Deck 32: Pain, Neuropathy, and Headache
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Deck 32: Pain, Neuropathy, and Headache
1
Which concept should the nurse use when assessing a patient's level of pain?
A) Pain is defined by the nurse based on the type of injury.
B) Consider the source of the pain when assessing for pain.
C) A family member can determine the patient's level of pain if the patient is nonverbal.
D) Pain is subjective experience of the patient.
A) Pain is defined by the nurse based on the type of injury.
B) Consider the source of the pain when assessing for pain.
C) A family member can determine the patient's level of pain if the patient is nonverbal.
D) Pain is subjective experience of the patient.
Pain is subjective experience of the patient.
2
When a patient complains of intense throbbing hip pain with ambulation, the nurse categorizes this as which type of pain?
A) Nociceptive pain
B) Central pain
C) Visceral pain
D) Somatic pain
A) Nociceptive pain
B) Central pain
C) Visceral pain
D) Somatic pain
Somatic pain
3
To assess a patient's quality of pain, which question would the nurse ask the patient?
A) When did the pain start?
B) How would you describe the pain?
C) Can you point the site of your pain?
D) On a scale of 0 to 10, how bad is your pain?
A) When did the pain start?
B) How would you describe the pain?
C) Can you point the site of your pain?
D) On a scale of 0 to 10, how bad is your pain?
How would you describe the pain?
4
Which scale would be most appropriate for the nurse to use when assessing pain in a 5-year-old?
A) Visual Analog Scale
B) Verbal Numeric Scale
C) McGill Pain Questionnaire
D) Wong-Baker FACES Scale
A) Visual Analog Scale
B) Verbal Numeric Scale
C) McGill Pain Questionnaire
D) Wong-Baker FACES Scale
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5
Which patient statement indicates to the nurse that more teaching is needed about multimodal pain management?
A) "This method will provide better pain control."
B) "I will need a lower dose of each drug."
C) "It reduces the need for opioid drugs."
D) "It may increase the severity of the side effects I experience."
A) "This method will provide better pain control."
B) "I will need a lower dose of each drug."
C) "It reduces the need for opioid drugs."
D) "It may increase the severity of the side effects I experience."
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6
Which medication should the nurse anticipate administering to a patient in severe acute pain who is being treated using the WHO analgesic ladder?
A) Ibuprofen
B) Tramadol
C) Codeine
D) Morphine
A) Ibuprofen
B) Tramadol
C) Codeine
D) Morphine
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7
The nursing plan of care for a patient in pain should include which strategy?
A) Administer pain medication when the patient reports pain of at least a level of 4 out of 10.
B) Administer pain medications around the clock.
C) Administer pain medication when the nurse perceives the patient to be in pain.
D) Administer pain medication only when patient states a need for pain relief.
A) Administer pain medication when the patient reports pain of at least a level of 4 out of 10.
B) Administer pain medications around the clock.
C) Administer pain medication when the nurse perceives the patient to be in pain.
D) Administer pain medication only when patient states a need for pain relief.
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8
Using the WHO pain ladder, the nursing plan of care for a patient with chronic lower back pain should include which strategy?
A) Start with the first step and advance slowly up the ladder.
B) Treat breakthrough pain with a long-acting analgesic.
C) Administer an opioid and then slowly move back down the ladder.
D) Aim for complete pain control as the goal of therapy.
A) Start with the first step and advance slowly up the ladder.
B) Treat breakthrough pain with a long-acting analgesic.
C) Administer an opioid and then slowly move back down the ladder.
D) Aim for complete pain control as the goal of therapy.
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9
The nurse would expect to assess which finding in a patient with allodynia?
A) A diminished response to pain
B) A hypersensitive response to an innocuous stimulus such as light touch
C) An increased sensitivity to thermal stimulation
D) A decreased sensitivity to tactile stimulation
A) A diminished response to pain
B) A hypersensitive response to an innocuous stimulus such as light touch
C) An increased sensitivity to thermal stimulation
D) A decreased sensitivity to tactile stimulation
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10
Which manifestation would the nurse expect to find in a patient with diabetic neuropathy?
A) Pain and paresthesia starting in both feet and progressing up the leg
B) Pain and paresthesia in one foot that eventually progresses up the leg
C) A dull cramping pain in both calves
D) Leg pain that is more severe in the morning
A) Pain and paresthesia starting in both feet and progressing up the leg
B) Pain and paresthesia in one foot that eventually progresses up the leg
C) A dull cramping pain in both calves
D) Leg pain that is more severe in the morning
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11
What sign(s) should alert the nurse to a potential problem in a patient taking a non-steroidal anti-inflammatory drug (NSAID) for diabetic polyneuropathy?
A) Elevated liver function tests
B) Elevated white blood cell count
C) Elevated blood urea nitrogen (BUN) and serum creatinine levels
D) Elevated prothrombin time
A) Elevated liver function tests
B) Elevated white blood cell count
C) Elevated blood urea nitrogen (BUN) and serum creatinine levels
D) Elevated prothrombin time
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12
A patient who has had a right leg amputation below the knee describes a feeling that his toes are getting closer to his knee. The nurse explains to the patient that this sensation is known as:
A) stump pain.
B) phantom sensations.
C) phantom limb pain.
D) telescoping.
A) stump pain.
B) phantom sensations.
C) phantom limb pain.
D) telescoping.
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13
Which drug of choice should the nurse anticipate administering to a patient with severe new onset pain due to trigeminal neuralgia?
A) Gabapentin
B) Carbamazepine
C) Baclofen
D) Phenytoin
A) Gabapentin
B) Carbamazepine
C) Baclofen
D) Phenytoin
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14
Which finding would the nurse expect when assessing a patient with a tension type headache (TTH)?
A) A throbbing unilateral headache
B) A constant, bilateral, dull bandlike pain around the head with vomiting
C) A sudden onset of severe unilateral piercing or burning pain, located behind or around the eye
D) Premonitory or prodromic symptoms
A) A throbbing unilateral headache
B) A constant, bilateral, dull bandlike pain around the head with vomiting
C) A sudden onset of severe unilateral piercing or burning pain, located behind or around the eye
D) Premonitory or prodromic symptoms
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15
To reduce the incidence of migraine headaches, the nurse is teaching the patient to avoid foods high in tyramine. Which foods should the nurse tell the patient to avoid?
A) Cheddar cheese
B) White wine
C) Cottage cheese
D) Smoked fish
A) Cheddar cheese
B) White wine
C) Cottage cheese
D) Smoked fish
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16
A nursing assessment on a patient experiencing myofascial pain is most likely to reveal:
A) a feeling of pins and needles.
B) constant pain.
C) pain aggravated by cold.
D) taut muscle band.
A) a feeling of pins and needles.
B) constant pain.
C) pain aggravated by cold.
D) taut muscle band.
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17
Which patient statement indicates to the nurse that more teaching about the diagnostic process of fibromyalgia is needed?
A) "Pain needs to be present in 7 of 18 trigger points."
B) "Diagnosis is made if I have widespread pain for 6 months or more."
C) "There is no definitive test for fibromyalgia."
D) "We need to rule out other causes for my pain."
A) "Pain needs to be present in 7 of 18 trigger points."
B) "Diagnosis is made if I have widespread pain for 6 months or more."
C) "There is no definitive test for fibromyalgia."
D) "We need to rule out other causes for my pain."
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18
Which is the most appropriate pain scale for the nurse to use when assessing pain in a 7-year-old developmentally disabled child?
A) Neonatal Infants Pain Scale (NIPS)
B) Faces, Legs, Activity, Crying, Consolability Scale (FLACC)
C) CRIES observational assessment tool
D) Wong-Baker FACES scale
A) Neonatal Infants Pain Scale (NIPS)
B) Faces, Legs, Activity, Crying, Consolability Scale (FLACC)
C) CRIES observational assessment tool
D) Wong-Baker FACES scale
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19
Using the Pain Assessment in Advanced Dementia (PAINAD) tool, the nurse assesses a patient with Alzheimer disease to have a score of 5. The nurse prepares to treat this patient for which level of pain?
A) No pain
B) Mild pain
C) Moderate pain
D) Severe pain
A) No pain
B) Mild pain
C) Moderate pain
D) Severe pain
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20
The nursing plan of care for a 4-year-old following a tonsillectomy should include which of the following concepts?
A) Analgesic dosing is based on year in school and weight.
B) Administer analgesics by the least painful route.
C) Administer analgesics only when the Wong-Baker FACES scale indicates a pain rating of 6 or higher.
D) Administer analgesics rectally.
A) Analgesic dosing is based on year in school and weight.
B) Administer analgesics by the least painful route.
C) Administer analgesics only when the Wong-Baker FACES scale indicates a pain rating of 6 or higher.
D) Administer analgesics rectally.
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