1. A patient was diagnosed with pancreatic cancer last month, and has complained of
a dull ache in the abdomen for the past 4 months. This pain has been gradually
increasing, and the pain relievers taken at home are no
...
1. A patient was diagnosed with pancreatic cancer last month, and has complained of
a dull ache in the abdomen for the past 4 months. This pain has been gradually
increasing, and the pain relievers taken at home are no longer effective. What type
of pain is the patient experiencing?
a. Acute pain
b. Chronic pain
c. Somatic pain
d. Neuropathic pain
ANS: B
Chronic pain is associated with cancer and is characterized by slow onset, long duration,
and dull, persistent aching. The patient’s symptoms are not characteristics of acute pain,
somatic pain, or neuropathic pain.
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DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: p. 145
TOP: NURSING PROCESS: Assessment
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
2. An 18-year-old basketball player fell and twisted his ankle during a game. The
nurse will expect to administer which type of analgesic?
a. Synthetic opioid, such as meperidine (Demerol)
b. Opium alkaloid, such as morphine sulfate
c. Opioid antagonist, such as naloxone HCL (Narcan)
d. Nonopioid analgesic, such as indomethacin (Indocin)
ANS: D
Somatic pain, which originates from skeletal muscles, ligaments, and joints, usually
responds to nonopioid analgesics such as nonsteroidal anti-inflammatory drugs
(NSAIDs). The other options are not the best choices for somatic pain.
DIF: COGNITIVE LEVEL: Applying (Application) REF: pp. 145-146
TOP: NURSING PROCESS: Assessment
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
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3. A patient is recovering from abdominal surgery, which he had this morning. He is
groggy but complaining of severe pain around his incision. What is
the most important assessment data to consider before the nurse administers a
dose of morphine sulfate to the patient?
a. His pulse rate
b. His respiratory rate
c. The appearance of the incision
d. The date of his last bowel movement
ANS: B
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