Pain

Nurse caring for client who has prescription for heat therapy for knee pain. Nurse should apply heat therapy to client's knee for how long?

20 min

Nurse caring for group of client's on ped unit. For which of the following clients should the nurse use the FLACC pain scale to determine their level of pain?

3yo toddler who has a fractured femur, 14yo client who has severe cognitive and developmental delays, 5yo preschooler who is experiencing pain during a sickle cell crisis

Nurse is assisting with in-service regarding pain control. Which of the following statements by a staff member indicates an understanding of the info?

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

Nurse caring for client who has prescription for hydromorphone 1 to 2 mg IM every 4 hr PRN for pain rating of 4-6 on 0-10 scale. Client has never taken hydromorphone before. Which of the following actions should nurse plan to take?

Administer 1 mg IM

Nurse is evaluating client's pain level using PQRST mnemonic. Which of the following questions should nurse ask to evaluate letter R?

Can you point to where you are having your pain?

Nurse caring for client who reports muscle pain to lower back that has persisted for over a year after a motor-vehicle crash. In which ways should the nurse categorize the client's pain?

Chronic pain

Nurse caring for client who has kidney stones. Which of the following manifestations is an objective indicator of pain?

Client is diaphoretic

Nurse reviewing info for several clients on unit. Nurse should recognize that Which of the following clients is at greatest risk for respiratory depression?

Client who had surgery 3 hr ago and is receiving IV hydromorphone PRN

Nurse is evaluating group of clients who're experiencing pain. Which of the following clients should nurse identify as experiencing neuropathic pain?

Client who has diabetes and reports bilateral burning foot pain w/o signs of injury

Nurse is reviewing plan of care for several clients who are receiving tx for pain. Which of the following actions should nurse plan to take to evaluate the clients' pain control?

Consider each client's cultural preferences, determine the effectiveness of nonpharmalogical strategies, use pain scale specific to each client's cognitive abilities

Nurse caring for older adult client who has a cognitive impairment and is postop. Which of the following actions should nurse take?

Evaluate the client for pain by observing behavior

Nurse discussing the FLACC scale with new nurse. Which of the following categories should nurse include?

Face, legs, consolability

Nurse discussing end-of-life pain management w/group of coworkers. Which of the following should nurse include as barriers to end-of-life pain management?

Fear of addiction, belief that pain is expected part of their illness, inadequate pain assessment

Nurse is assessing a client who is nonverbal for the presence of pain. Which of the following findings indicate an increased level of discomfort?

Grimacing, restlessness, increased diaphoresis

Nurse reviewing discharge instructions for client who has a prescription for morphine oral solution 10 to 20 mg every 4 hr PRN. Which of the following statements by client indicates understanding of instructions?

I will keep the morphine bottle in a locked cabinet in my kitchen

Nurse is teaching staff about ethical principle of justice and how it relates to pain management for clients. Which of the following statements should nurse make?

Justice allows client opportunity to be treated fairly

Nurse discussing use of heat therapy with new nurse. Nurse should include that heat therapy is effective for which of the following conditions?

Muscular pain, backache, menstrual discomfort

Nurse caring for client who is postop following abdominal surgery and has a morphine PCA pump. Which of the following meds should nurse ensure is available in case the client develops respiratory depression?

Naloxone

Nurse is caring for client who has severe pain and repeatedly asks for pain meds. Nurse is busy and forgets to assess client's pain and administer prescribed pain med. Which of the following can the nurse be charged with?

Negligence

Nurse planning to teach coworkers about legal & ethical principles used with pain management. Which of the following examples should nurse include as an example of autonomy?

Nurse provides client with opportunity to take an IM injection or oral med for pain relief

Nurse is caring for a client who has prescription for oxycodone 5 to 10 mg PO every 4-6 hr as needed for pain rating 7 to 10 on 0-10 scale. Fifteen minutes after receiving the dose, client reports to nurse their pain is still a 7 and has not changed. should nurse take?

Offers to assist the client with non-pharmacological relief strategies

Nurse is monitoring client who is 2 hr postop and is receiving morphine via PCA pump. Which of the following findings should nurse plan to monitor to detect opioid-induced ventilatory impairment OIVI?

Respiratory rate, capnography, o2 sat

Charge nurse reviewing factors that can affect client's perception of pain with new nurse. Which of the following should charge nurse include?

Stress, culture, social support, disease severity

Nurse is discussing cutaneous stimulation with client who has back pain. Which of the following methods should nurse include?

TENS, massage, acupuncture, cold therapy

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

You can be taught how to use TENS therapy at home, TENS therapy delivers low-voltage electrical impulses to skin over painful areas, we will adjust intensity, pulse rate, and duration of the electrical pulses during your therapy

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

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

Nurse providing end-of-life care for a client who is unresponsive and near death. Client's family asks nurse about managing the client's pain. Which of the following statements should nurse make to client's family?

Your family member has the right to receive effective pain management.