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PAIN – SHERPATH QUESTIONS AND
ANSWERS ALREADY PASSED
Which expected outcome would the nurse develop for a patient suffering with acute pain?
-Patient will report a pain level less than the previous rating. -Patient will ambulate up to 2 feet after surgery without pain. -Patient will report a pain level of less than 3/10 within 45 minutes of receiving pain medication. -Patient will meet with the health care provider to outline a plan for adjusting pain medication dosages within the next 3 days.
Patient will report a pain level of less than 3/10 within 45 minutes of receiving pain medication.
This is an appropriate patient outcome because it provides reasonable outcome criteria within a reasonable amount of time.
Which cues would a nurse closely monitor to determine a patient’s pain level who is intubated and can have nothing by mouth?
Select all that apply.
Pulse
Blood pressure
Eating habits
Temperature
Restlessness
A nonverbal patient’s pain measurement can be determined by closely monitoring a patient’s pulse because it will increase.
A nonverbal patient’s pain measurement can be determined by closely monitoring a patient’s blood pressure because it will increase.
A nonverbal patient’s pain measurement can be determined by closely monitoring a patient’s restlessness because it will increase.
Which nonpharmacologic interventions would the nurse utilize to alleviate a patient’s immediate postoperative pain?
Select all that apply.
-Restrict visitors.
-Close the door.
-Provide a quiet, dimly lit environment.
-Encourage the patient to ambulate through the halls.
-Increase the amount of stimulation the patient is exposed to.
-Administer prescribed morphine.
Match the process to its function for signaling pain.
-Impulse crosses over in the spinal cord. -Inhibitory messages from the brain are sent to the spinal cord. -Painful stimulus is changed into an electrical impulse. -Impulse signal is received by the cortex.
Impulse crosses over in the spinal cord. Transmission
Inhibitory messages from the brain are sent to the spinal cord.
Modulation
Painful stimulus is changed into an electrical impulse. Transduction
Impulse signal is received by the cortex.
Perception
Which pain assessment tool would the nurse use when assessing a young school-age patient who has a broken arm after falling off the jungle gym?
-Verbal Descriptor -Wong-Baker FACES -Activity Tolerance Scale -Neonatal Infant Pain Scale
-Wong-Baker FACES
The popular pediatric FACES scale was originally created to help young children describe their pain. This is the most appropriate pain assessment tool for a pediatric patient.
Which patients would the nurse offer to massage the leg?
Select all that apply.
-Has a hurting leg with a fracture
-Has an aching leg with a blood clot
-Has a leg with muscle spasms
-Has a strained leg with tightness
-Has a sore leg with muscle tension
-Has a leg with muscle spasms
The nurse would massage this patient’s leg because massage aids in relieving muscle spasms by improving circulation and reducing muscle tension.
-Has a strained leg with tightness
The nurse would massage this patient’s leg because massage increases flexibility and reduces tension.
-Has a sore leg with muscle tension
The nurse would massage this patient’s leg because massage aids in relieving aches by improving circulation and reducing muscle tension.
-Distraction
-Anxiety
-Fatigue
-Rubbing the painful area
-Emotional support
Emotional support from the patient’s partner being present will decrease the pain.
-Distraction
Distraction by the partner talking about events happening at home will decrease the pain.
-Rubbing the painful area (unless contraindicated: clots, fracture)
Rubbing the painful area (massage) will decrease the pain.
Which prescribed medications would the nurse administer to a patient whose pain level is 3/10?
Select all that apply.
Ibuprofen
Naproxen
Acetaminophen
Morphine
Oxycodone
-Ibuprofen
The nurse would administer ibuprofen. Ibuprofen, a nonopioid, nonsteroidal antiinflammatory drug, is given for mild (1 to 3) to moderate pain (4 to 7).
-Naproxen
The nurse would administer naproxen. Naproxen, a nonopioid, nonsteroidal antiinflammatory drug, is given for mild (1 to 3) to moderate pain (4 to 7).
-Acetaminophen
_The nurse would administer acetaminophen. Acetaminophen, a nonopioid, is given for mild (1 to
- to moderate pain (4 to 7)._
Which classification would the nurse document the patient is experiencing when reporting the pain at a 7/10?
Mild Moderate Severe Maximal
Moderate
Moderate pain is ranked as 4 to 7.
Which question would be the most important for the nurse to ask when a postoperative patient says, “I’m hurting”?
-Where is your pain?
-When did the pain start?
Massage Positioning Distraction Medication
-Relieves pressure Positioning
-Applies pressure to pressure points Massage
-Creates a diversion from pain
Distraction
-Blocks pain pathways
Medication
Which patient would the nurse assess first?
-A patient with arthritis reporting joint pain -A patient with an open airway -A patient with a pain rating of 3/ -A recent head injury patient who is reporting head pain
-A recent head injury patient who is reporting head pain
A recent head injury with head pain would be assessed first because it is an acute situation. An acute situation is addressed before chronic situations.
Which findings would alert the nurse the patient with an acute pain rating of 7/10 is declining?
Select all that apply.
-States the pain is severe.
-States the pain is moderate.
-Pulse increases.
-Blood pressure decreases.
-States pain is 7/10.
-States the pain is severe.
A patient with a 7/10 (moderate) who states the pain is severe indicates the patient is declining because the pain is increasing.
-Pulse increases.
With acute pain, if the pulse increases, the patient is declining because the sympathetic nervous system is being stimulated from an increase in pain.
Which principles would the nurse recall about pain signaling when caring for a patient with pain from stepping on a nail?
Select all that apply.
-A nail pricking a foot is changed into an electrical impulse in transduction.
-Trying to pull the foot away from the nail occurs during transmission.
-The patient first translates the pain during modulation.
- When the patient’s brain sends inhibitory messages to the spinal cord, this is perception.
