Nursing Chapter 46 Topical medications work directly at the point of

Question 37

Type: MCSA

A client is diagnosed with chronic low back pain syndrome. The nurse realizes that which analgesic delivery route

might be beneficial for this client?

1. Topical

2. Rectal

3. Transmucosal

4. Transdermal

Question 38

Type: MCSA

A client tells the nurse that at home, the dog helps distract the client from chronic hip pain. The nurse realizes that

the client is utilizing which form of nonpharmacologic pain control?

1. Body

2. Mind

3. Social interactions

4. Spirit

Question 39

Type: MCMA

The nurse is preparing to instruct a client on nonpharmacologic interventions that target the body for pain control.

What should the nurse include in these instructions?

Standard Text: Select all that apply.

1. Massage

2. Acupressure

3. Self-hypnosis

4. Exercise

5. Nutritional supplements

Question 40

Type: SEQ

The nurse is preparing to massage a client’s back. Place in order the steps the nurse will follow, after conducting

hand hygiene and preparing the client, to perform the back massage.

Standard Text: Click and drag the options below to move them up or down.

Choice 1. Move the hands down the sides of the back.

Choice 2. Pour lotion into the palms of the hands to warm the lotion.

Choice 3. Massage the areas over the right and left iliac crests.

Choice 4. Move the hands up the center of the back.

Choice 5. With the palms, massage the sacral area with smooth, circular strokes.

Choice 6. Move the hands to the scapulae and massage this region using circular strokes.

Question 41

Type: MCMA

The nurse is preparing a client for a back massage. Which positions would be the best for the client to receive this

massage?

Standard Text: Select all that apply.

1. Supine

2. Fowler’s

3. Trendelenburg

4. Prone

5. Side-lying

Question 42

Type: MCSA

A client who is on postoperative day 1 after abdominal surgery is requesting a back rub. The nurse realizes this

care should be provided by

1. the registered nurse.

2. unlicensed assistive personnel.

3. no one, because the client cannot assume the prone position.

4. the physician.

Question 43

Type: MCMA

The nurse wants to assign back rubs to unlicensed assistive personnel (UAP). Before doing so, the nurse should

first determine whether

Standard Text: Select all that apply.

1. unlicensed assistive personnel know how to perform a back rub.

2. there any clients who have intravenous fluids infusing.

3. there any clients who should not have a back rub performed.

4. there any clients who are prescribed to take nothing by mouth.

5. there any clients who do not want a back rub done by unlicensed assistive personnel.

Question 44

Type: MCMA

The nurse has completed a back massage for a client. What should the nurse document about this procedure?

Standard Text: Select all that apply.

1. Effectiveness of pain medication using a rating scale from 0 to 10

2. Position to perform the massage

3. Content of communication that occurred during the back massage

4. Amount of lotion used during the back massage

5. Client response

Question 45

Type: MCSA

A client with a long leg cast is complaining of knee discomfort. Which nonpharmacologic intervention can the

nurse use to help this client?

1. Apply ice to the knee over the cast.

2. Rub the knee of the non-casted leg.

3. Apply heat to the knee over the cast.

4. Rub the foot of the casted extremity.

Question 46

Type: MCSA

A client watching a comedy on television is laughing. When asked about the amount of pain on a scale from 0 to

10, the client reports a level that is 2 below the previous assessment. The nurse realizes the client’s pain was

influenced by which type of distraction?

1. Visual

2. Tactile

3. Intellectual

4. Behavioral

Question 47

Type: MCMA

The health care provider is writing medication orders for a client recovering from spinal fusion surgery. When the

client reports pain as a 9 on a scale from 0 to 10, which medications should the nurse consider providing to the

client?

Standard Text: Select all that apply.

1. Oxymorphone (Opana)

2. Hydrocodone (Vicodin)

3. Oxycodone (OxyContin)

4. Morphine sulfate (morphine)

5. Hydromorphone hydrochloride (Dilaudid)

Question 48

Type: MCMA

The nurse is caring for a client receiving pain medication through an epidural catheter. What should the nurse

include to ensure safety when caring for this client?

Standard Text: Select all that apply.

1. Secure all tubing connections with gauze.

2. Apply tape over all injection ports on the tubing.

3. Cleanse the insertion site with alcohol swabs once a day.

4. Label the tubing, infusion bag, and pump with the word “epidural.”

5. Post a sign above the client’s bed indicating that an epidural is being used.