in class pain quiz

administer the prescribed analgesic

client is admitted to the hospital with severe flank pain, nausea, and hematuria caused by a ureteral calculus. What should be the nurse's initial intervention?

looking for different distracting techniques involving the client's family in creating a new plan for pain relief

A client who underwent surgery feels pain in the lower abdomen. The nurse provides pain relief but the client is still reporting pain. Which actions of the nurse would help the client to get relief? Select all that apply.

sedation bradycardia slow respiration

A client receiving morphine is being monitored by the nurse for signs and symptoms of overdose. Which clinical findings support a conclusion of overdose? Select all that apply.

where are you feeling the pain how would you rate it when was the last time you turned in bed did you get up in the chair this morning may i inspect the area

A client reports stomach pain since the previous night. In what order should the nurse ask these questions to make a good assessment of the pain?

it decreases the risk of tissue irritation Severe pain is reduced more effectively Impaired peripheral circulation is bypassed

A 15-year-old adolescent is admitted with partial- and full-thickness burns of the arms and upper torso. What are the purposes of administering pain medication by way of the intravenous route rather than the intramuscular route? Select all that apply.

preterm labor

A 29-weeks pregnant client reports dull backache pain and abdominal cramps. Which condition does the nurse suspect?

The child's vital signs have remained stable childs pain is at baseline child is alert and active

A child is administered fentanyl to ease the pain of an injury. Upon regaining consciousness, the child wants to go home. What criteria must the child meet before being discharged from the hospital? Select all that apply

constricted pupils

A client has been receiving oxycodone for moderate pain associated with multiple injuries sustained in a motor vehicle collision. The client has returned three times for refills of the prescription. What behavior, in addition to the client's slurred speech, leads the nurse to suspect opioid intoxication?

Do not chew enteric-coated tablets take asprin with meals or snacks voice abdominal pain

A client has received instructions to take 650 mg aspirin every 6 hours as needed for arthritic pain. What should the nurse include in the client's medication teaching? Select all that apply.

urine retention

A client is receiving an epidural anesthetic during labor. Which alteration in client status does the nurse recognize as a likely side effect of the anesthetic?

Respiratory rate and level of consciousness

A client is receiving oxycodone postoperatively for pain. The healthcare provider's prescription indicates that the dose should be administered every 3 hours for eight doses. What should the nurse assess before administering each dose of oxycodone?

Client is able to self-administer pain-relieving drugs as necessary

A client is receiving patient-controlled analgesia (PCA) after surgery. What does the nurse identify as the primary benefit with this type of therapy?

what discomforts are you experiencing

A client presents to the healthcare facility with abdominal pain. Which question should the nurse ask the client to obtain information about concomitant symptoms?

my ears are ringing it gets better when i lay down bright lights bother my eyes my head hurts more when im sitting watching tv

A client receives spinal anesthesia during labor and birth. Twenty-four hours later, she tells a nurse that she has a headache. Which statements indicate to the nurse that the headache is a reaction to the anesthesia? Select all that apply.

tolerance

A client with a known history of opioid addiction is treated for multiple stab wounds to the abdomen. After surgical repair the nurse notes that the client's pain is not relieved by the prescribed morphine injections. The nurse realizes that the failure to achieve pain relief indicates that the client is probably experiencing what phenomenon?

adjust the dial on the unit until the client states the pain is relieved

A client with an inflamed sciatic nerve is to have a conventional transcutaneous electrical nerve stimulation (TENS) device applied to the painful nerve pathway. When operating the TENS unit, which nursing action is appropriate?

manage pain with oral pain meds

A healthcare provider prescribes transdermal fentanyl 25 mcg/hr every 72 hours. During the first 24 hours after starting the fentanyl, what is the most important nursing intervention?

Causing local vasoconstriction, preventing edema and muscle spasms

A nurse applies a cold pack to treat an acute musculoskeletal injury. Cold therapy decreases pain by doing what?

visceral pain

A nurse is assessing a client who underwent abdominal surgery 10 days ago. The client complains of pain in the abdomen. What type of pain does the client experience?

alcohol

A nurse is caring for an older adult who is taking acetaminophen for the relief of chronic pain. Which substance is most important for the nurse to determine if the client is taking because it intensifies the most serious adverse effect of acetaminophen?

Administer the pain medications regularly around the clock ask the patient about acceptable pain level

A nurse is taking care of a client who has chronic back pain as a result of a work injury. What nursing considerations should be made when determining the client's plan of care? Select all that apply.

By applying a topical analgesic before the procedure

A preschooler is to have a peripheral intravenous catheter inserted. How can the nurse make the experience minimally traumatic for the child?

Determine the characteristics of the pain

After abdominal surgery a client reports pain. What action should the nurse take first?

anti inflammatory

Aspirin is prescribed on a regular schedule for a client with rheumatoid arthritis. The nurse understands that the drug is being used primarily for which of its properties?

clients pain is a 7 out of 10 on a numerical scale

The nurse is assessing a client who had knee replacement surgery. Which assessment finding gathered by the nurse is an example of subjective data?

sedation and respiratory rate

The nurse is caring for a client with chronic pain who is on opioid treatment. The client has constipation, nausea, vomiting, level 3 sedation, respiratory rate of 8 breaths per minute, and pruritus. Which conditions of the client should the nurse consider as highest priority? Select all that apply

60 min before dressing change

The nurse is caring for a client with wound dressings to the burns on 55% of the body. The dressing changes are very painful, and the client rates them 7/10 on the pain scale. The client has morphine 2 mg to be administered by mouth every 2 hours as needed. When planning the client's care, when does the nurse decide to administer the medication?

last

The nurse is preparing to assess the four abdominal quadrants of a client who complains of stomach pain. When determining the order of the assessment, the nurse recognizes that it is important to assess the symptomatic quadrant when?

perspiration

The nurse should monitor for which involuntary physiologic response in a client who is experiencing pain?

pain relief Antipyresis reduced inflammation

What are the desired outcomes that the nurse expects when administering a nonsteroidal antiinflammatory drug (NSAID)? Select all that apply.

Previous experience and cultural values

What does a nurse consider the most significant influence on many clients' perception of pain when interpreting findings from a pain assessment?

Verify the number of doses in the locked cabinet before administering the prescribed dose count respiration document intensity of pain

What is a nurse's responsibility when administering prescribed opioid analgesics? Select all that apply

wong baker faces

Which pain scale should a nurse use to measure the intensity of pain in toddlers