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Lesson 7: Pain Management, Wound Healing and Perioperative Care

Lesson 7: Pain Management, Wound Healing and Perioperative Care

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Question 1 of 21

1. Question
1 point(s)

You have a patient who has chronic pain and is on Oxycodone 5 mg q6h PRN for pain. They are being seen for a fall with a fracture today in the ER. How many morphine milligram equivalents (MME) is this patient currently taking for their chronic pain?

BLANK 1 of 1 MME

Fill in the blank 1 of 1 MME

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Question 2 of 21

2. Question
0 point(s)

According to the National Center for Complementary and Integrative Health, how many adults suffer from high-impact chronic pain?

2% of the U.S. population
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3.5% of the U.S. adult population
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7.4% of the U.S. adult population
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20.4% of the U.S. Population
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Question 3 of 21

3. Question
1 point(s)

You have a patient with Low-Back Pain, Gastric Ulcers, and CHF all of the following would be good treatment options Except

Ibuprofen
Correct Incorrect Correct answer

Acupuncture
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Progressive relaxation
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Spinal manipulation
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Question 4 of 21

4. Question
1 point(s)

According to O’Brian, Marie DNP, ANP-C, PMGT-BC, CCRN &Sebach, Aaron PhD, DNP, MBA, AGACNP-BC, FNP-BC, NP-C, CLNC, CNE, CNEcl, SFHM Optimizing postoperative pain management in patients with chronic pain, American Nurse Journal: December 2021 – Volume 16, Number 12 p 7-13; What is the most important thing a nurse can do to help relieve postoperative pain in a patient with chronic pain?

Provide pain medications at the first sign of discomfort.
Correct Incorrect Correct answer

Provide aromatherapy
Correct Incorrect Correct answer

Provide preoperative education
Correct Incorrect Correct answer

Provide therapeutic touch
Correct Incorrect Correct answer

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Question 5 of 21

5. Question
1 point(s)

According to O’Brian, Marie DNP, ANP-C, PMGT-BC, CCRN &Sebach, Aaron PhD, DNP, MBA, AGACNP-BC, FNP-BC, NP-C, CLNC, CNE, CNEcl, SFHM Optimizing postoperative pain management in patients with chronic pain, American Nurse Journal: December 2021 – Volume 16, Number 12 p 7-13; All of the following are risk factors for Substance Use Disorder (SUD) Except.

Family history of addiction
Correct Incorrect Correct answer

Family history of chronic pain
Correct Incorrect Correct answer

Personal history of addiction
Correct Incorrect Correct answer

Personal history of tobacco use
Correct Incorrect Correct answer

Correct

Incorrect
Question 6 of 21

6. Question
1 point(s)

You have a chronic pain patient who presents to surgery and is sweating, nauseated, and can not stop yawning. What do you suspect is going on? Please refer to O’Brian, Marie DNP, ANP-C, PMGT-BC, CCRN &Sebach, Aaron PhD, DNP, MBA, AGACNP-BC, FNP-BC, NP-C, CLNC, CNE, CNEcl, SFHM Optimizing postoperative pain management in patients with chronic pain, American Nurse Journal: December 2021 – Volume 16, Number 12 p 7-13

Anxiety about the surgery
Correct Incorrect Correct answer

Possible MI
Correct Incorrect Correct answer

Mild opioid withdrawal
Correct Incorrect Correct answer

Possible stomach flu
Correct Incorrect Correct answer

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Incorrect
Question 7 of 21

7. Question
1 point(s)

A nurse is assessing a divelementaly disabled adult client who is in pain after a fall from a staircase. Which scale should the nurse use to assess the client’s pain?

numeric scale
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word scale
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linear scale
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FACES scale
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Question 8 of 21

8. Question
1 point(s)

You have a 93 year old male that has a wound. Which of these assessments would allow for the best care according to Cox, Jill PhD, RN, APN-C, CWOCN Wound Care 101, Nursing: October 2019 – Volume 49 – Issue 10 – p 32-39 doi: 10.1097/01.NURSE.0000580632.58318.08:

Mr. J has a 3 cm beefy red decubitus ulcer over his coccyx.
Correct Incorrect Correct answer

Mr. J is a 93 yo male presenting with a 3 cm beefy red partial thickness detritus ulcer.
Correct Incorrect Correct answer

Wound: 3cm partial thickness decubitus ulcer over coccyx.
Correct Incorrect Correct answer

Integumentary: 3cm beefy red partial thickness decubitus ulcer over coccyx.
Correct Incorrect Correct answer

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Question 9 of 21

9. Question
1 point(s)

What type of wound would this be defined as?

Diadebetic ulcer
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Skin tear
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Venous ulcer
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Pressure injury
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Question 10 of 21

10. Question
1 point(s)

You have a patient with a skin tear. A flap of skin is still present and covering the wound. What type of tear is this?

Type 1
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Type 2
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Type 3
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Question 11 of 21

11. Question
1 point(s)

Transparent film dressings are recommended.

as a secondary dressing to secure other dressing materials.
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to protect skin tears.
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to manage heavy exudate.
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to prevent infections.
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Question 12 of 21

12. Question
1 point(s)

Which wound dressing is most appropriate for a wound with heavy exudate?

Hydrocolloid dressing
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Transparent film dressing
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Alginate dressing
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Alginate dressing
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Question 13 of 21

13. Question
1 point(s)

When assessing a client’s wound, the nurse observes that the damaged tissue is being replaced with fibrous tissue. How should the nurse document this restoration of tissue integrity?

resolution
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regeneration
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scar formation
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phagocytosis
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Correct

Incorrect
Question 14 of 21

14. Question
1 point(s)

The nurse is caring for a client 6 hours post surgery. The nurse observes that the client voids urine frequently and in small amounts. The nurse knows that this most probably indicates what?

Requirement of intermittent catheterization
Correct Incorrect Correct answer

Calculus formation
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Urine retention
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Urinary infection
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Correct

Incorrect
Question 15 of 21

15. Question
1 point(s)

The nurse is caring for a client during the immediate postoperative period. What signs and symptoms indicate that the client may be in shock?

Weak and rapid pulse rate
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Warm, dry skin
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Pooling of secretions in the lungs
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Obstructed airway
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Correct

Incorrect
Question 16 of 21

16. Question
1 point(s)

The nurse is caring for a client postoperatively. What nursing interventions help prevent venous stasis and other circulatory complications in a client who has undergone surgery?

Place pillows under the client's knees or calves.
Correct Incorrect Correct answer

Encourage the client to move legs frequently and do leg exercises.
Correct Incorrect Correct answer

Apply pressure on the client's lower extremities.
Correct Incorrect Correct answer

Maintain the client in a side-lying position.
Correct Incorrect Correct answer

Correct

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Question 17 of 21

17. Question
1 point(s)

The PACU nurse is about to administer pain medication to an older adult client who is recovering from surgery. What does this client’s age put them at increased risk for? Select all that apply.

Acute confusion
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Respiratory depression
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Disorientation
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Infection
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Greater requirement for pain medication
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Question 18 of 21

18. Question
1 point(s)

The nurse has provided preoperative instructions to a client scheduled for surgery at an ambulatory care center. Which statement, made by the client, would indicate that further instruction is needed?

"If I do not follow the instructions, my surgery could be cancelled."
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"The nurse will explain the details of the surgery before I sign a consent."
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"My medical records will be sent to the ambulatory care center prior to my surgery."
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"The physician will update my family after the procedure and provide specific discharge instructions."
Correct Incorrect Correct answer

Correct

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Question 19 of 21

19. Question
2 point(s)

The nurse is providing community instruction on the impact of aging and surgical incisional considerations. Which instructional area(s) would be included in the presentation? Select all that
apply.

Increase protein in the diet.
Correct Incorrect Correct answer

Instruct on symptoms of wound/incision infection.
Correct Incorrect Correct answer

Cleanse wound/incision with products such as soap and water.
Correct Incorrect Correct answer

Avoid showering until healing has occurred.
Correct Incorrect Correct answer

Wash with half-strength peroxide to prevent infection.
Correct Incorrect Correct answer

Remove any crusted areas from incisional line.
Correct Incorrect Correct answer

Correct

Incorrect
Question 20 of 21

20. Question
1 point(s)

The nurse is caring for a client needing emergency surgery. Which preoperative teaching can be omitted when preparing a client for surgery?

Effective coughing and deep breathing
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Types of postoperative pain medication
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Post-discharge diet
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Knowledge of surgical procedure
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Correct

Incorrect
Question 21 of 21

21. Question
5 point(s)

“When caring for an elderly patient postoperatively, what are critical areas of concern related to their recovery?

This response will be reviewed and graded after submission.

Grading can be reviewed and adjusted.

Grading can be reviewed and adjusted.

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