ATI Pain M
A nurse is collecting data on a client's pain. Which of the following questions should the nurse ask the client to assess the quality of the pain? "When did the pain begin?" "How would you rate your pain on a scale from 0 to 10?" "What does your pain feel like?" "Can you show me where you have pain
?""What does your pain feel like?"
A nurse is caring for a client who has a fractured humerus and received an opioid medication intravenously 1 hr ago for pain. Which of the following questions should the nurse ask to determine the intensity of the client's pain at this time? "On a scale from 0 to 10, how do you rate your pain?" "How often do you feel the pain?" "Can you point to where you have pain?" "What does your pain feel like?"
"On a scale from 0 to 10, how do you rate your pain?" MY ANSWER The nurse should ask the client to rate his pain using a pain scale to assess the intensity of the pain.
A nurse is preparing to administer acetaminophen 1,000 mg PO every 12 hr for a client who has arthritic pain. The nurse should monitor the client for which of the following adverse effects? Hepatotoxicity Salicylism Respiratory depression Gastrointestinal bleeding
Hepatotoxicity MY ANSWER The nurse should monitor the client for hepatotoxicity. The client should not receive more than 4 g/day of acetaminophen to prevent damage to the liver.
FLAG A nurse is caring for a client who has a left hip fracture and is prescribed a morphine IV bolus as needed for pain. The nurse should monitor the client for which of the following adverse effects? Diarrhea Tachypnea Sedation Polyuria
Sedation The nurse should monitor the client for sedation, which is an adverse effect of morphine and can lead to respiratory depression.
A nurse is preparing to administer hydrocodone to a client who reports throbbing pain following a back injury. The nurse should document that the client is experiencing which of the following types of pain? Idiopathic Neuropathic Visceral Somatic
Somatic MY ANSWER The nurse should identify that the client who has a back injury is experiencing somatic pain, which affects the bones, joints, and muscles of the body.
