ABPANC ABPANC Pain Management 2

Question 1

A PACU patient reports severe incisional pain but has already received the maximum ordered opioid dose. Which non-pharmacological intervention is most appropriate?

Accepted Answer

Apply ice packs to the incision site as ordered

Answer

Encourage the patient to sleep it off

Answer

Administer an extra dose of opioid beyond the order

Answer

Restrict all movement to reduce discomfort

Question 2

What is the primary goal of a patient-controlled analgesia (PCA) pump in the perianesthesia setting?

Accepted Answer

To allow patients to self-administer analgesic within prescribed limits

Answer

To eliminate the need for nurse assessment

Answer

To replace epidural analgesia in all cases

Answer

To deliver a continuous infusion without patient input

Question 3

Which finding in a patient on IV opioid PCA should prompt the nurse to stop the infusion immediately?

Accepted Answer

Respiratory rate of 10 breaths/min with SpO2 of 88%

Answer

Pain score of 6/10

Answer

Patient pressing the demand button every 15 minutes

Answer

Mild drowsiness

Question 4

A perianesthesia nurse is educating a patient about the pain scale before surgery. Which statement best describes the purpose of preoperative pain education?

Accepted Answer

To set realistic expectations and improve postoperative pain reporting accuracy

Answer

To guarantee the patient will be pain-free postoperatively

Answer

To discourage opioid use after surgery

Answer

To document that consent for anesthesia was obtained

Question 5

Which drug class is commonly used as part of a 'pre-emptive analgesia' strategy before surgical incision?

Accepted Answer

COX-2 inhibitors or NSAIDs

Answer

Antihypertensives

Answer

Beta-blockers

Answer

H2 antagonists

Question 6

When documenting pain management in the PACU, which element is essential for a complete pain assessment record?

Accepted Answer

Pain score, location, quality, and response to intervention

Answer

Patient's dietary preferences

Answer

Surgeon's preference for analgesic agents

Answer

Type of surgical drape used