Pain

A nursing instructor is teaching students how to assess a client's pain. The instructor emphasizes that there are many misconceptions about pain. The instructor realizes that a student needs further direction when the student states:

"nurses are the best authority on pain"

As a nurse is adjusting a client's hospital bed, the nurse accidently pinches a finger between the bed and the wall. Which of the following components is involved in the transduction of the pain the nurse feels?

A-delta and C fibers

A nurse is caring for a 4-year-old client who is crying and appears to be in pain. The nurse begins to assess the pain by showing pictures on a chart and asking the client to point to the one that best represents the pain he is experiencing. This is an example of which of the following:

FACES scale

One of the body's normal physiologic responses to pain is

diaphoresis

The nurse is caring for a 4-week-old postoperative client. The most appropriate pain assessment tool would be the

face, legs, activity, cry, consolability scale

A client is reporting pain and informs the nurse that it has become unbearable. The first thing the nurse should do is what?

assess the site and intensity of the pain

How may a nurse demonstrate cultural competence when responding to clients in pain?

avoid stereotyping responses to pain by clinets

When assessing the client for pain, the nurse should

believe them

The nurse is caring for a post-operative client with an order for morphine sulfate 2 mg IV push every 4 hours. The client's pain is unrelieved 30 minutes following administration of the morphine sulfate with the pain rating increasing from 7 to 10. Which action should the nurse take?

call the physician and see about changing the pain medication

A male client with a history of a back injury 2 months ago has been taking daily doses of narcotic pain medication. He is currently hospitalized with a leg fracture after falling down the stairs. He complains of 10/10 pain in his back and leg after taking pain medication one hour ago. What is the nurse's best action?

contact the provider to increase the dose

A client who reports severe pain in his extremities after suffering third-degree burns has been admitted to the hospital. Which of the following responses to pain should the nurse expect to see in this client? Select all that apply.

cries and moans decrease in cognitive function thoughts of suicide

When clients report pain, it is important to find the source. When clients describe pain as "burning, painful numbness, or tingling," the source is more than likely:

neuropathic

The nurse is assessing a client's pain. Which question would be most appropriate to ask the client to identify precipitating factors that might have exacerbated the pain? You

"what were you doing when the pain first started?"

The nursing student asks the nurse what would be an example of visceral pain. What would be the correct response by the nurse?

gallbadder pain

A client on a medical-surgical unit reports pain of 10 on a scale of 0 to 10 and wants more pain medication. The nurse does not think the pain is as bad as the client says. The physician left orders for prn morphine for breakthrough pain. What is the priority nursing action?

give the prn morphine

A client who was in an automobile accident a week ago is at home recovering from her injuries. She contacts her primary care provider's office to report that she still has severe pain in her back, resulting from an injury to that region, that has not been lessened by two different pain relievers that the physician had prescribed for her. The nurse recognizes this as which type of pain?

intractable

A nurse is assessing the pain of a client who has had major surgery. The client also has been experiencing depression. Which of the following principles should guide the nurse's assessment of a client's pain?

it is likely that the client pain rating will be influenced by his emotioal state

The nurse is assessing hospitalized post-operative pain and has asked the client to rate his pain, describe it, state the location and onset of when it started. What other question should the nurse include in this pain assessment? You Selected:

provoking and alleviating factors

The client with a cognitive impairment sometimes cannot rate pain on a scale of 0 to 10. In such a case, the nurse is aware of other cues to assess the client's pain. Which of the following is correct?

restlessness, guarding

The nurse prepares to complete a pain assessment with a client who recently experienced a stroke. In which order should the nurse use the hierarchy of pain assessment techniques with this client? Drag statements into the proper order.

self report potential causes observe behaviors surrgoate reporting attempt analgesic trail

The nurse is caring for a client following an open reduction, internal fixation of the right hip. The nurse observes the client moans when being repositioned. What type of pain indicator is moaning?

vocalization