Pain questions

A nurse is performing a pain assessment for a client who is alert. The nurse should recognize that which of the following measures is the most reliable indicator of pain? A. Vital Signs B. Severity of the condition C. Self-Report of pain D. Non-verbal behavior

C. Self-Report of pain

What is the best way to schedule medication for a client with constant pain? A. PRN at the client's request B. Prior to painful procedures C. IV bolus after pain assessment D. Around the clock

D. Around the clock

A hospice nurse is caring for a client who has terminal cancer and takes PO morphine for pain relief. The client reports that he had to increase the dose of morphine this week to obtain pain relief. Which of the following scenarios should the nurse document as the explanation for this situation? A. The client has not been taking the medication properly B. The client is experiencing periods of confusion C. The client has become addicted to the medication D. The client has developed a tolerance to the medication

The client has developed a tolerance to the medication

A client appears upset and tearful, but denies pain and refuses pain medication, because "my sibling is a drug addict and has ruined our lives." What is the priority intervention for this client? A. Encourage expression of fears on past experiences. B. Provide explanation about why they need to listen to you. C. Explain that addiction is a possible outcome of acute pain management. D. Seek family assistance in resolving this problem.

A. Encourage expression of fears on past experiences.

Which statement indicates the development of opioid tolerance? A. Larger doses of opioids are needed to control pain, as compared to several weeks earlier. B. Stimulants are needed to counteract the sedating effects of opioids. C. The patient becomes anxious about knowing the exact time of the next dose of opioid. D. The patient no longer experiences constipation from the usual dose of opioid.

A. Larger doses of opioids are needed to control pain, as compared to several weeks earlier.

In caring for a young child with pain, which assessment tool is the most useful? A. Simple description pain intensity scale B. 0-10 numeric pain scale C. Faces pain-rating scale/ Wong-Baker Scale D. McGill-Melzack pain questionnaire

C. Faces pain-rating scale/ Wong-Baker Scale