BSN 445 Pain Management
Terms in this set (107)
Challenges to Pain Assessment People with delirium still experience
and Management in the Critical pain. Delirium is highly prevalent in
Care Setting Question 1 of 9 critically ill patients.
For which reason is it important Uncontrolled pain can lead to chronic nervous system
to assess pain in delirious complications. Pain activates the sympathetic nervous
patients admitted to the critical system.
care unit? Select all that apply. One,
some, or all responses may be
correct.
People with delirium still experience
pain. Delirium is highly prevalent in
critically ill patients.
Pain is a nonmodifiable factor for
delirium. Uncontrolled pain can
lead to chronic nervous system
complications.
Pain activates the sympathetic
nervous system.
Question 2 of 9 Vertical pain intensity scale
When caring for an older adult Vertical pain intensity scales are more easily understood and are
patient with a mild cognitive recommended for older adults with mild to moderate cognitive
impairment, which pain impairments.
assessment technique would
the nurse use?
Verbal 0-to-10 pain
scale Behavioral
observation scale
Monitoring for
tachycardia Vertical
pain intensity scale
,Question 3 of 9 Inability to communicate
Which barrier impacts effective The most obvious patient barrier to the assessment of pain is
pain assessment the most? an alteration in the ability to communicate.
Nurse's preconceived ideas or
assumptionsInability to
communicateExcessive
environmental stimuliCultural
differences between the patient
and the health care team
Question 4 of 9 "Can I do anything to support you?"
The nurse is caring for a patient who This open-ended question demonstrates cultural competence and
states, "This pain is a punishment empowers the patient to ask for assistance if needed.
from God for my bad deeds." In
which way would the nurse
respond?
"Nobody should have to feel pain; I
will get you some pain
medications."
"Have you tried praying to fix
your pain?" "Can I do anything
to support you?" "That is not
true. God does not want
anyone to feel pain."
Question 5 of 9 Use a 0-to-10 scale translated into the patient's language
The nurse is caring for a patient The use of a pain intensity scale in the patient's language is vital.
who speaks a language other The 0-to-10 numeric pain scales have been translated into many
than that of the health care different languages.
team members. In which way
would the nurse assess this
patient's pain?
Ask the patient's family about
their perception of the patient's
level of comfort Use a translation
service to speak about the pain
Communicate using gestures
and motions Use a 0-to-10
scale translated into the
patient's language
Question 6 of 9 Complete education on the intricacies of cultural beliefs
In which way could the nursing Understanding the complexities and intricacies of cultural
team improve their ability to beliefs requires thorough discussion and education. To improve
provide culturally competent culturally competent care, the nurse should be a lifelong learner.
care?
Complete education on the
intricacies of cultural beliefs
Apply cultural assumptions to all
patients of a particular culture
,Treat patients the way the nurses
would like to be treated
Ask patients' family members to
explain their cultural beliefs
Question 7 of 9 Opioid naïveté
Which factor increases the risk of Patients who are opioid-naïve are at an increased risk of IWS.
iatrogenic withdrawal syndrome
(IWS)?
A history of long-term narcotic use
in the past
Short-term critical care
admission Opioid naïveté
Use of small opioid doses
, Question 8 of 9 Lacrimation
Which assessment finding leads Iatrogenic withdrawal syndrome causes lacrimation and piloerection.
the nurse to suspect that the
patient is experiencing
iatrogenic withdrawal
syndrome (IWS)? Constipation
Drowsin
ess
Seizures
Lacrimati
on
Question 9 of 9 Massage
Which pain method would the nurse Massage has proven pain relief effects and is a nonpharmacologic
use to relieve pain as an adjunct pain control method.
to pharmacological methods?
Epidural analgesia
Patient-controlled
analgesia Increased
environmental stimulation
Massage
Question 1 of 5 Decreased diaphragmatic mass
Which effect will malnutrition have Muscle wasting associated with malnutrition also causes a decrease
on respiratory function? in diaphragmatic mass, leading to impaired ventilation.
Increased surfactant production
Decreased diaphragmatic mass
Increased vital capacity
Decreased risk of pulmonary
infections
Question 2 of 5 Unpleasant taste in the mouth
Which finding would the nurse Sputum production and bronchodilator therapy can cause an
expect to assess in a patient with unpleasant taste in the mouth, altering nutritional intake.
pulmonary disease? Increased
abdominal circumference
Unpleasant taste in the mouth
Decreased PCO2
level Ankle
edema
Question 3 of 5 Perform mouth care before meals.
The nurse is developing a care Mouth care should be provided before meals and snacks to clear
plan for a patient with chronic the palate of the taste of sputum and medications.
obstructive pulmonary disorder.
Which intervention would the
nurse include in the plan of
care?
Provide three large meals
daily. Perform mouth care
before meals.
Administer bronchodilators 1 hour
Terms in this set (107)
Challenges to Pain Assessment People with delirium still experience
and Management in the Critical pain. Delirium is highly prevalent in
Care Setting Question 1 of 9 critically ill patients.
For which reason is it important Uncontrolled pain can lead to chronic nervous system
to assess pain in delirious complications. Pain activates the sympathetic nervous
patients admitted to the critical system.
care unit? Select all that apply. One,
some, or all responses may be
correct.
People with delirium still experience
pain. Delirium is highly prevalent in
critically ill patients.
Pain is a nonmodifiable factor for
delirium. Uncontrolled pain can
lead to chronic nervous system
complications.
Pain activates the sympathetic
nervous system.
Question 2 of 9 Vertical pain intensity scale
When caring for an older adult Vertical pain intensity scales are more easily understood and are
patient with a mild cognitive recommended for older adults with mild to moderate cognitive
impairment, which pain impairments.
assessment technique would
the nurse use?
Verbal 0-to-10 pain
scale Behavioral
observation scale
Monitoring for
tachycardia Vertical
pain intensity scale
,Question 3 of 9 Inability to communicate
Which barrier impacts effective The most obvious patient barrier to the assessment of pain is
pain assessment the most? an alteration in the ability to communicate.
Nurse's preconceived ideas or
assumptionsInability to
communicateExcessive
environmental stimuliCultural
differences between the patient
and the health care team
Question 4 of 9 "Can I do anything to support you?"
The nurse is caring for a patient who This open-ended question demonstrates cultural competence and
states, "This pain is a punishment empowers the patient to ask for assistance if needed.
from God for my bad deeds." In
which way would the nurse
respond?
"Nobody should have to feel pain; I
will get you some pain
medications."
"Have you tried praying to fix
your pain?" "Can I do anything
to support you?" "That is not
true. God does not want
anyone to feel pain."
Question 5 of 9 Use a 0-to-10 scale translated into the patient's language
The nurse is caring for a patient The use of a pain intensity scale in the patient's language is vital.
who speaks a language other The 0-to-10 numeric pain scales have been translated into many
than that of the health care different languages.
team members. In which way
would the nurse assess this
patient's pain?
Ask the patient's family about
their perception of the patient's
level of comfort Use a translation
service to speak about the pain
Communicate using gestures
and motions Use a 0-to-10
scale translated into the
patient's language
Question 6 of 9 Complete education on the intricacies of cultural beliefs
In which way could the nursing Understanding the complexities and intricacies of cultural
team improve their ability to beliefs requires thorough discussion and education. To improve
provide culturally competent culturally competent care, the nurse should be a lifelong learner.
care?
Complete education on the
intricacies of cultural beliefs
Apply cultural assumptions to all
patients of a particular culture
,Treat patients the way the nurses
would like to be treated
Ask patients' family members to
explain their cultural beliefs
Question 7 of 9 Opioid naïveté
Which factor increases the risk of Patients who are opioid-naïve are at an increased risk of IWS.
iatrogenic withdrawal syndrome
(IWS)?
A history of long-term narcotic use
in the past
Short-term critical care
admission Opioid naïveté
Use of small opioid doses
, Question 8 of 9 Lacrimation
Which assessment finding leads Iatrogenic withdrawal syndrome causes lacrimation and piloerection.
the nurse to suspect that the
patient is experiencing
iatrogenic withdrawal
syndrome (IWS)? Constipation
Drowsin
ess
Seizures
Lacrimati
on
Question 9 of 9 Massage
Which pain method would the nurse Massage has proven pain relief effects and is a nonpharmacologic
use to relieve pain as an adjunct pain control method.
to pharmacological methods?
Epidural analgesia
Patient-controlled
analgesia Increased
environmental stimulation
Massage
Question 1 of 5 Decreased diaphragmatic mass
Which effect will malnutrition have Muscle wasting associated with malnutrition also causes a decrease
on respiratory function? in diaphragmatic mass, leading to impaired ventilation.
Increased surfactant production
Decreased diaphragmatic mass
Increased vital capacity
Decreased risk of pulmonary
infections
Question 2 of 5 Unpleasant taste in the mouth
Which finding would the nurse Sputum production and bronchodilator therapy can cause an
expect to assess in a patient with unpleasant taste in the mouth, altering nutritional intake.
pulmonary disease? Increased
abdominal circumference
Unpleasant taste in the mouth
Decreased PCO2
level Ankle
edema
Question 3 of 5 Perform mouth care before meals.
The nurse is developing a care Mouth care should be provided before meals and snacks to clear
plan for a patient with chronic the palate of the taste of sputum and medications.
obstructive pulmonary disorder.
Which intervention would the
nurse include in the plan of
care?
Provide three large meals
daily. Perform mouth care
before meals.
Administer bronchodilators 1 hour
