NSG 3023 Chapter 32 QUIZ

NSG 3023 Chapter 32 QUIZChapter 32: Pain Management Potter: Essentials for Nursing Practice, 8th Edition MULTIPLE CHOICE 1. A patient is admitted to the trauma unit with the diagnosis of spinal cord injury resulting from an ATV accident. The health care provider has diagnosed the patient as a paraplegic. Which of the following is one of the most important topics for patient teaching to prevent further injury to the patient? a. Reminding him that he can be injured and not feel pain below his waist b. Suggesting that his parents purchase a motorized wheelchair to prevent arm muscle strain c. Reminding the patient to decrease fluid intake due to lack of mobility d. Reminding the patient to drink plenty of fluids to maintain hydration ANS: A Some patients such as those with spinal cord injuries are unable to sense painful stimuli. You must take special precautions to protect them from additional injury. Safety is the number one priority for this patient due to lack of sensation and movement in the lower extremities. Providing precautions against taking too much pain medication and reminding the patient to drink plenty of fluids to maintain hydration are important interventions. Determination of which type of wheelchair the patient will need would be determined by the health care team closer to discharge. Pain processes require an intact peripheral nervous system and spinal cord. Common factors that disrupt the pain experience include trauma, drugs, tumor growth, and metabolic disorders. PTS: 1 DIF: Cognitive Level: Analyzing (Analysis) REF: 871 OBJ: Describe the physiology of pain. TOP: Nursing Process: Implementation MSC: Client Needs: Physiological Integrity 2. A graduate nurse is working for a diabetes unit. The nurse manager has prepared a very thorough orientation, which includes check-offs for taking vital signs. The nurse manager has informed the graduate nurse that their hospital has adopted the Joint Commission’s pain standard and that they will be assessing five vital signs. The graduate nurse knows that the fifth vital sign is which of the following? a. Arterial blood gasses b. Blood sugar c. Blood pressure d. Pain ANS: D National and international organizations have made efforts to correct this problem. The Joint Commission (2013) has a pain standard for health care workers to assess all patients for pain on a regular basis. Many health care institutions have adopted this standard by recommending that pain be assessed as the “fifth vital sign.”