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Nursing care performed as part of the perioperative role can help reduce patients' postoperative pain. A series of articles in this Journal examines the complex nature of pain and the nurse's role in its treatment. 1 . The subjective perception of pain is
influenced by the patient's 1. culture and religion 2. age and sex 3. coping resources and behavior 4. appropriateness of pain response to
stimulus a. 1 and 3 c. 3 and 4 b. 1, 3, and 4 d. 1, 2, and 3
2. The most important means the nurse can use in assessing the quality and quantity of pain is the patient's
a. behavioral cues b. physiologic response c. verbal self-report d. behavioral cues correlated with
self-report 3. Factors enhancing the patient's coping
response to pain are 1. presence or absence of anxiety 2. anticipated effect of surgery on
existing pain 3. information given describing the
sensory experience 4. information given describing the
length and complexity a. 1 and 4 c. 2 and 4 b. 1 , 2, and 3 d. 2, 3, and 4
4. During surgery, the nurse can gain significant information for control of postoperative pain by observing the 1. location and length of incision 2. degree and duration of traction 3. type of suture material implanted
4. duration of anesthesia a. 1 and 4 c. 1, 2, and 3 b. 2, 3, and 4 d. 1, 2, and 4
5. Incisions that produce greater postoperative pain are 1. thoracic 2. vertical abdominal 3. transverse abdominal 4. facial
a. 1 and 2 c. 2 and 3 b. 3 and 4 d. 1 and4
6. Causes of heat loss and lowered body temperature, which contribute to postoperative pain, are 1. depression of the heat regulatory
center by anesthesia agents 2. administration of blood and
intravenous fluids 3. exposure of skin during preparation 4. preinduction anxiety
a. 2, 3, and 4 c. 2 and 3 b. 1, 2, and 4 d. 1, 2, and 3
7. In the recovery room period, pain can contribute to 1. increased respiratory function and
perfusion 2. decreased or increased blood
pressure 3. hypoxia and microatelectasis 4. increased awareness and
cooperation a. 2 and 3 c. 2, 3, and 4 b. 1, 2, and 4 d. 3 and 4
Linda Shaw, RN, CNOR Editorial Committee
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532 AORN Journal, September 1980, Vol32 , No 3