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Brandi Sizemore
Assessment Related to Pain
| Question | Answer |
|---|---|
| The nurse is describing effects of pain to a patient who is getting ready for surgery. Which statement made by the nurse indicates proper understanding of the effects of pain? | You may experience increased blood pressure. |
| A patient with diabetes is being seen in the emergency department for a broken arm. He states that he is in a lot of pain. The nurse understands that pain could have which effect on the patient’s blood sugar? | Increased blood sugar |
| A nurse is caring for a patient on the oncology floor. The nurse understands that which observation indicates the patient is in pain? | The patient’s urine output has decreaseS?"d from its normal baseline. |
| The nurse is teaching a patient’s family about the effects of pain. Which statement made by the nurse indicates proper teaching? | “When a patient is in chronic pain, the parasympathetic nervous system responds |
| A nurse is caring for a patient with a burn. When conducting the pain assessment, which action should the nurse perform first? | Take the patient’s vital signs. |
| A nurse is performing a pain assessment for a trauma patient. Which questions should the nurse include in the pain assessment? | =Where is the pain located?” =“Does the pain radiate anywhere? =What makes the pain worse or better? |
| A new nurse is trying to do a pain assessment. The charge nurse reminds the new nurse to use SOCRATES. The new nurse understands that the “T” in SOCRATES stands for what? | Time course |
| A nurse is talking with a patient regarding the patient’s pain. The nurse performed the SOCRATES set of questions. The nurse understands that which additional question would be relevant to the pain assessment? | “What are your past pain experienceS?" |
| The nurse is working in an urgent care office. A patient comes in with a possible broken ankle, experiencing a lot of pain. The nurse obtains his vital signs and watches him grimace every time his foot is moved. The ankle is edematous. When asked, the pat | Pain scale 9 out of 10 |
| A nurse is performing a pain assessment on a patient who is complaining of chest pain. The nurse understands that which question is appropriate to ask the patient? | Where is the pain located?” |
| The nurse is talking to a 50-year-old patient about his chronic back pain. Which questions would be appropriate for the nurse to ask? | =“Have you had similar pain in the past? =What are your past experiences with pain? =“What effect does the pain have on your activities of daily living?” -What do you use to deal with your discomfort? |
| A nurse is taking care of a 3-month-old infant who recently had abdominal surgery. The nurse is concerned that the patient may be in pain. Which action made by the nurse indicates proper knowledge of pain assessment? | Using the Neonatal Infant Pain Scale |
| A nurse is caring for a patient with kidney stones. The nurse asks the patient to describe the pain on a scale of 0-10.The patient rates the pain a 5. How would the nurse classify this pain? | Moderate pain |
| A nurse is assessing pain in a 4-year-old patient who has a femur fracture. Which pain assessment tool would be recommended for this patient? | Universal Pain Assessment Tool |
| The nurse completed a pain assessment on a 16-year-old teen that was hospitalized post-op for open-heart surgery. The patient describes the pain as “constant aching” and is rated 8 on the 0-10 pain scale. Which action made by the nurse indicates proper un | Looking in the patient’s chart for pain medication that was ordered, and obtaining an order for pain medication from the provider if none has been prescribed |
| A nurse is caring for a patient who has just had major abdominal surgery to resect a portion of his colon. What is the most reliable sign that the patient has significant postoperative pain? | The patient rates his pain a 7 on a scale of 0 to 10. |
| What will the nurse instruct nursing assistive personnel (NAP) to do regarding the management of a patient's pain? | Let me know at least 30 minutes before you transport her so I can administer her pain medication. |
| Which observation indicates that a patient's pain medication has been effective in managing pain that she rated a 6 out of 10 on a pain rating scale before the intervention? | The patient rates her current pain as 3 out of 10 on the pain rating scale. |
| A patient with a herniated disk is scheduled for surgery to fuse two vertebrae in her cervical spine. Which activity is most likely to be a palliative factor for this patient? | Performing neck, back, and shoulder exercises prescribed by a physical therapist |
| The nurse notices that his patient has none of the signs and symptoms normally associated with pain, such as diaphoresis, tachycardia, and hypertension. The patient does, however, seem moody and a bit uncooperative. What conclusion does the nurse draw? | The absence of physiological signs and symptoms is associated with chronic pain |
Created by:
Brandi Sizemore
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