PAIN

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

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

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

1. A clients religious beliefs might affect the way they respond to pain, 2. the clients past pain experiences are not related to their current pain and pain management, 3. pain control might be harder to achieve if the nurse and client speak different primary languages

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 evaluating a group of clients who are experiencing pain. Which of the following client should the nurse identify as experiencing neuropathic pain?

A client who has diabetes Melita's and reports bilateral burning foot pain without signs of injury-Neuropathic pain is often referred to as nerve pain and arises from the somatosensory system. Neuropathic pain includes diabetic neuropathy phantom limb pain and pain associated with spinal cord injury. Neuropathic pain is frequently described as intense shooting and burning

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

A client who has had surgery three hours ago and is receiving IV Hydro morphine PRN

A nurse is caring for a group of clients on a pediatric unit. Which of the following clients 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 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 clients pain control?

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 caring for an older adult client who has a cognitive impairment and is post operative. 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, console ability

A nurse is collecting data from a client who is nonverbal to determine the presence of pain. Which of the following assessment findings indicate an increased level of discomfort?

Grimacing ,restlessness , increase diaphoresis

A nurse is assisting with the care of a client who is postoperative following abdominal surgery and has a morphine PCA pump. Which of the following medication shit the nurse ensure is available in case the client develop respiratory depression?

Naloxone is a reversal agent for respiratory depression caused by opioids. It works quickly to reverse the effects of opioids on the clients respiratory system

A nurse is monitoring a client who is two hours post operative and is receiving morphine via PCA pump. Which of the following findings should the nurse plan to monitor to detect opioid induced ventilatory impairment? Select all that apply

Respiratory rate, capnography, oxygen saturation

A charge nurse is reviewing factors that can affect a clients perception of pain with a 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 caring for a client who reports muscle pain to the lower back that has persisted for over a year after a motor vehicle crash. In which way should the nurse categorize this clients pain?

chronic pain

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

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

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

Administer 1 mg IM

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

Can you point to where you are having your pain?

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 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 statements 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 contributing to a plan to teach staff about the ethical principle of justice and how it relates to pain management for clients. Which of the following statements should the nurse make?

Justice allows the client the opportunity to be treated fairly

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

Muscular pain, backache, menstrual discomfort

A nurse is caring for a client who has severe pain and repeatedly ask for pain medication. The nurse is busy and forgets to collect data about the clients pain and administer prescribed pain medication. Which of the following can be a nurse be charged with?

Negligence

A nurse is caring for a client who has a prescription for oxycodone 5 to 10 mg by mouth every 4 to 6 hours as needed for pain rating 7 to 10 on a scale of 0 to 10. 15 minutes after receiving that does the client reports to the nurse there pain is still a seven and has not changed which of the following actions should the nurse take?

Offered to assist the client with non-Pharma logical relief strategies

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

The client is diaphoretic

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

Transcutaneous electronic stimulating unit, massage, acupuncture, cold therapy

A nurse is discussing transcutaneous electrical nerve stimulation treatment with a client who has chronic lower back pain. Which of the following statements should the nurse include?

You can be taught how to use the 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 assisting with 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