Health and Healing IV- PAIN Questions With Complete
Solutions
A client admitted with metastatic lung cancer is prescribed
morphine for pain. Which side effect of this medication should
the nurse try to prevent with oral intake and medication?
a) Diarrhea
b) Agitation
c) Constipation
d) Urinary incontinence Correct Answers C
A client experiences a sudden onset of severe left knee pain and
is admitted to hospital. On assessment, the nurse finds that the
client has a high blood pressure reading however, the client
denies any history of hypertension. Which factors may have
caused the current high blood pressure reading? Select all that
apply.
a) Increased antidiuretic hormone (ADH)
b) Decreased heart rate
c) Decreased production of renin
d) Increased aldosterone
e) Increased peripheral vascular resistance Correct Answers
A,D,E
A client has a temperature of 38.7 C. There is a prescription for
ibuprofen 600 mg by mouth (PO) for fever. Available are 200-
mg tablets. How many tablets should the nurse administer?
a) 1.5 tablets
b) 2 tablets
c) 2.5 tablets
d) 3 tablets Correct Answers D
,A client is hospitalized with multiple lacerations and four
fractured ribs after a fall. The nurse, creating a plan of care,
recognizes that which action is the highest priority?
a) Providing a high-protein, high-calcium diet
b) Performing range-of-motion exercises during morning care
c) Administering analgesics and encourage breathing exercises
d) Keeping the client NPO and performing oral hygiene at least
every 4 hours Correct Answers C
A client is prescribed a patient-controlled analgesia (PCA)
delivery system for pain secondary to renal cancer. Which
instruction should the nurse include when educating the client
about the PCA system?
a) Pressing the button repeatedly may lead to overdose
b) Administer a dose only when the pain becomes severe
c) It uses an infusion system controlled by the client
d) It is programmed to administer as many doses as the client
needs Correct Answers C
A client who has had surgery for breast cancer reports ongoing,
constant moderate pain with short periods of severe pain during
dressing changes. Which statement is true?
a) The client probably is exaggerating the report of pain
b) The client needs a referral for surgical treatment of the pain
c) The pain is best treated by receiving both a long-acting and a
short-acting opioid
d) The pain is best treated by regularly scheduled short-acting
opioids plus acetaminophen Correct Answers C
, A client with extensive second-degree burns is using a (PCA)
with IV morphine to be delivered at 1 mg every 10 minutes to
control his pain. Several times during the night, he awakens in
severe pain, and it takes more than an hour to regain pain relief.
What is the most appropriate nursing action at this time?
a) Request that the physician order a bolus of morphine to be
given when the client awakens with pain
b) Teach the client to push the button every 10 minutes for an
hour before he goes to sleep, even if he has minimal pain at that
time
c) Administer a dose of morphine every hour from the PCA
machine while the client sleeps
d) Consult with the client's physician about adding a continuous
morphine infusion to the PCA regimen at night Correct Answers
D
A client with osteoarthritis has been taking ibuprofen 400 mg
every 8 hours. The client states that the drug does not seem to
work as well as it used to in controlling the pain. Which
information is the basis for the best response by the nurse?
a) Another nonsteroidal anti-inflammatory drug (NSAID) may
be indicated because of individual variations in response to drug
therapy
b) It may take several months for NSAIDs to reach therapeutic
levels in the blood and thus be effective
c) If NSAIDs are not effective in controlling symptoms,
systemic corticosteroids are the next line of therapy
d) The client probably is not compliant with the drug therapy
and therefore the nurse must initially assess the client's
knowledge base and initiate appropriate teaching Correct
Answers A
Solutions
A client admitted with metastatic lung cancer is prescribed
morphine for pain. Which side effect of this medication should
the nurse try to prevent with oral intake and medication?
a) Diarrhea
b) Agitation
c) Constipation
d) Urinary incontinence Correct Answers C
A client experiences a sudden onset of severe left knee pain and
is admitted to hospital. On assessment, the nurse finds that the
client has a high blood pressure reading however, the client
denies any history of hypertension. Which factors may have
caused the current high blood pressure reading? Select all that
apply.
a) Increased antidiuretic hormone (ADH)
b) Decreased heart rate
c) Decreased production of renin
d) Increased aldosterone
e) Increased peripheral vascular resistance Correct Answers
A,D,E
A client has a temperature of 38.7 C. There is a prescription for
ibuprofen 600 mg by mouth (PO) for fever. Available are 200-
mg tablets. How many tablets should the nurse administer?
a) 1.5 tablets
b) 2 tablets
c) 2.5 tablets
d) 3 tablets Correct Answers D
,A client is hospitalized with multiple lacerations and four
fractured ribs after a fall. The nurse, creating a plan of care,
recognizes that which action is the highest priority?
a) Providing a high-protein, high-calcium diet
b) Performing range-of-motion exercises during morning care
c) Administering analgesics and encourage breathing exercises
d) Keeping the client NPO and performing oral hygiene at least
every 4 hours Correct Answers C
A client is prescribed a patient-controlled analgesia (PCA)
delivery system for pain secondary to renal cancer. Which
instruction should the nurse include when educating the client
about the PCA system?
a) Pressing the button repeatedly may lead to overdose
b) Administer a dose only when the pain becomes severe
c) It uses an infusion system controlled by the client
d) It is programmed to administer as many doses as the client
needs Correct Answers C
A client who has had surgery for breast cancer reports ongoing,
constant moderate pain with short periods of severe pain during
dressing changes. Which statement is true?
a) The client probably is exaggerating the report of pain
b) The client needs a referral for surgical treatment of the pain
c) The pain is best treated by receiving both a long-acting and a
short-acting opioid
d) The pain is best treated by regularly scheduled short-acting
opioids plus acetaminophen Correct Answers C
, A client with extensive second-degree burns is using a (PCA)
with IV morphine to be delivered at 1 mg every 10 minutes to
control his pain. Several times during the night, he awakens in
severe pain, and it takes more than an hour to regain pain relief.
What is the most appropriate nursing action at this time?
a) Request that the physician order a bolus of morphine to be
given when the client awakens with pain
b) Teach the client to push the button every 10 minutes for an
hour before he goes to sleep, even if he has minimal pain at that
time
c) Administer a dose of morphine every hour from the PCA
machine while the client sleeps
d) Consult with the client's physician about adding a continuous
morphine infusion to the PCA regimen at night Correct Answers
D
A client with osteoarthritis has been taking ibuprofen 400 mg
every 8 hours. The client states that the drug does not seem to
work as well as it used to in controlling the pain. Which
information is the basis for the best response by the nurse?
a) Another nonsteroidal anti-inflammatory drug (NSAID) may
be indicated because of individual variations in response to drug
therapy
b) It may take several months for NSAIDs to reach therapeutic
levels in the blood and thus be effective
c) If NSAIDs are not effective in controlling symptoms,
systemic corticosteroids are the next line of therapy
d) The client probably is not compliant with the drug therapy
and therefore the nurse must initially assess the client's
knowledge base and initiate appropriate teaching Correct
Answers A
