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There are three main types of pain.They are: a.______________ b.______________ c.______________

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Types of pain. a.Acute. b.Chronic. c.Malignant.

The most important information gathered while completing an assessment of pain in an adult client is


A) Observation of body language.
B) Verbal report from client.
C) Palpation of painful areas.
D) Nonverbal responses from client.

E) A) and B)
F) A) and C)

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What is meant by administering PCA by proxy?

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Proxy is when unauthorized friends or family members administer the PCA medication to the client instead of the client controlling his or her own PCA dose.

List at least two JCAHO Standards for pain management (as presented to all health care facilities in 2000,revised in 2001). a.______________ b.______________

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JCAHO Standards:
a.Clients have the righ...

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Describe the assessment factors you would observe while a client is receiving epidural narcotic analgesia.How often would you assess these parameters?

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Respirations every 1 hour for ...

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In the following statements,circle T if the statement is true or F if the statement is false.

Premises
The IV line should be as far as possible from the epidural catheter.
Narcan should be at the bedside as a narcotic antagonist.
Student nurses can administer an epidural narcotic.
Clients on epidural analgesia should be monitored closely for the first 12 hours.
Responses
True
False

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The IV line should be as far as possible from the epidural catheter.
Narcan should be at the bedside as a narcotic antagonist.
Student nurses can administer an epidural narcotic.
Clients on epidural analgesia should be monitored closely for the first 12 hours.

Which pain relieving drug should be avoided in the elderly?

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Meperidine (Demerol)...

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The rationale for not using an alcohol wipe for disinfecting the catheter port of an epidural catheter is .

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Alcohol is extremely toxic to the spinal cord,so you would never allow it near an epidural port.

The rationale for placing a sign "Epidural Protocol Client" over the client's bed is to .

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The sign is to make the nurses...

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List four of the main parameters for assessing pain. a.______________ b.______________ c.______________ d.______________

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Measuring pain.
a.Lo...

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The pain experience is mainly considered to be what type of sensation?


A) Physical
B) Physiologic
C) Psychosocial
D) Mixture of all of the above

E) A) and B)
F) C) and D)

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The fifth vital sign is now considered to be ________________ because it affects the client's _________________.

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Pain is the fifth vital sign.I...

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The RN observes the Nursing Assistant (NA) just beginning to regulate the IV of an oncology client receiving morphine sulfate for pain.An LVN on the RN's team is responsible for this client and assigned the client to the NA.The RN team leader's intervention should be to


A) Inform the LVN so that he or she intervenes to instruct the NA that this action is not within the parameters of responsibility for the NA and therefore is not legal.
B) Immediately inform the charge nurse and fill out an unusual occurrence (incident) report.
C) Call a staff meeting and confront the LVN and NA and clarify the areas of responsibility for each staff member.
D) Ask the LVN and NA to meet with the RN team leader to discuss the responsibility parameters each of them has in relation to client care.

E) A) and B)
F) A) and C)

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Nursing instructions to a client using relaxation techniques for pain control should include the following information after telling him or her to breathe in and out slowly.


A) Inhale deeply and hold your breath.
B) Tense the painful area.
C) Completely relax the painful area.
D) Find a point of tension in your body.

E) A) and C)
F) A) and B)

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When a client has an order for an epidural narcotic analgesic or PCA,the antagonist kept at the bedside is


A) Atropine.
B) Isuprel.
C) Calcium chloride.
D) Narcan.

E) All of the above
F) A) and B)

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PCA infuser pumps enable the client to control three parameters of medication delivery.Which parameter is not controlled by the client?


A) Stopping and starting the infusion.
B) Administering a bolus dose.
C) Titrating the hourly dose within a preset range.
D) Deciding on dose parameters.

E) A) and D)
F) A) and B)

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Morphine sulfate is the agent often used for PCA.The usual concentration is

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Circle T if the statement is true or F if the statement is false.

Premises
Past experiences of pain are usually forgotten and do not affect how a client responds to current pain.
Reticular formation monitors in the brain stem regulate sensory input.
Activity in large and small nerve fibers affects pain sensations.
A pain experience is a singular event affecting either a physiologic change or a physical sensation.
A beta-endorphin is as strong as synthetic opiates,such as morphine sulfate.
Endorphin receptors are formed mainly in the heart,lungs,and kidneys.
Responses
False
True

Correct Answer

Past experiences of pain are usually forgotten and do not affect how a client responds to current pain.
Reticular formation monitors in the brain stem regulate sensory input.
Activity in large and small nerve fibers affects pain sensations.
A pain experience is a singular event affecting either a physiologic change or a physical sensation.
A beta-endorphin is as strong as synthetic opiates,such as morphine sulfate.
Endorphin receptors are formed mainly in the heart,lungs,and kidneys.

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