Patho Eaq

when providing comfort to a client during the last hours of life, which would be the nurses primary concern? Pain Nutrition elimination respiratory status cardiovascular status

pain respiratory status

Which response by the nurse asked "How will they knock me out" for this colonoscopy?" describe the route of administration for conscious sedation? " the medicine will be injected into your spine" " you will receive the anesthesia through a face mask "you will receive medication through an intravenous catheter "we will give you an oral medication about 1 hour before the procedure"

"you will receive medication through an intravenous catheter.

The primary nurse, leaving the unit for lunch, provides a verbal report for the covering nurse. The report included one client's prescription for morphine: 2 mg intravenously (IV) every 3 hours for abdominal pain secondary to major abdominal surgery that morning. During the primary nurse's lunch, the client complains of pain at a level 8 out of 10 on the pain scale. Which action would the covering nurse perform first? Determine the documented time of the last administration of pain medication. Verify that the written prescription matches the administration record. Encourage nonpharmacological measures initially to relieve the pain. Explain that the primary nurse will be back from lunch in a few minutes

.Verify that the written prescription matches the administration record.

A client is admitted to the hospital with severe back and abdominal pain, nausea and occasional vomiting, and an oral temperature of 101°F (38.3°C). The client reports drinking six to eight beers a day. A diagnosis of acute pancreatitis is made. Based on the data presented, which clinical finding is a primary nursing concern for this client? A.Acute pain B. Inadequate nutrition C• Electrolyte imbalance D• Disturbed self-concept

A

A client who had thoracic surgery reports pain at the incision site when coughing and deep breathing. Which action would the nurse take? A.Instruct the client to splint the wound with a pillow when coughing. B• Place the client in the supine position and inspect the site of the incision. C• Assess the intensity of the pain and administer the prescribed analgesic. D• Notify the health care provider immediately and then check for wound dehiscence.

A

A client who has severe facial scarring from burns tells the nurse, 'I've saved some oxycodone, and when I get home, I'm going to take all of them. Don't tell anyone.' Which response is best? A• 'Are you planning to kill yourself?' B• 'Why don't you want me to tell anyone?" C• 'Are you in a lot of pain right now?' D. 'How much oxycodone do you have?'

A

A student athlete reports muscle pain after a practice session. Which product of muscle metabolism would the nurse explain as being a cause of pain? A.Lactic acid B. Acetoacetic acid C. Hydrochloric acid D. Beta-hydroxybutyric acid

A

After an amputation of a limb, a client reports extreme discomfort in the area where the limb once was. Which goal would the nurse plan to focus interventions? A• Identifying actions to decrease pain in the lost limb B• Reversing feelings of hopelessness about the future C• Promoting mobility in the residual limb D• Facilitating the grieving process for the lost limb

A

The nurse is caring for a child with an exacerbation of leukemia. The nurse would plan to administer the prescribed analgesic for bone pain at which time? A• At scheduled intervals B• When the child asks for it C• When pain becomes severe D• Before the pain becomes severe

A

The nurse is caring for an Asian client who had a laparoscopic cholecystectomy 6 hours ago. When asked whether there is pain, the client smiles and says, "No." Which action would the nurse take? A.Monitor for nonverbal cues of pain. B• Check the pressure dressing for bleeding. C• Assist the client to ambulate around the room. D.Irrigate routinely the client's nasogastric tube with sterile water.

A

The nurse provides care for a Chinese client who is experiencing leg pain. The client states, "I don't want to take any medication that I may get addicted to." Which is the correct nursing intervention in this situation? A.Give ibuprofen to the client with hot tea. B• Give morphine to the client with hot tea. C.Give acetaminophen to the client with cold water. D• Postpone medication administration to the client.

A

The registered nurse (RN) is reviewing the clinical data of four clients. Which client's care can be delegated to the licensed practical nurse (LPN)? CLIENT CONDITION. MEDICATION A Dental pain. Non steroidal anti-inflammatory drugs B. Severe dehydration. Replacement fluids C.Anemia. Blood products D. Hemorrhage Dextran Client A Client B Client C Client D

A

Which action would the nurse take when a client reports pain and burning at a peripheral intravenous (IV) site after the nurse has flushed the saline lock with normal saline? A.Remove the IV catheter and restart the saline lock in another site. B• Document the findings per protocol and reassess the site in 8 hours. C• Flush the IV catheter and saline lock again vigorously with normal saline. D• Change the dressing and apply a new clean dressing per IV care protocol.

A

Which intervention is the priority nursing care for a client in the coronary care unit who develops "viselike" chest pain radiating to the neck with a blood pressure of 124/64 mm Hg, an irregular apical pulse of 64 beats per minute, and diaphoresis who is prescribed morphine sulfate 4 mg intravenous (IV) push stat and cardiac monitoring? A.Relief of pain B• Client teaching C• Cardiac monitoring D• Maintenance of bed rest

A

Which intervention would the nurse incorporate into the plan of care for the older adult experiencing chronic pain? A• Exercise B• Distraction C• Heat therapy D• Trigger point massage

A

Which outcome would be a priority for the nurse to incorporate into the plan of care for a client with a migraine? A.To decrease pain B• To decrease nausea C. To decrease vomiting D. To decrease light sensitivity

A

Which pain relief medication would the nurse expect to find in the plan of care of a client with a myocardial infarction admitted to the cardiac intensive care unit? A• Morphine B.Diazepam C• Midazolam D• Oxycodone

A

Which pain scale is used to measure the intensity of pain in preschoolers? A.FACES scale B• Visual analog scale C• Numerical rating scale D• Verbal descriptor scale

A

When assessing a client after abdominal surgery, which cue would the nurse use to form a data cluster? Select all that apply. One, some, or all responses may be correct. A.The client reports pain with movement. B. The client has pain over the surgical area. C.The client wants to know when he can go home. D. The client rates the pain as 8 on a scale of 0 to 10. E.The client has concerns about caring for the wound.

A, B, D

Which methods qualify as alternative therapies for pain? Select all that apply. One, some, or all responses may be correct. A.Prayer B.Hypnosis C.Medication D.Aromatherapy E.Guided imagery

A, B, D,E

Twenty-four hours after receiving spinal anesthesia during childbirth, a client tells the nurse she has a headache. Which statements indicate to the nurse that the headache is a reaction to the anesthesia? Select all that apply. One, some, or all responses may be correct. A. 'My ears are ringing. B. |'It gets better when I lie down.' C. 'Bright lights really bother my eyes.' D. 'It gets better as soon as I walk a while! E.'My head hurts more when I'm sitting watching television.' F.'My head hurts more when I'm lying on my side breast-feeding.

A, B,C, E

Which nursing interventions would the nurse implement for a child undergoing treatment with opioid analgesics? select all that apple a. Assessing the child's pain b. Administering oral medication with meals or snacks c. Assessing the child's verbal and nonverbal behaviors d. Documenting the child's age, weight, and height before treatment

A, B,C,D

When obtaining a health history from the newly admitted client who has chronic pain in the right knee, which pain assessment data would the nurse include? Select all that apply. One, some, or all responses may be correct. A. Pain history, including location, intensity, and quality of pain B. Client's purposeful body movement in arranging the papers on the bedside table C.Pain pattern, including precipitating and alleviating factors D.Vital signs, such as increased blood pressure and heart rate E.The client's family statement about increases in pain with ambulation

A, C

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. A.Client is able to self-administer pain-relieving medications as necessary B. Amount of medication received is determined entirely by the client C. Decreases client dependency Relieves the nurse of monitoring the client D. • Increases client sense of autonomy

A, C,D

After interacting with a client, the nurse thinks the client is in the prodromal phase of a migraine. Which statements made by the client led the nurse to reach this conclusion? Select all that apply. One, some, or all responses may be correct. A. 'feel drowsy all the time.' B.'I feel severe pain over my ear. C.'I feel a throbbing pain in my head!' D. 'I feel confused at this point in time.' E.'I feel weakness in the left side of my body.'

A, D, E

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. A.Count the client's respiratory rate. B.Examine the client for petechiae. C.Observe the client for movement disorders. D.Ask the client to rate the level of pain. E. Assess the client's level of consciousness.

A, D,E

The nurse is questioning a client who reports pain. Which questions asked by the nurse are correct? Select all that apply. One, some, or all responses may be correct. A.'Where does it hurt?' B.'What makes the pain worse?' C.'How long have you noticed it?' D.'Have you been treated for pain previously?' E.'How severe is your pain on a scale of 0 to 10?

A,B,C,E

The registered nurse (RN) is caring for a client who has severe abdominal pain. The RN plans to work with the assistance of an unlicensed assistive personnel (UAP). The RN starts the client care. Which tasks would the RN take into consideration when initiating the process of active delegation? Select all that apply. One, some, or all responses may be correct. A. Assessing the level of the client's abdominal pain B.Directing the UAP to assist the client while toileting C.Advising the client to take pain medication when needed D • Ensuring that the UAP is accountable for successful completion of the task E. Explaining to the client about the reason and cause of abdominal pain

A,B,D

A client with a known history of opioid addiction has a surgical repair of multiple stab wounds to the abdomen. After surgery, the client's pain is not relieved by the prescribed morphine injections. Which phenomenon is the client experiencing when they fail to achieve pain relief? A.Tolerance B• Habituation C• Physical addiction D.Psychological dependence

A.

The nurse is caring for a client who has developed dysphagia and is unable to swallow. The client is receiving around-the-clock opioid pain medications for cancer pain, and hospice has recently begun to care for the client. Which is the best nursing intervention in preparing for the client's discharge? A. Contact the client's health care provider to ask to substitute a liquid form of medications for the pill form. •B Teach the client and family members to crush the pills and administer them with applesauce. C. Contact the client's health care provider to discuss use of transdermal medications for pain control. D• Teach the client and family members about addiction that may occur as a result of regular opioid use.

A. Contact the client's health care provider to discuss use of transdermal medications for pain control.

After obtaining vital sign data of blood pressure 90/60 mm Hg, pulse 96 beats/minute, and respiratory rate 10 breaths/minute for a postoperative client receiving hydromorphone by a patient-controlled analgesia (PCA) pump, which priority action would the nurse take? A.Give naloxone intravenously per protocol. B• Assess the client's pain level on a 10-point scale. C• Document the vital signs in the client record. D• Notify the hospital rapid response team.

A. Give naloxone intravenously per protocol.

Which information would the nurse include in the client's medication teaching on the administration of aspirin 650 mg every 6 hours as needed for arthritic pain? Select all that apply.One, some, or all responses may be correct. A."Report persistent abdominal pain." B."Do not chew enteric-coated tablets." C."Take the aspirin with meals or a snack." D."See a dentist if bleeding gums develop." E. "Switch to acetaminophen if tinnitus occurs.

A."Report persistent abdominal pain." B."Do not chew enteric-coated tablets." C."Take the aspirin with meals or a snack."

Which action is the nurse's responsibility when administering prescribed opioid analgesics? Select all that apply. One, some, or all responses may be correct. A • Count the client's respirations. B. Document the intensity of the client's pain. C.Withhold the medication if the client reports pruritus. D. Verify the number of doses in the locked cabinet before administering the prescribed dose. E.Discard the medication in the client's toilet before leaving the room if the medication is refused.

A.Count the clients respiration B.Document the intensity of the clients pain C.Verify the number of doses in the locked cabinet before administering the prescribed dose

The nurse completes an admission assessment on a child with sickle cell anemia who is experiencing a painful vaso-occlusive crisis. Which nursing action would be a priority for the nurse to implement? Physical assessment Fatigue Anoreyia Irritability Pulse oximetry of 92% on room air Pain in the knees; 9 on a scale of 1-10 Painful swollen feet; 4 on a scale of 1-10 Laboratory tests Hemoglobin: 8.1 g/dL Vital signs Temperature: 99.6 °F (37.6 °C), orally Pulse: 94 beats/min, regular rhythm Respirations: 22 breaths/min, unlabored Blood pressure: 132/80 mm Hg A.Provide oxygen therapy B. Administer an analgesic C• Initiate a blood transfusion D• Monitor intravenous fluids

Administer an analgesic

When, during the first 24 hours postoperatively, will analgesics be administered to a client who undergoes an abdominal cholecystectomy for gangrene of the gallbladder? If repositioning is ineffective When the pain becomes severe In gradually increasing dosages As prescribed by the health care provider

As prescribed by the health care provider

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? A• Turning on the television for diversion B • Placing the prescribed as-needed warm, wet compress on the elbow C. Calling the primary health care provider for another analgesic prescription D• Informing the client gently that they must wait until the pump reactivates to get more medication

B

For a client who had knee replacement surgery, which assessment finding gathered by the nurse is an example of subiective data? A• The client weighs 151 lbs (68.5 Kg). B.The client's pain is 7 on a scale of 1 to 10. C• The client's fasting blood sugar is 95 mg/aL. D.The client's blood pressure is 140/90 mm Hg.

B

Which action would be taken by a nurse when caring for a client prescribed transdermal fentanyl 25 mcg/h every 72 hours during the first 24 hours after starting the fentanyl? A. Titrate the dose until pain is tolerable. B.Manage pain with an analgesic by a different route. C.Assess the client for anticholinergic side effects. D• Instruct the client to take the medication with food.

B

Which action would the nurse take when caring for a client using a patient-controlled analgesia pump who identifies attempts to self-administer the analgesic 10 times because the client is still experiencing pain? A. Monitor the client's pain level for another hour. B• Determine the integrity of the intravenous delivery system. C.Reprogram the pump to deliver a bolus dose every 8 minutes. D• Arrange for the client to be evaluated by the health care provider.

B

Which client would be triaged under emergency severity index (ESI)-1 based on threat to life and stability of vital functions? Client Condition A.Chest pain resulting from ischemia B.Cardiac arrest C.Simple laceration D. Hip fracture

B

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? A • The client has a low pain tolerance. B• The medication is not adequately effective. C• The medication has sufficiently decreased the pain level. D• The client needs more education about the use of the pain scale.

B

Which factor would the nurse recognize as a cause of neck pain in a client? A• Headache B• Poor posture C• Low body weight D.Sedentary lifestyle

B

Which nonpharmacological nursing intervention is effective in helping relieve postoperative pain? A• Ambulation B • Repositioning C• Purse-lipped breathing D. Deep breathing and coughing

B

Which physiological response will occur if a client being treated for myocardial infarction experiences the intended therapeutic effect of morphine? A• Increased respiratory rate B• Decreased workload of the heart C• Dilation of coronary arteries D• Diminished metabolites within the ischemic heart muscle

B

Which situation would the nurse address first according to Maslow's hierarchy? A• Has history of being injured from sudden falls B• Complains of sleeplessness due to pain postsurgery C• Reports that they feel lonely and socially isolated D• Conveys to the nurse that they want to become the manager of the company

B

Which strategy would the nurse use to assess a 4-year-old child who is guarding the abdomen, crying, and not allowing any physical contact with the staff after a fall onto the handlebars of a tricycle? A• Medicating the child for pain before proceeding B. Having the child guide the examiner's hand to the area that hurts C• Asking the parent to restrain the child while the abdomen is auscultated D• Suggesting that the health care provider prescribe computed tomography of the child's abdomen

B

Which action would the nurse take to understand the nature of a client's pain? Select all that apply. One, some, or all responses may be correct. A• Cover the area of discomfort. B • Observe where the client locates the pain. C. Refrain from touching the area of tenderness. D. Note whether the pain radiates to any other part of the body. E. Instruct the client not to moves so as not to increase the pain.

B, D

Which strategies would the nurse implement to reduce a child's pain and anxiety concerning vaccinations? Select all that apply. One, some, or all responses may be correct. A.Making the child lie down B. Applying a topical anesthetic C.Injecting the most painful vaccine first D. Using microneedles or needle-free devices E. Injecting intramuscular vaccines quickly and without aspiration

B, D, E

Which factors would the nurse consider when administering opioids to a child with severe pain? Select all that apply. One, some, or all responses may be correct. A.Diet modification B• Dosing calculations C.Body mass index D.Appropriate dosage form E.Presence of other symptoms

B, D,E

Which therapeutic outcome is expected after administering ibuprofen? Select all that apply. One, some, or all responses may be correct. A. Diuresis B. Pain relief C. Temperature reduction D.Bronchodilation E.Anticoagulation F. Reduced inflammation

B, c, f

An adolescent is admitted with partial-and full-thickness burns of the arms and upper torso. Which are the primary purposes of administering pain medication via the intravenous route, rather than the intramuscular route? Select all that apply. One, some, or all responses may be correct. A• Adolescents are afraid of injections. B.It decreases the risk of tissue irritation. C.Severe pain is reduced more effectively. D.Impaired peripheral circulation is bypassed. E.It provides for more prolonged relief of pain.

B,C,D

Which is the most reliable indicator of a 2.5-year-old child's pain? A.Crying and sobbing B. Changes in behavior C• Verbal exclamations of pain D. Changes in pulse and respiratory rate

B. Changes in behavior

Which action would the nurse take while giving an injection to a preschooler? A. Ask the parent to restrain the child. B• Distract the child with conversation. C• Avoid awakening the child if asleep. D• Avoid using lidocaine ointment over the injection site.

B. Distract the child with conversation.

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? A. Orally B. Intravenously C. Subcutaneously D.Intramuscularly

B. Intravenously

A 20-year-old carpenter with a history of substance abuse falls from a roof and sustains fractures of the right femur and left tibia. Which intervention is the most important? A• Confronting the client about substance abuse B• Overlooking the drug problem during hospitalization C• Assessing for amount and time of last substance use D• Advocating for adequate dosage of pain medication

C

A 3.5-year-old child begins to scream and kick when a laboratory technician arrives to draw blood. Which developmental milestone would the nurse recognize as likely contributing to this reaction? A.Fear of loss of control B• Inability to localize pain C. Terror of intrusive procedures D• Past experience with this procedure

C

A child is experiencing pain after abdominal surgery and is given an opioid analgesic. Which statement is correct regarding children in pain and their response to opioid analgesics when they are prescribed? A. Addiction to opioids is more of a risk for children than adults. B. Analgesics are not needed as frequently because pain is not as strongly felt by children as it is by adults C. Even though children do not like taking medicines, analgesics will make them more comfortable. D• Children do not need analgesics because they are easily distracted and will quickly return to play or sleep.

C

A client has been receiving oxycodone for moderate pain associated with multiple injuries sustained in a motor vehicle collision. Which assessment finding, in addition to the client's slurred speech, leads the nurse to suspect opioid intoxication? A.Mood lability B• Hypervigilance C. Constricted pupils D• Increased respirations

C

A client with a history of osteoporosis and vertebral compression has been coming to the clinic more frequently for prescription refills of hydrocodone/acetaminophen. Which inference will the nurse make? A. The half-life of the medication has decreased. B. An idiosyncratic reaction has occurred. C • Higher doses are needed to achieve pain relief. D.An emotional dependence on the medication has developed.

C

A school-age child with end-stage cancer has a continuous infusion of morphine to manage their pain. Breakthrough pain occurs and a fentanyl 'lollipop' is prescribed. Which instruction would the nurse give the child regarding the use of the lollipop when pain occurs? A.'Chew it and then swallow every 4 hours.' B.'Suck on it for half an hour every 6 hours. C• 'Hold it in your cheek only until the pain is relieved.' D.'Place it in your mouth and suck on it until it dissolves.

C

An adolescent client has orders for morphine sulfate for severe pain and acetaminophen-codeine compound for moderate pain after a spinal fusion. The pain assessment reveals the client is rigid and crying in pain. Which information would influence the nurse's choice of analgesic? A• One dose of morphine may be given, but the drug should be restricted thereafter because it is addictive. B• Adolescents tend to exaggerate their discomfort, particularly when they are immobilized by surgery or injury. C • Spinal fusion causes considerable pain during the early postoperative days, and morphine is the more effective analgesic. D• The acetaminophen-codeine compound is preferred because morphine can cause respiratory depression or respiratory arrest.

C

For which involuntary physiologic response would the nurse monitor development in a client experiencing pain? A. Crying B• Splinting C.Perspiring D. Grimacing

C

When naloxone has been administered to a client with an opiate overdose, which action is most important for the nurse to take? A. Question client about pain level. B• Monitor for increased heart rate. C. Observe respiratory rate and depth. D. Check for alertness and orientation.

C

Which action would the nurse take first for a postsurgical client who is still intubated but becoming restless, with an increased pulse rate and blood pressure, when it has been 4 hours since the last dose of pain medication? a• Notify the provider. B • Perform a full physical assessment. C• Administer the prescribed pain medication. D• Play soft, relaxing music to help calm the client

C

Which client would the nurse assess first? A• 40-year-old with 30 pack-year cigarette history who reports tingling in both feet B.42-year-old who takes antihypertensive medication and reports bilateral 4+ ankle swelling C.65-year-old who reports tearing abdominal pain and has a history of uncontrolled hypertension D• 70-year-old with peripheral arterial disease who reports severe lower leg burning and numbness

C

Which mode of medication administration is preferred for a client with deep partial-thickness burns who is receiving an opioid for pain management? A• Oral B• Rectal C. Intravenous D• Intramuscular

C

Which order would the nurse identify as a priority nursing action after reviewing the prescriptions for the newly admitted emergency department client with urolithiasis? CLIENT CHART Healthcare provider orders Morphine 4 mg IV every 4 hours for severe pain, prn ketorolac 12 IM every o hours for mild to moderate pain, prn Ondansetron 4 mg IVPB every b hours for nausea, prn Strain all urine through gauze Encourage oral fluid intake Urine co Ciprofloxacin 400 mg every 12 hours IVPB IV 0.9% NaCI 150 mL per hour for 3 liters Emergency department discharge notes 1125: Client admitted to the ER at 0700 reporting unbearable pain of 10 on a 1 to 10 pain scale radiating down into the groin. Medicated with 6 mg of morphine IV at 0730. Client reported pain relief on a level 3. Bladder and Delvic ultrasound and abdominal and pelvic CT scan without contrast indicate 5 mm obstructing stone in left proximal ureter with mild hydronephrosis. Urinalysis reveals: positive nitrite, blood, and leukocyte esterase; 10 to 20 RBCs; 25 to 50 WBC; few squamous epithelial cells; and moderate bacteria. c&s is pending. client admitted for further management. Nursing assessment of client on admission to unit 1130: Client splinting abdomen and stated, "I have excruciating, horrendous, wave-like pain on the left side of my belly moving down to my groin, and I feel like I'm going to throw up. I can't stand it. Client asked for bedpan and voided ›u mL ot pink-tinged urine A• Strain the client's urine. B• Place the client in the high-Fowler position. C • Administer the prescribed morphine. D. ( Collect a urine specimen for culture and sensitivity.

C

Which pain description would the nurse expect a client to report when describing pain associated with a suspected duodenal peptic ulcer? A• An ache radiating to McBurney point B• An intermittent, colicky right-flank pain C. Agnawing sensation in the epigastric area D• A generalized abdominal pain intensified by movement

C

The nurse must restart a peripheral intravenous (IV) infusion on a child. Which would the nurse do to promote the child's sense of security? A• Inform the child that it will feel like a bee sting. B • Ask the child if the parent should leave the room. C. Take the child to the treatment room for the procedure. D• Tell the child that it is important to have a new IV started.

C.

Which response would the nurse give to a client newly diagnosed with multiple sclerosis who asks the nurse, "Will I experience pain?"? A• "Tell me about your fears regarding pain" B."Analgesics will be prescribed to control the pain." C."Pain is not a characteristic symptom of this condition.' D• "Let's make a list of things to ask your primary health care provider."

C.

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? A• Maintain the settings programmed by the health care provider. B• Turn the machine on several times a day for 10 to 20 minutes. C. Adjust the dial on the unit until the client states that the pain is relieved. D• Apply the color-coded electrodes on the client where they are most comfortable.

C. Adjust the dial on the unit until the client states that the pain is relieved.

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? A. Analgesic B. Antipyretic C. Anti-inflammatory D. Antiplatelet

C. Anti-inflammatory

In which time frame would the nurse advise a client with a long leg cast for a fractured bone to take the prescribed as-needed oxycodone? A. Just as a last resort B. Before going to sleep C• As the pain becomes intense D • When the discomfort begins

D. When the discomfort begin

Based on the information in this chart, which adolescent may require a modified treatment? 1. Menorrhea- Chaste tree fruit 2. Endometriosis- Oral contraceptive pills 3.Breast pain- ibuprofen 4. Dysmenorrhea- acetaminophen

Client 4.

which intervention is useful in promoting comfort for the client experiencing headache? Massage Heat therapy Cold therapy relaxation strategies

Cold therapy

The nurse applies a cold pack to relieve musculoskeletal pain. Which rationale explains the analgesic properties of cold therapy? A. Promotes analgesia and circulation B• Numbs the nerves and dilates the blood vessels C.Promotes circulation and reduces muscle spasms D. Causes local vasoconstriction, preventing edema and muscle spasms

D. Causes local vasoconstriction, preventing edema and muscle spasms

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? A• 'Can you describe the pain?' B. • 'Where exactly do you feel the pain?' C.'Which activities make the pain worse?' D. 'What other discomfort do you experience?'

D

According to the nursing process, which action would the nurse take after administering pain medication to a postoperative client? A• Administer nonpharmacological comfort measures. B• Inform the health care provider of the nursing action. C• Create a care plan that addresses the client's pain level. D • Determine whether the pain medicine relieved the client's pain.

D

Assessment findings of a client who is admitted to the emergency department include cramping pain in the left lower quadrant, weakness, bloating, malaise, and a low-grade fever. The nurse suspects which condition? A• Pancreatitis B. Appendicitis C• Cholecystitis D. Diverticulitis

D

The day after undergoing abdominal appendectomy, a school-aged child is prepared for ambulation. Which nursing action would be most effective before the start of ambulation? A• Providing a rest period B• Offering a reward for walking C• Encouraging use of the spirometer D• Administering the prescribed pain medication

D

The nursing team is collaborating in the care of a client with chronic pain. Which task must be performed by the registered nurse (RN)? A• Assisting with hygiene B• Taking and reporting vital signs C• Administering oral pain medications D. Developing a treatment plan for the client's pain

D

Which assessment would the nurse complete to promote safety before administering pain medication to an older adult? A• Blood pressure B• Client's pain level rating C.Bowel sounds and function D• Other prescribed medications

D

Which caring intervention helps provide comfort, dignity, respect, and peace to a client? A.Listening B• Spiritual caring C. Providing presence D. Relieving pain and suffering

D

Which consideration is the nurse's concern when responding to the request of a hospice client who has severe pain and asks for another dose of oxycodone? A• Prevent addiction. B. Determine why the medication is needed. C. Provide alternative comfort measures. D. Reduce the client's pain.

D

Which interview technique would the nurse use to ask a client to rate their pain on a scale from 0 to 10? A• Probing B• Back channeling C• Open-ended questioning D.Closed-ended questioning

D

Which recommendation would the nurse give to the client with trigeminal neuralgia? A• Drink iced liquids. B• Avoid oral hygiene. C• Apply warm compresses. D• Chew on the unaffected side.

D

After orthopedic surgery, an adolescent reports pain and rates it a 5 on a scale of 0 to 10. The nurse administers the prescribed 5 mg of oxycodone every 3 hours as needed. Two hours after having been given this medication, the adolescent reports pain and rates it a 10 of 10. Which action would the nurse take? A• Administer another dose of oxycodone within 30 minutes. B .Report the adolescent's apparent idiosyncratic reaction to oxycodone. C • Tell the adolescent that additional medication cannot be given for 1 more hour. D• Request that the primary health care provider evaluate the need for additional medication.

D.Request that the primary health care provider evaluate the need for additional medication.

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

Fentanyl

Which assessment finding of a client with chronic pain who has been prescribed opioid treatment indicates the need for a priority nursing intervention? Select all that apply. One, some, or all responses may be correct. Pruritus Constipation Level 3 sedation Nausea and vomiting Respiratory rate of 8 breaths per minute

Level 3 sedation Respiratory rate of 8 breaths per minute

The nurse is planning the discharge of a 9-year-old child who has undergone tonsillectomy. In addition to the prescribed analgesic, which would the nurse recommend the parent use to ease their child's pain? A• Warm saline gargles B• Heating pad to the neck C. Light-colored ice pops D• Peppermint candy for sucking

Light- colored ice pops

Six hours after abdominal surgery, a client reports severe abdominal faintness. the nurse identifies a thready, rapid pulse. The nurse checks the medication administration record (MAR) and determines that the client can receive another injection of pain medication in an hour. Which action would the nurse take? Notify the health care provider about the client's symptoms. • Explain to the client that it is too early to have an injection for pain. • Reposition the client for greater comfort and turn on the television as a distraction. Prepare the injection to administer it to the client early because of the severe pain.

Notify the health care provider about the client's symptoms.

Which nursing action is beneficial for the client who has pain due to muscle spasm? A. Providing heat compresses at the site B. Providing a massage to the affected area C. Encouraging the client to perform isometric exercises D.Encouraging the client to do active range-of-motion (ROM) exercises

Providing heat compresses at the site

Which group of clients who were in a bus accident and admitted to the emergency department with injuries is considered urgent according to the three-tier triage system? A•Sprains B• Simple fractures C • Severe abdominal pain D• Chest pain with diaphoresis

Severe abdominal pain

After undergoing minor surgery, a postoperative child has recovered from anesthesia. Which observations alert the nurse the child may be ready for discharge? Select all that apply. One, some, or all responses may be correct. Vital signs are stable. Temperature is 101°F/38°C Pain rate is at baseline level. The child is alert and oriented. Oxygen saturation is 75% on room air.

Vitals signs are stable Pain rate is at baseline levels The child is alert and oriented