ATI questions - Pain

A nurse is assisting with a staff in-service regarding pain control. Which of the following statements by staff member indicates an understanding of the information? (Select all that apply.)

"A clients religious beliefs might affect the way they respond to pain". "The clients past pain experiences are not related to their current pain and pain management". "Pain control might be harder to achieve if the nurse and client speak different primary languages".

A nurse is evaluating the clients pain level using the PQRST pneumonic. Which of the following question should the nurse asked her about the letter R?

"Can you point to where you're having your pain?"

A nurse is reviewing discharge instructions for a client who has a prescription for morphine oral solution 10 to 20 mg every four hours PRN. Which of the following statement by the client indicates an understanding of the instructions?

"I will keep the morphine bottle in a locked cabinet in my kitchen."

A nurse is teaching staff about the ethical principle of justice and how it relates to pain management for clients. Which of the following statements should the nurse made

"Justice allows the client the opportunity to be treated fairly."

A nurse is discussing transcutaneous electrical nerve stimulation (TENS) Treatment with the client who has chronic lower back pain. Which of the following statements should the nurse include? (Select all that apply.)

"You can be taught how to use TENS therapy at home". " The TENS therapy delivers low-voltage electrical impulses to the skin over the painful areas". "We will adjust the intensity, pulse rate, and duration of the electrical pulses during your therapy".

A nurse is reviewing a prescription with a client who reports difficulty managing a chronic pain. Which of the following statements should the nurse include

"You should write down the pain interventions you use in your pain rating before and after."

A nurse is caring for a client who has a prescription for heat therapy for knee pain. The nurse should apply heat therapy to the clients need for how long?

20 minutes.

A nurse is reviewing information for several clients on the unit. The nurse should recognize that which of the following clients is at greater risk for respiratory depression?

A client who had surgery three hours ago and is receiving IV Hydromorphine PRN

A nurse is evaluating group of clients are experiencing pain. Which of the following client should the nurse identifies experiencing neuropathic pain

A client who has diabetes Molite us and reports bilateral burning for pain without signs of injury.

A nurse is planning to teach coworkers about the legal and ethical principles years with pain management. Which of the following examples to the nurse include as an example of autonomy?

A nurse provides a client with the opportunity to take an intramuscular injection or oral medication for pain relief.

A nurse is caring for a client who has a prescription for Hydro morphine 1 to 2 mg IM every four hours as needed for pain rating of 4 to 6 on a 0 to 10 scale. The client has never taken Hydro morphine before. Which of the following action should the nurse plan to take?

Administer 1 mg IM (The nurse should administer the lowest dose)

A nurse is caring for a client who reports muscle pain to the lower back that has persisted for over a year after a motor vehicle crash. And which way should the nurse categorize the clients pain?

Chronic pain.

A nurse is caring for an older adult client who has a cognitive impairment and it's postoperative period which of the following action should the nurse take?

Evaluate the client for pain by observing their behavior.

A nurse is discussing the FLACC scale with a newly licensed nurse. Which of the following categories should the nurse include? (Select all that apply.)

Face. Legs. Consolability.

A nurse is assessing a client who is nonverbal for the presence of pain. Which of the following findings indicate an increase level of discomfort? (Select all that apply.)

Grimacing. Restlessness. Increase diaphoresis (sweating).

A nurse is caring for a client who has a prescription for oxycodone 5 to 10 mg PO every 4 to 6 hours as needed for pain rating 7 to 10 on a 0 to 10 scale. 15 minutes after receiving the dose, the client reports to the nurse their pain is still a seven and has not changed. Which of the following action should the nurse take?

Offer to assist the client with non-pharmacological relief strategies.

A nurse is monitoring a client who is two hours postoperative and is receiving morphine via PCA pump. Which of the following findings should the nurse plan to monitor to detect opioid induced Ventilatory Impairment (OIVI)? (Select all that apply.)

Respiratory rate. Capnography (measuring carbon dioxide). Oxygen saturation.

A nurse is caring for a client who has kidney stones. Which of the following manifestations is an objective indicator of pain?

The client is diaphoretic. (Sweating).

A nurse is caring for a group of clients on the pediatric unit. For which of the following client should the nurse use the FLACC pain scale to determine their pain level? (Select all that apply.)

A three year old toddler who has a fractured femur. A 14- year old client who has severe cognitive and developmental delays. A five year old preschooler who is experiencing pain during a sickle cell crisis.

A nurse is discussing end of life pain management with a group of coworkers. Which of the following should the nurse include as barriers to end-of- life pain management? (Select all that apply.)

Fear of addiction. Believe that pain is an expected part of their illness. In adequate pain assessment.

A nurse is discussing the use of heat therapy with a newly licensed nurse. The nurse should include that heat therapy is effective for which of the following conditions? (Select all that apply.)

Muscular pain. Menstrual discomfort. Back ache.

A nurse is caring for a client who is postoperative following abdominal surgery and has a morphine pump. Which of the following medication should the nurse insurer is available in case the client develops respiratory depression?

Naloxone

A charge nurse is reviewing factors that can affect the clients perception of pain with the newly licensed nurse. Which of the following should the charge nurse include? (Select all that apply.)

Stress. Culture. Social support. Disease severity.

A nurse is reviewing the plan of care for several clients who are receiving treatment for pain. Which of the following action should the nurse plan to take to evaluate the patient's pain control? (Select all that apply.)

Consider each clients cultural preferences. Determine the effectiveness of non-pharmacological strategies. Use a pain scale specific to each clients cognitive abilities.

A nurse is providing end-of-life care for a client who is unresponsive and near death. The clients family asked the nurse about managing the clients pain. Which of the following statements should the nurse make to the clients family?

"Your family member has the right to receive effective pain management."

A nurse is caring for a client who has severe pain and repeatedly asked for pain medication. The nurses busy and forget to assess the client pain and administer prescribe pain medication. Which of the following in the nurse be charged with?

Negligence ( Failure to perform in a manner that are reasonable person would).

A nurse is discussing cutaneous stimulation with the client who has back pain. Which of the following most methods should the nurse include? (Select all that apply.)

TENS therapy. Massage. Cold therapy. Acupuncture.