Nursing Application: Analgesics

The nurse is preparing to administer an opioid analgesic to the patient. Which item in the patient's current medication list should be a concern to the nurse?

Monoamine oxidase inhibitor

Which of the following is the most accurate pain assessment technique?

The patient gives a pain scale rating and describes the pain to the nurse

The nurse is providing patient teaching for the side effects of opioid analgesics. Which of the following should be included?

* Low blood pressure and heart rate * Sedation * Disorientation and dizziness * Constipation * Urinary retention * Itching * Respiratory depression

Which of the following should be assessed prior to administration of opioid analgesics? Select all that apply.

*Pain level *Respiratory Rate *Pain description *Bowel Function

Using the WHO Pain Relief Ladder please indicate which patient is on step 1. (Select all that apply)

*Patient with mild pain after doing yardwork *Patient with a mild headache that is beginning to feel worse

Using the WHO Pain Relief Ladder please indicate which patient is on step 2. Select all that apply.

*Patient with mild pain due to a sprain unrelieved by acetaminophen *Patient with moderate pain 10 days post surgery

Pain is whatever 1._____________ and occurs as described by the patient.

1. patient says it is

1. African American Culture 2. Asian and Pacific Islander Culture 3. Chinese Culture 4. Arab Culture 5. Hispanic American Culture 6. Native American Culture

1. Belief in power of healers through prayers and laying of hands on the patient. 2. Quiet in pain expression as it is believed to be God's will or punishment for past sin. 3. Use of acupuncture, Moxibustion, herbal remedies, yin and yang balance and cold treatment. 4. Open pain expression and anticipation of fast relief of pain. 5. Belief in prayers and use of herbs and spices. 6. Utilize massage, heat, herbal remedies, and sweat baths. Belief in a harmony with nature.

The most appropriate pain scale for an infant is the 1._____ pain scale.

1. FLACC

Which pain scale is appropriate for a 4-year-old child who has difficulty expressing herself with words?

FACES

Which patient has a contraindication for opioid analgesic use?

History of severe asthma

Match the correct medication under the class of opioid or nonopioid analgesic below.

Opioid: -Fentanyl -Methadone -Morphine -Oxycodone Nonopioid -Tramadol -Acetaminophen

Please match the appropriate medication related to the steps of the WHO Pain Relief Ladder:​ Step 1 - Use of nonopioid analgesics, such as acetaminophen and tramadol, with or without adjuvant medications for pain that is persisting or increasing.​Step 2 - Use of opioids with or without adjuvant medications for mild to moderate pain.​Step 3 - Use of opioid drugs with or without nonopioids or adjuvant medications for moderate to severe pain.

Pain persisting or increasing: Non-opioid Pain persisting or increasing: Opioid for mild and moderate pain Freedom from cancer pain: Opioid for moderate to severe pain

Using the WHO Pain Relief Ladder please indicate which patient would be most appropriate for step 3:

Patient with severe pain caused by a back injury