Pain Quiz NCLEX RN PassPoint
After teaching the client how to use the patient-controlled analgesia (PCA) pump, the nurse determines that the client understands the use of the PCA when the client makes which statement?
"The machine will give me only the prescribed amount of pain medication even if I push the button too soon."
the student nurse is learning how to administer medications. the nurse instructor asks, "what are the clients rights when administering medication?" what are the most appropriate response(s) by the student (SATA)
"right to refuse" "right time or frequency" "right assessment"
a client is admitted to the health care facility with acute chest pain. when obtaining the clients health history, which question would be most helpful for the nurse to ask?
"what were you doing when the pain started?"
while providing palliative care to a client in the home setting, the clients family expresses concern that the client is receiving "too much narcotic medication" which statement is the most therapeutic by the nurse?
"you are concerned that the client is receiving too much narcotic medication?"
in the first 12 hours after starting a patient controlled analgesia (PCA) infusion to administer an opioid, what should the nurse monitor every 1 to 2 hours? SATA
- level of sedation -oxygen saturation -vital signs
the client comes to the clinic for shoulder pain related to muscle strain. which analgesics would be appropriate for the nurse to teach the client about? SATA
-"you are having pain related to muscle strain so ibuprofen is appropriate." -"you are having pain related to muscle strain so acetaminophen is appropriate." -"you are having pain related to muscle strain so naproxen is appropriate."
the client has just undergone abdominal surgery and returned from the post-anethesia care unit (PACU) with a patient-controlled analgesia (PCA) pump. which interventions should the nurse implement? SATA
-tell the client to push the button when in pain. -check the patient-controlled analgesia (PCA) settings with another nurse. -assess the IV insertion site.
a client post epidural infusion received naloxone 0.2 mg intravenously 20 minutes ago. the clients respiratory rate was 6 breaths per minute and is now 10 breaths per minute. which intervention should the nurse perform first?
Assess the client neurological status.
a client is using patient-controlled analgesia (PCA) to manage postoperative pain. what should the nurse do when assisting the client with the PCA?
Document the clients response to pain medication.
a nurse administers morphine sulfate to a client in the recovery room. within 15 minutes after receiving the dose of morphine, the client is very lethargic; respiratory rate is 7 breaths per minute and shallow. What is the appropriate action of the nurse?
administer naloxone.
the nurse is caring for a client experiencing acute abdominal pain. what is the first action by the nurse?
auscultation of all four quadrants using a stethoscope
when planning pain control for a client with terminal gastric cancer, a nurse should consider that
clients with terminal cancer may develop tolerance to opioids.
a client with cancer-related pain has been prescribed a narcotic analgesic to be given around the clock. the client is competent and has been actively involved in decisions regarding care. what should the nurse do if the client refuses the next dose of analgesia?
document the clients choice and re-assess the pain in 1 hour.
an adult client has been seen in the emergency department three times this week for chronic back pain what is the nurses best action when providing discharge instructions for this client to ensure the promotion of cost effective care
emphasize the importance of outpatient follow up care for chronic concerns.
a client is admitted to undergo lumbar laminectomy for treatment of herniated disk. which action should the nurse take first to promote comfort preoperatively?
help the client assume a more comfortable position.
the nurse is caring for a client who is suspected to have overdosed on opioids. assessment findings include a heart rate of 60 beats/minute, respiratory rate of 6 breaths/minute, a blood pressure of 95/55 mmHg, and an oxygen saturation of 96% on room air. based on the assessment findings, what is the nurses priority concern?
hypercapnic respiratory failure.
a young adult is admitted to the emergency department after an automobile accident. the client has severe pain in the right chest from contact with the steering wheel. What should the nurse do first?
maintain adequate oxygenation
the nurse is monitoring a client who is receiving moderate sedation for a procedure. the client begins to display signs of restlessness and agitation. what assessment does the nurse perform first?
oxygen saturation.
For a client with rib fractures and a pneumothorax, the health care provider prescribes morphine sulfate, 1 to 2 mg/h, given IV as needed for pain. the nursing care goal is to provide adequate pain control so that the client can breathe effectively. which finding indicates the goal has been met?
pain rating of 0 on a scale of 0 to 10 by the client
The use of a patient-controlled analgesia (PCA) pump is effective in which situation?
the client achieves a therapeutic level of analgesia
when assessing a clients pain, which is the most reliable indicator of the existence and intensity of acute pain?
the clients self report
three days after surgery, a client continues to take hydrocodone 7.5 mg and acetaminophen 500 mg for postoperative pain. what should the nurse ask the client before administering the pain medication?
when did you last have a bowel movement?