Lewis MedSurg - CHapt 8 - Pain
Study online at https://quizlet.com/_8ah9q0
ANS: B
Chapter 9: Pain
Because pain is a multidimensional ex-
Chapter 9: Pain
perience, asking a question that ad-
Test Bank
dresses the patient's experience with the
MULTIPLE CHOICE
pain will elicit more information than the
1. Which question asked by the nurse
more specific information asked in the
will give the most information about the
other three responses. All of these ques-
patient's metastatic bone cancer pain?
tions are appropriate, but the response
a. "How long have you had this pain?"
beginning "How would you describe your
b. "How would you describe your pain?"
pain?" is the best initial question.
c. "How much medication do you take for
DIF: Cognitive Level: Apply (application)
the pain?"
REF: 115
d. "How many times a day do you take
TOP: Nursing Process: Assessment
medication for the pain?"
MSC: NCLEX: Physiological Integrity
ANS: D
Pain that occurs beyond the chronic
2. A patient who uses a fentanyl (Dura- pain already being treated by appropri-
gesic) patch for chronic cancer pain sud- ate analgesics is termed breakthrough
denly complains of rapid onset pain at pain. Neuropathic pain is caused by dam-
a level 9 (0 to 10 scale) and requests age to peripheral nerves or the central
"something for pain that will work now." nervous system (CNS). Somatic pain is
How will the nurse document the type of localized and arises from bone, joint,
pain reported by this patient? muscle, skin, or connective tissue. Re-
a. Somatic pain ferred pain is pain that is localized in
b. Referred pain uninjured tissue.
c. Neuropathic pain DIF: Cognitive Level: Apply (application)
d. Breakthrough pain REF: 121
TOP: Nursing Process: Implementation
MSC: NCLEX: Physiological Integrity
ANS: C
3. The nurse teaches a student nurse
Nonsteroidal antiinflammatory drugs
about the action of ibuprofen. Which
(NSAIDs) provide analgesic effects by
statement, if made by the student, indi-
decreasing the production of pain-sensi-
cates that teaching was effective?
tizing chemicals such as prostaglandins
a. "The drug decreases pain impulses in
at the site of injury. Transmission of im-
the spinal cord."
pulses through the spinal cord, brain
b. "The drug decreases sensitivity of the
sensitivity to pain, and the descend-
brain to painful stimuli."
ing nerve pathways are not affected by
, Lewis MedSurg - CHapt 8 - Pain
Study online at https://quizlet.com/_8ah9q0
NSAIDs.
c. "The drug decreases production of
DIF: Cognitive Level: Understand (com-
pain-sensitizing chemicals."
prehension) REF: 116
d. "The drug decreases the modulating
TOP: Nursing Process: Implementation
effect of descending nerves."
MSC: NCLEX: Physiological Integrity
4. A nurse assesses a patient with
ANS: D
chronic cancer pain who is receiv-
Imipramine is being used in this patient to
ing imipramine (Tofranil) in addition to
manage chronic pain and improve func-
long-acting morphine. Which statement,
tional ability. Although the medication is
if made by the patient, indicates to the
also prescribed for patients with depres-
nurse that the patient is receiving ade-
sion, insomnia, and anxiety, the evalua-
quate pain control?
tion for this patient is based on improved
a. "I'm not anxious at all."
pain control and activity level.
b. "I sleep 8 hours every night."
DIF: Cognitive Level: Apply (application)
c. "I feel much less depressed since I've
REF: 128
been taking the Tofranil."
TOP: Nursing Process: Evaluation MSC:
d. "The pain is manageable and I can
NCLEX: Physiological Integrity
accomplish my desired activities.
5. A patient with chronic back pain has
learned to control the pain with the use
of imagery and hypnosis. The patient's
ANS: A
spouse asks the nurse how these tech-
Cognitive therapies affect the perception
niques work. Which response by the
of pain by the brain rather than affecting
nurse is best?
efferent or afferent pathways or influenc-
a. "The strategies work by affecting the
ing the release of chemical transmitters
perception of pain."
in the dorsal horn.
b. "These techniques block the pain path-
DIF: Cognitive Level: Apply (application)
ways of the nerves."
REF: 133
c. "Both strategies prevent transmission
TOP: Nursing Process: Implementation
of painful stimuli to the brain."
MSC: NCLEX: Physiological Integrity
d. "The therapies slow the release of
chemicals in the spinal cord that cause
pain."
6. A patient who is receiving sus- ANS: D
tained-release morphine sulfate (MS The severe breakthrough pain indicates
Contin) every 12 hours for chronic pain that the initial therapy should be a rapid-
experiences level 9 (0 to 10 scale) break- ly acting opioid, such as the immedi-
through pain and anxiety. Which action ate-release morphine. Lorazepam and
Study online at https://quizlet.com/_8ah9q0
ANS: B
Chapter 9: Pain
Because pain is a multidimensional ex-
Chapter 9: Pain
perience, asking a question that ad-
Test Bank
dresses the patient's experience with the
MULTIPLE CHOICE
pain will elicit more information than the
1. Which question asked by the nurse
more specific information asked in the
will give the most information about the
other three responses. All of these ques-
patient's metastatic bone cancer pain?
tions are appropriate, but the response
a. "How long have you had this pain?"
beginning "How would you describe your
b. "How would you describe your pain?"
pain?" is the best initial question.
c. "How much medication do you take for
DIF: Cognitive Level: Apply (application)
the pain?"
REF: 115
d. "How many times a day do you take
TOP: Nursing Process: Assessment
medication for the pain?"
MSC: NCLEX: Physiological Integrity
ANS: D
Pain that occurs beyond the chronic
2. A patient who uses a fentanyl (Dura- pain already being treated by appropri-
gesic) patch for chronic cancer pain sud- ate analgesics is termed breakthrough
denly complains of rapid onset pain at pain. Neuropathic pain is caused by dam-
a level 9 (0 to 10 scale) and requests age to peripheral nerves or the central
"something for pain that will work now." nervous system (CNS). Somatic pain is
How will the nurse document the type of localized and arises from bone, joint,
pain reported by this patient? muscle, skin, or connective tissue. Re-
a. Somatic pain ferred pain is pain that is localized in
b. Referred pain uninjured tissue.
c. Neuropathic pain DIF: Cognitive Level: Apply (application)
d. Breakthrough pain REF: 121
TOP: Nursing Process: Implementation
MSC: NCLEX: Physiological Integrity
ANS: C
3. The nurse teaches a student nurse
Nonsteroidal antiinflammatory drugs
about the action of ibuprofen. Which
(NSAIDs) provide analgesic effects by
statement, if made by the student, indi-
decreasing the production of pain-sensi-
cates that teaching was effective?
tizing chemicals such as prostaglandins
a. "The drug decreases pain impulses in
at the site of injury. Transmission of im-
the spinal cord."
pulses through the spinal cord, brain
b. "The drug decreases sensitivity of the
sensitivity to pain, and the descend-
brain to painful stimuli."
ing nerve pathways are not affected by
, Lewis MedSurg - CHapt 8 - Pain
Study online at https://quizlet.com/_8ah9q0
NSAIDs.
c. "The drug decreases production of
DIF: Cognitive Level: Understand (com-
pain-sensitizing chemicals."
prehension) REF: 116
d. "The drug decreases the modulating
TOP: Nursing Process: Implementation
effect of descending nerves."
MSC: NCLEX: Physiological Integrity
4. A nurse assesses a patient with
ANS: D
chronic cancer pain who is receiv-
Imipramine is being used in this patient to
ing imipramine (Tofranil) in addition to
manage chronic pain and improve func-
long-acting morphine. Which statement,
tional ability. Although the medication is
if made by the patient, indicates to the
also prescribed for patients with depres-
nurse that the patient is receiving ade-
sion, insomnia, and anxiety, the evalua-
quate pain control?
tion for this patient is based on improved
a. "I'm not anxious at all."
pain control and activity level.
b. "I sleep 8 hours every night."
DIF: Cognitive Level: Apply (application)
c. "I feel much less depressed since I've
REF: 128
been taking the Tofranil."
TOP: Nursing Process: Evaluation MSC:
d. "The pain is manageable and I can
NCLEX: Physiological Integrity
accomplish my desired activities.
5. A patient with chronic back pain has
learned to control the pain with the use
of imagery and hypnosis. The patient's
ANS: A
spouse asks the nurse how these tech-
Cognitive therapies affect the perception
niques work. Which response by the
of pain by the brain rather than affecting
nurse is best?
efferent or afferent pathways or influenc-
a. "The strategies work by affecting the
ing the release of chemical transmitters
perception of pain."
in the dorsal horn.
b. "These techniques block the pain path-
DIF: Cognitive Level: Apply (application)
ways of the nerves."
REF: 133
c. "Both strategies prevent transmission
TOP: Nursing Process: Implementation
of painful stimuli to the brain."
MSC: NCLEX: Physiological Integrity
d. "The therapies slow the release of
chemicals in the spinal cord that cause
pain."
6. A patient who is receiving sus- ANS: D
tained-release morphine sulfate (MS The severe breakthrough pain indicates
Contin) every 12 hours for chronic pain that the initial therapy should be a rapid-
experiences level 9 (0 to 10 scale) break- ly acting opioid, such as the immedi-
through pain and anxiety. Which action ate-release morphine. Lorazepam and
