Pain EAQ

Which response would the nurse make when postoperatively, a client asks, "Could I have a pillow under my knees? My legs feel stretched."?

"A pillow under the knees can result in clot formation because it slows blood flow."

Which statement would the nurse provide to a client scheduled for an endoscopic sphincterotomy to remove a gallstone lodged in the common bile duct who asks the nurse about pain during the procedure

"An intravenous [IV] sedative usually is administered."

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

"What other discomfort do you experience?"

A client is prescribed 4 mg of hydromorphone intravenously (IV) every 4 hours, as needed. Hydromorphone is supplied at 10 mg/mL. How many milliliters of hydromorphone will the nurse administer per dose?

0.4

A client has an intravenous (IV) solution of 5% dextrose in water (D 5W) 250 mL to which 100 mg of morphine is added. The health care provider prescribes 14 mg of morphine per hour for end-of-life palliative treatment of a client. At how many milliliters per hour will the nurse set the IV pump?

35

Which substance would a client taking acetaminophen routinely be advised to avoid?

Alcohol

Which property would the nurse understands that the medication is being used primarily for when aspirin is prescribed on a regular schedule for a client with rheumatoid arthritis?

Anti-inflammatory

Which instruction would the nurse provide an older client using ice and heat to treat pain from back strain?

Apply for 30-minute time intervals.

Which action would the nurse take before administering each dose in a client who takes oxycodone every 3 hours for pain after surgery? Select all that apply. One, some, or all responses may be correct.

Ask the client to rate the level of pain. Assess the client's level of consciousness. Count the client's respiratory rate.

A pediatric client with a past history of chicken pox reports a fever and headache. Which medication would the nurse avoid giving to the client?

Aspirin

Which medication would the nurse anticipate the health care provider will prescribe to relieve the pain experienced by a client with rheumatoid arthritis?

Aspirin

Which action would the nurse take when a client who just returned from a cardiac catheterization reports that the pressure bandage on the right groin is tight?

Assess the circulatory status of the extremity.

Which client would be triaged under emergency severity index (ESI)-1 based on threat to life and stability of vital functions?

B

Which herbal medication would the nurse suggest to a client to reduce premenstrual discomfort?

Black cohosh root

An adolescent complains of breast pain. Which antigonadotropic herb may alleviate breast pain by decreasing prolactin levels?

Bugleweed

Which response would the nurse give when an adolescent who has had a leg amputated because of bone cancer begins to experience phantom limb sensations?

By acknowledging that the pain is real and administering medication to relieve it

A client in active labor becomes very uncomfortable and asks the nurse for pain medication. Nalbuphine is prescribed. The nurse understands that this medication relieves pain by which mechanism?

By acting on opioid receptors to reduce pain

Which herbal therapies would be beneficial to a client with menstrual cramping? Select all that apply. One, some, or all responses may be correct

Catnip Fennel Black haw

Which herbal therapies would be beneficial to a client with menstrual cramping? Select all that apply. One, some, or all responses may be correct.

Catnip Fennel Black haw

Which herbal therapy would be recommended to a client with breast pain? Select all that apply. One, some, or all responses may be correct

Chamomile Bugleweed Chaste tree fruit

Which benefit would be provided by administering patient-controlled analgesia (PCA) to a client after surgery? Select all that apply. One, some, or all responses may be correct.

Client is able to self-administer pain-relieving medications as necessary Decreases client dependency Increases client sense of autonomy

A client whose cervix is dilated to 8 cm tells the nurse that she is very uncomfortable and wants to push. Which action would the nurse take

Coach her to take panting breaths.

When developing the plan of care for a client with rheumatoid arthritis, which client consideration would the nurse include?

Comfort

Which factor would the nurse explain as the likely cause of pain to a client who is diagnosed as having a herniated nucleus pulposus?

Compression of the spinal cord by the extruded nucleus pulposus

Which is the nurse's initial plan for providing pain relief measures during labor for a pregnant client with a history of opioid misuse?

Consulting with anesthesia to develop an interdisciplinary pain management plan

Which finding in a newborn is a behavioral response to pain?

Crying

A client reports unexplained weight gain and back pain from a compression fracture of the vertebrae. On assessment, the nurse notes truncal obesity with excessively thin extremities, a moon-shaped face, a buffalo hump, thin hair, and adult acne. Which disease process would the nurse anticipate incorporating into the plan of care?

Cushing disease

Which medication is used in the treatment of a client with intervertebral disc disease?

Cyclobenzaprine

Which point would the nurse include in a teaching plan to help manage pain during dressing changes if a client has burns over 18% of body surface?

Deep breathing exercises

The nurse asks an unlicensed assistive personnel (UAP) to provide an ice pack to a client. Which nursing function does this represent?

Delegation

Which action would the nurse take first when a client reports pain after abdominal surgery?

Determine the characteristics of the pain.

Which condition would the nurse document to describe a client presenting with the loss of the ability to taste after cancer treatment has affected the client's ability to eat food?

Dysgeusia

Which technique would the nurse suggest to a laboring woman's partner that involves gently stroking the woman's abdomen in rhythm with her breathing during a contraction?

Effleurage

After surgery, a child experiences intense pain and an analgesic is prescribed. Which would the nurse consider when administering the analgesic?

Even though children do not like medicine, analgesics will make them more comfortable

Which pain scale is used to measure the intensity of pain in preschoolers?

FACES scale

Which pain scale would the nurse use to measure the intensity of pain in toddlers?

FACES scale

The nurse understands which anesthetic medication is commonly used for short procedures on pediatric clients?

Fentanyl

The overproduction of which hormone is associated with carpal tunnel syndrome in clients?

Growth hormone

Which factors can trigger a client's migraine attacks? Select all that apply. One, some, or all responses may be correct.

Hormonal fluctuations Fatigue Sleep problems

Which sign along with abdominal pain indicates a possible ruptured ectopic pregnancy?

Hypotension

During which situation would the nurse expect the client who has rheumatoid arthritis to experience the most joint pain and stiffness

In the morning on awakening

Which term will a nurse use to document when a client with peripheral arterial disease tells the nurse about having leg pain and weakness after walking a short distance?

Intermittent claudication

Which route would a nurse expect to administer morphine sulfate prescribed for pain in a client admitted to the emergency department with burns to the anterior trunk, entire right arm, and anterior left arm

Intravenously

Which information would the nurse include when explaining the purpose of a thallium scan to the client who has a history of chest pain?

It assesses myocardial ischemia and perfusion.

Which statement would a nurse make about trigeminal autonomic cephalalgia (cluster headaches)?

It is caused by an overactive hypothalamus.

A client describes abdominal discomfort after ingestion of milk. Which enzyme, as a result of a genetic deficiency, would the nurse consider to be the cause of the client's discomfort?

Lactase

Which nursing action would be implemented after a client has a lumbar puncture?

Maintaining the client in the supine position for several hours

Which potential side effect of docusate sodium would a nurse include in discharge teaching of a client who had repair of an inguinal hernia?

Mild abdominal cramping

Which action will the nurse include as part of the initial 24-hour postoperative care plan of a client receiving intrathecal morphine to control severe postoperative pain?

Monitoring of respiratory rate hourly

On the third postoperative day after a subtotal gastrectomy, a client reports severe abdominal pain. The nurse palpates the client's abdomen and determines rigidity. Which action would the nurse perform first?

Obtain the client's vital signs.

Which interventions would the nurse perform while caring for an actively dying client? Select all that apply. One, some, or all responses may be correct.

Offer symptom management to the client. Provide client and family reassurance.

Which assessment is most important for the nurse to perform before beginning a wound irrigation on a client who had a left hemispheric stroke 1 year ago?

Pain

The nurse is caring for a client with suspected appendicitis. Which assessment finding would the nurse determine would further support the diagnosis?

Pain in right lower quadrant

Which client assessment finding would the nurse document as subjective data?

Pain rating of 5

Which statement is an accurate description of dysmenorrhea?

Pain with menses

Which position would the nurse place the feet and legs in when caring for a client with peripheral arterial insufficiency?

Place them slightly lower than the head and chest.

An adolescent client with sickle cell anemia is experiencing a painful episode (vaso-occlusive crisis) and has a patient-controlled analgesia (PCA) pump. The current pain rating is 5 on a scale of 1 to 10 at the right elbow. The nurse observes that the pump is "locked out" for another 10 minutes. Which action would the nurse implement?

Placing the prescribed as-needed warm, wet compress on the elbow

Which factor would the nurse recognize as a cause of neck pain in a client?

Poor posture

A client who is 29 weeks pregnant reports a dull backache and abdominal cramps. For which condition should the nurse monitor?

Preterm labor

When interpreting findings from a pain assessment, which factors would the nurse consider the most significant influences on a client's perception of pain?

Previous experience and cultural values

Which parameters would the nurse consider for proper rapid baseline assessment using a disability mnemonic (AVPU) in a client with drug abuse? Select all that apply. One, some, or all responses may be correct.

Reaction to pain Response to voice

One week after beginning antithyroid medication for the treatment of hyperthyroidism, a client reports diarrhea, abdominal pain, and a fever. The client is admitted with a diagnosis of thyrotoxic crisis. Which intervention is appropriate to implement for this client?

Reduce body temperature and heart rate.

Which rationale would the nurse give to explain the purpose of administering an opioid analgesic via epidural catheter when providing postoperative teaching?

Relieves abdominal pain

Which caring intervention helps provide comfort, dignity, respect, and peace to a client?

Relieving pain and suffering

Which nonpharmacological nursing intervention is effective in helping relieve postoperative pain?

Repositioning

Which is a sensory simulation strategy a laboring client can use as a nonpharmacological strategy for pain management?

Selecting a focal point and beginning breathing techniques

Which client condition would be prioritized by the nurse under the emergent classification? Select all that apply. One, some, or all responses may be correct.

Shock Airway obstruction

Which is an important topic to include in teaching to promote the comfort of a client with a pruritic skin disease?

Sleep

Which action puts a client at risk for low back injury and pain?

Smoking tobacco

A client with severe abdominal pain is on meperidine treatment and later develops seizures. Which action would be most important for the nurse to implement?

Stop administration of meperidine.

Which nursing action would be performed first in a client who reports chills and flank pain ten minutes after the initiation of a blood transfusion?

Stop the transfusion.

Which form of nitroglycerin would the nurse anticipate giving to a client with midsternal pain who presents to the emergency department with stable vital signs?

Sublingual spray

Which finding is an indication of ulcer perforation in a client with peptic ulcer disease (PUD)? Select all that apply. One, some, or all responses may be correct.

Tachycardia Hypotension Rigid abdomen Nausea and vomiting Back and shoulder pain

Which finding is an indication of ulcer perforation in a client with peptic ulcer disease (PUD)? Select all that apply. One, some, or all responses may be correct.

Tachycardia Hypotension Rigid abdomen Nausea and vomiting Back and shoulder pain

For a client who had knee replacement surgery, which assessment finding gathered by the nurse is an example of subjective data?

The client's pain is 7 on a scale of 1 to 10.

Which conclusion would the nurse make regarding the client's response to pain medication when a client using a pain scale of 1 to 10 rates the pain as an 8 before receiving an analgesic and a 7 after being medicated?

The medication is not adequately effective.

Which pain-related clinical manifestation would the nurse expect in a client who had received a diagnosis of a peptic ulcer?

The pain occurs 1 to 2 hours after having a meal.

Which condition would a nurse suspect when a client with a skin infection reports an itching sensation associated with pain at the site of infection and shows erythematous blisters and interdigital scaling and maceration?

Tinea pedis

Which rationale supports administering the medication pregabalin to a client with acquired immunodeficiency syndrome (AIDS)?

To reduce neuropathic pain

An adult client with low-functioning Down syndrome (trisomy 21) appears in the emergency department via ambulance after an accident. Which assessment method would be the best instrument to use when determining this client's level of pain?

Using the Wong-Baker FACES Pain Rating Scale

Upon assessing a client who underwent abdominal surgery 10 days ago, the client reports abdominal pain. Which type of pain would the client experience?

Visceral pain

Which intervention would the nurse recommend for post-cesarean gas pain?

Walking around the room

Which pain scale would the nurse use when assessing a 4-year-old child?

Wong-Baker

Which alternative treatments would a nurse recommend to help ease a young child's pain at home? Select all that apply. One, some, or all responses may be correct.

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