Comfort/Pain EAQ'S

A nurse is teaching the basic principles of good sleep hygiene to a client with fibromyalgia syndrome. Which statements made by the client indicate that teaching has been effective? Select all that apply. 1 "I'll avoid long naps." 2 "I'll take a cold bath within two hours of bedtime." 3 "I'll avoid large meals four hours before bedtime." 4 "I'll go to bed and wake up at the same time each day." 5 "I'll keep the sleep environment dark, quiet, and comfortable."

1 "I'll avoid long naps." 4 "I'll go to bed and wake up at the same time each day." 5 "I'll keep the sleep environment dark, quiet, and comfortable."

A nurse is caring for an older adult who is taking acetaminophen for the relief of chronic pain. Which substance is most important for the nurse to determine if the client is taking because it intensifies the most serious adverse effect of acetaminophen? 1 Alcohol 2 Caffeine 3 Saw palmetto 4 St. John's wort

1 Alcohol

A client comes to the ambulatory surgery unit on the morning of an elective surgical procedure. The client reports shortness of breath, dizziness, and palpitations. The nurse observes profuse diaphoresis and is concerned that the client may be having either a panic attack or a myocardial infarction. Which assessments support the conclusion that the client may be experiencing a myocardial infarction? Select all that apply. 1 Anxiety 2 Chest pain 3 Irregular pulse 4 Fear of losing control 5 Feelings of depersonalization

1 Anxiety 2 Chest pain 3 Irregular pulse

What strategies should the nurse apply during vaccination to reduce pain and anxiety? Select all that apply. 1 Applying a topical anesthetic 2 Injecting the most painful vaccine last 3 Holding the child upright during the vaccination 4 Administering intramuscular injections rapidly without prior aspiration 5 Administering acetaminophen or ibuprofen after vaccination

1 Applying a topical anesthetic 2 Injecting the most painful vaccine last 3 Holding the child upright during the vaccination 4 Administering intramuscular injections rapidly without prior aspiration

A nurse is completing the health history of a client admitted to the hospital with osteoarthritis. The nurse expects the client to report that which joints were involved initially? Select all that apply. 1 Hips 2 Knees 3 Ankles 4 Shoulders 5 Metacarpals

1 Hips 2 Knees

A client is brought to the emergency department with moderate substernal chest pain radiating to the inner aspect of the left arm, unrelieved by rest and nitroglycerin. The pain is associated with slight nausea and anxiety. Which is the priority nursing intervention for this client? 1 Provide pain medication. 2 Transfer to the coronary care unit. 3 Obtain a single electrocardiogram (ECG). 4 Have a blood specimen drawn for enzyme studies.

1 Provide pain medication.

A client who is being provided palliative care for melanoma complains of severe pain at the lesion sites on his lower leg. Which action by the nurse is most appropriate in this situation? 1 Providing a back rub 2 Applying skin protectant 3 Applying warm, moist dressings to the lesions 4 Applying hot soaks and immobilizing affected parts

1 Providing a back rub

The registered nurse is discussing with a practical nurse about teaching a client regarding the use of morphine as patient-controlled analgesia (PCA). Which statement made by the practical nurse indicates the need for further discussion? 1 "I should demonstrate the use of the PCA delivery button to the client." 2 "I should tell the client's family members to operate the morphine PCA pump." 3 "I should teach the client about administering the morphine PCA before surgery." 4 "I should provide the client the operating instructions for the morphine PCA pump."

2 "I should tell the client's family members to operate the morphine PCA pump."

What are the desired outcomes that the nurse expects when administering a nonsteroidal antiinflammatory drug (NSAID)? Select all that apply. 1 Diuresis 2 Pain relief 3 Antipyresis 4 Bronchodilation 5 Anticoagulation 6 Reduced inflammation

2 Pain relief 3 Antipyresis 6 Reduced inflammation

A pregnant woman reports severe headaches, chest pain, and fatigue. Upon diagnosis, the woman has hypertension. Which drug can be prescribed to reduce hypertension? 1 Lithium 2 Miglitol 3 Calcium gluconate 4 Magnesium sulfate

4 Magnesium sulfate

What does a nurse who is caring for a client experiencing anginal pain expect to observe about the pain? 1 Unchanged by rest 2 Precipitated by light activity 3 Described as a knifelike sharpness 4 Relieved by sublingual nitroglycerin

4 Relieved by sublingual nitroglycerin

A nurse is taking care of a client who has chronic, severe back pain as a result of a work injury. What nursing considerations should be made when determining the client's plan of care? Select all that apply. 1 Ask the client about the acceptable level of pain. 2 Eliminate all activities that precipitate the pain. 3 Administer the pain medications regularly around the clock. 4 Use a different pain scale each time to promote patient education. 5 Assess the client's pain every 15 minutes.

1 Ask the client about the acceptable level of pain. 3 Administer the pain medications regularly around the clock.

A nurse advises a client to use a firm mattress for sleep and to refrain from sleeping on the abdomen. Which condition does the client most likely have? 1 Back sprain 2 Fibromyalgia 3 Rheumatoid arthritis 4 Ankylosing spondylitis

1 Back sprain

What is a nurse's responsibility when administering prescribed opioid analgesics? Select all that apply. 1 Count the client's respirations. 2 Document the intensity of the client's pain. 3 Withhold the medication if the client reports pruritus. 4 Verify the number of doses in the locked cabinet before administering the prescribed dose. 5 Discard the medication in the client's toilet before leaving the room if the medication is refused.

1 Count the client's respirations. 2 Document the intensity of the client's pain. 4 Verify the number of doses in the locked cabinet before administering the prescribed dose.

A child with pulmonary edema is treated with opioids and furosemide. Which nursing interventions should be performed to promote safe drug administration? Select all that apply. 1 Following the principle of atraumatic care 2 Administering oral drugs with food or snacks 3 Documenting the client's age, weight, and height 4 Exposing the child to sunlight for healthy growth 5 Administering medications if the client reports dizziness or drowsiness

1 Following the principle of atraumatic care 2 Administering oral drugs with food or snacks 3 Documenting the client's age, weight, and height

A client receives a prescription for nitroglycerin sublingual as needed for anginal pain. What should the nurse include in the teaching about this medication? 1 Place the tablet under the tongue or between the cheek and gum. 2 It takes 30 to 45 minutes for the nitroglycerin to achieve its effect. 3 If dizziness occurs, take a few deep breaths and lean the head back. 4 To facilitate absorption, drink a large glass of water after taking the medication.

1 Place the tablet under the tongue or between the cheek and gum.

A pregnant client's history reveals opioid abuse. What is the nurse's initial plan for providing pain relief measures during labor? 1 Scheduling pain medication at regular intervals 2 Administering the medication only when the pain is severe 3 Avoiding the administration of medication unless it is requested 4 Recognizing that less pain medication will be needed by this client compared with other women in labor

1 Scheduling pain medication at regular intervals

A client is admitted to the hospital with chest pain and a diagnosis of myocardial infarction. How would the nurse expect the client to describe the chest pain? 1 Severe, intense 2 Burning and of short duration 3 Mild, radiating toward the abdomen 4 Burning, relieved by nitroglycerin

1 Severe, intense

A client with a known history of opioid addiction is treated for multiple stab wounds to the abdomen. After surgical repair the nurse notes that the client's pain is not relieved by the prescribed morphine injections. The nurse realizes that the failure to achieve pain relief indicates that the client is probably experiencing what phenomenon? 1 Tolerance 2 Habituation 3 Physical addiction 4 Psychological dependence

1 Tolerance

A client has a severe, unilateral throbbing headache that has lasted for 2 days. What should be the priority nursing care? 1 Administering gabapentin 2 Administering sumatriptan 3 Administering propranolol 4 Administering botulinum toxin A

2 Administering sumatriptan

A client who underwent surgery feels pain in the lower abdomen. The nurse provides pain relief but the client is still reporting pain. Which actions of the nurse would help the client to get relief? Select all that apply. 1 Learning more about the client 2 Looking for different distraction techniques 3 Using known scientific and practice-based criteria 4 Involving the client's family in creating a new plan for pain relief 5 Bringing co-workers together to find a solution

2 Looking for different distraction techniques 4 Involving the client's family in creating a new plan for pain relief

A client with midsternal pain presents to the emergency department. Vital signs are stable. Which form of nitroglycerin does the nurse anticipate giving initially? 1 Oral 2 Spray 3 Intravenous 4 Transdermal

2 Spray

After administration of the MMR vaccine, a child develops pain, fever, and soreness. The primary healthcare provider asks the nurse to assess the child for joint swelling and to send a blood sample for a blood platelet count. Which is the most appropriate reason behind these interventions? 1 To evaluate the immunity level 2 To assess the risk of thrombocytopenia 3 To assess the risk of an anaphylactic reaction 4 To anticipate a prescription of appropriate drugs

2 To assess the risk of thrombocytopenia

A client with arthritis states that the prescribed aspirin causes stomach irritation even when taken with food. How does the nurse instruct the client to take the aspirin? 1 An hour before a meal 2 With a full glass of water 3 With sodium bicarbonate 4 At the same time as the other drugs

2 With a full glass of water

A healthcare provider prescribes morphine for a client who had a myocardial infarction. What clinical response will be reduced if the client experiences the intended therapeutic effect of morphine? 1 Respiratory rate 2 Workload of the heart 3 Size of the clot blocking the coronary artery 4 Metabolites within the ischemic heart muscle

2 Workload of the heart

The nurse provides discharge teaching to a client with a history of angina. The nurse instructs the client to call for emergency services immediately if the client's pain exhibits which characteristic? 1 Causes mild perspiration 2 Occurs after moderate exercise 3 Continues after rest and nitroglycerin 4 Precipitates discomfort in the arms and jaw

3 Continues after rest and nitroglycerin

A client with a coronary occlusion is experiencing chest pain and distress. What is the primary reason that the nurse should administer oxygen to this client? 1 Prevent dyspnea 2 Prevent cyanosis 3 Increase oxygen concentration to heart cells 4 Increase oxygen tension in the circulating blood

3 Increase oxygen concentration to heart cells

A nurse is taking the health history of a client who is to have surgery in one week. The nurse identifies that the client is taking ibuprofen for discomfort associated with osteoarthritis and notifies the healthcare provider. Which drug does the nurse expect will most likely be prescribed instead of the ibuprofen? 1 Naproxen 2 Aspirin 3 Ketorolac 4 Acetaminophen

4 Acetaminophen

What is the priority nursing intervention for an older client with diabetes mellitus who presents with a large leg ulcer? 1 Teaching techniques for dressing changes 2 Informing the client about insurance companies 3 Discussing community resources to obtain support 4 Teaching how to transfer from a bed to chair in the least painful manner

4 Teaching how to transfer from a bed to chair in the least painful manner