What is the best method for the nurse to assess the patient’s pain level?

a. Perform a pain assessment using a translator.

20. The nurse is caring for a trauma patient with the nursing diagnosis of acute pain r/t fracture and muscle spasms. Which is an appropriate goal for this Nursing diagnosis?

b. The patient will describe meditation techniques that can be used to cope with pain.

NUR 170 exam 4

V Farris · 50問 · 2年前

NUR 170 exam 4