Unit 12/13

A nurse is teaching a client about the prescription for acetaminophen to be taken at home. This medication consists of acetaminophen and what other likely drug that enhances the analgesic effect of acetaminophen? Codeine Acetylsalicylic acid Methadone Tramadol

Codeine

During an interview a client expresses worry over gaining 6 lbs in the last two months. The nurse asks the client about foods he's been eating lately, and the client admits to dinners of fast food and more desserts. The nurse responds, ''You're concerned about your weight gain, but your dietary habits have been poor recently.'' What therapeutic communication technique is the nurse employing? Confronting Summarizing Paraphrasing Reflecting

Confronting

Families today tend to spend less time together than families did historically. What is one factor that could be used to explain this trend? Family emphasis on relationships Eating meals together Children participate in many school activities Parents put careers on hold to raise their family

Children participate in many school activities

A nurse is caring for a client with migraines. The prescriber orders subcutaneous sumatriptan. What type of treatment is this medication considered? Abortive Preventative Addictive Precautionary

Abortive

A child has symptoms of influenza, including a fever. Which medication should not be administered to the child because of the risk of Reye's syndrome? Acetaminophen Acetylsalicylic acid Ibuprofen Ascorbic acid

Acetylsalicylic acid

A teenage client is undergoing a dressing change to burns on the thigh. The client refuses pain medication and states, "I do not hurt, and I don't need it." He is withdrawn, grimaces, and turns away during the dressing change. He was last medicated 8 hours ago. What is the best statement by the nurse? "You are so brave to not take your pain medication when the dressing change will hurt." "If you need pain relief, I can give you some medication when I have completed the dressing change." "I saw you grimacing during the dressing change. Please explain the reason you refused the pain medication." "You are so right to not take your pain medication. You can become dependent on the medication."

"I saw you grimacing during the dressing change. Please explain the reason you refused the pain medication."

The nurse is speaking with a client and knows that which statement best demonstrates the client's use of empathy? "I know just how you feel. The same thing happened to me." "I think I understand that you are very upset about the situation." "I wish I could see what you are getting at." "I think you need to start thinking about something else."

"I think I understand that you are very upset about the situation."

The nurse is educating a young adult client diagnosed with migraine headaches about the prescribed intranasal sumatriptan for abortive therapy. Which statement made by the client indicates the need for further clarification? "The onset of the drug is quick and peaks in 90 minutes, so I will take it before lying down." "I will take my blood pressure after taking the drug and notify my prescriber if I become hypertensive." "The intranasal spray will cause irritation to my nose and throat and a bad taste in my mouth." "I will administer 2 sprays into one nostril and repeat every 2 hours if needed.

"I will administer 2 sprays into one nostril and repeat every 2 hours if needed.

The client states that he knows many people who take acetaminophen, and asks the nurse what it is used for. What is the best response by the nurse? "It is used to treat severe arthritis." "It is an aspirin substitute for pain and fever." "It is used to treat chronic pain." "It is an anti-inflammatory medication."

"It is an aspirin substitute for pain and fever."

A postsurgical client has been provided with a morphine patient-controlled analgesic (PCA) but has expressed reluctance to use it for fear of becoming addicted. How can the nurse best respond to this client's concerns? "You don't need to worry. It's actually not true that you can get addicted to the medications we use in a hospital setting." "If you do become addicted, we'll make sure to provide you with the support and resources necessary to help you with your recovery." "It's important that you accept that your current need to control your pain is more important than fears of becoming addicted." "It is not uncommon to develop a dependence on pain medications, but this usually takes place over a long period and is not the same as addiction."

"It is not uncommon to develop a dependence on pain medications, but this usually takes place over a long period and is not the same as addiction."

The nurse is caring for an adult who has had rheumatoid arthritis for many years. The patient asks for ordered pain medication. What should the nurse do initially? 1. Medicate the patient. 2. Ask the patient where the pain is. 3. Check to see when the patient was last medicated. 4. Ask the physician for an order for medication.

2. Ask the patient where the pain is.

A client is receiving a salicylate for fever reduction. The nurse would instruct the client to notify the primary health care provider if the fever continues past which time frame? 24 hours 12 hours 8 hours 4 hours

24 hours

A nursing student correctly identifies a normal dose of aspirin for the adult client as which? 81 mg orally q 4 hours 325 to 650 mg orally q 4 hours 650 to 1000 mg orally q 4 hours 1000 mg orally every morning

325 to 650 mg orally q 4 hours

The nurse is caring for a postoperative client who is receiving morphine for pain management. The client asks, "Can you please tell me how this medication works?" What is the nurse's bestresponse? "This medication is an opioid analgesic that has a binding affinity for different types of receptors in your central nervous system. The goal is to make sure you are not in any pain." "This medication temporarily blocks your brain's ability to interpret pain. The goal is to keep you comfortable while the pain is intense." "This medication changes your focus from pain-producing stimuli to sensory-producing stimuli. The goal is to distract you away from the pain." "This medication stops your spinal cord from sending messages about pain to your brain. The goal is to help you feel numb from the pain."

"This medication temporarily blocks your brain's ability to interpret pain. The goal is to keep you comfortable while the pain is intense."

A client who has been prescribed sumatriptan as abortive therapy for migraines reports, "I took that pill about an hour-and-a-half ago, but I feel like a headache is returning. Can I take another pill?" How should the nurse respond? "Wait at least half-an-hour before you take another pill." "Yes, it's likely safe to take one more dose of your sumatriptan." "You should probably go to the emergency department." "You can take another pill now and one more in 1 hour, but then no more

"Wait at least half-an-hour before you take another pill."

The nurse has been frequently assessing an older adult's pain after she suffered a humeral fracture in a fall. When applying the nursing process in pain management for a client of this age, what principle should the nurse best apply? Monitor for signs of drug toxicity due to a decrease in metabolism. Monitor for an increase in absorption of the drug due to age-related changes. Monitor for a paradoxical increase in pain with opioid administration. Administer analgesics every 4 to 6 hours as prescribed to control pain.

Monitor for signs of drug toxicity due to a decrease in metabolism.

The nurse determines that a small nuclear family has achieved the family task of division of labor. What did the nurse assess in this family to come to this conclusion? Parents take the children out to meet the new neighbors. Parents and children attend religious services every week. Older children finish homework before watching television. Mother cares for children while father works outside of the home.

Mother cares for children while father works outside of the home.

Aspirin has been prescribed for a 69-year-old client with a diagnosis of arthritis. The nurse monitors the client for which assessment finding that would indicate the presence of toxicity from this medication? (Select all that apply.) Tinnitus Impaired hearing Constipation Photophobia

Tinnitus Impaired hearing

An 8-year-old child is experiencing pain following tonsillectomy. Which drug would be an appropriate pain reliever for this client? Salicylates Nonsalicylates Morphine Barbiturates

Nonsalicylates

An 8-year-old child is experiencing pain following tonsillectomy. Which drug would be an appropriate pain reliever for this client? Salicylates Nonsalicylates Morphine Barbiturates

Nonsalicylates Acetaminophen is also the drug of choice for treating children with fever and flu-like symptoms.

A client is alert but nonverbal after a motor vehicle accident. Which action(s) will the nurse include in the assessment of pain for this client? Select all that apply. Observing for grimacing and other signs of pain Using the Wong Baker FACES pain rating scale Checking for loss of function of the extremities Communicating with the client in writing Performing vital signs

Observing for grimacing and other signs of pain Using the Wong Baker FACES pain rating scale Checking for loss of function of the extremities Communicating with the client in writing Performing vital signs

Which of the following terms would the nurse expect health care professionals to use to describe drugs used in pain management? Narcotics Opioids Anesthetics Antibiotics

Opioids

What conditions are salicylates are effective in managing? (Select all that apply.) Pain Fever Inflammation GI upset Infection

Pain Fever Inflammation which is aspirin

Which of the following is a physiologic response to pain? Bradycardia Dry skin Pallor Hypotension

Pallor

The nursing instructor is teaching students about pain relief. The instructor also identifies which barriers to proper pain management? (Select all that apply.) Primary health care providers do not prescribe proper pain medicine doses. Nurses do not administer adequate medication for relief of pain. Nurses always give too much pain medication. Clients do not report accurate levels of pain. Clients always fear reporting pain.

Primary health care providers do not prescribe proper pain medicine doses. Nurses do not administer adequate medication for relief of pain. Clients do not report accurate levels of pain.

A client is admitted to the emergency department with a migraine headache unrelieved with current prescribed medications. The nurse administers prescribed ketorolac tromethamine 30 mg IV and metoclopramide 10 mg IV, and the client suddenly develops involuntary movement of upper limbs, facial grimacing, sticking out the tongue rhythmically, contractures of the neck and head to one side in a twisting motion, and rapid involuntary spasms of eyelids. Which action would the nurse implement first? Provide a quiet, cool, dark environment to rest. Receive order for diphenhydramine and administer. Assess for pain relief using a pain scale. Monitor for urinary retention and report it if detected.

Receive order for diphenhydramine and administer.

types of bruises

Red to red-blue bruises are less than 24 hours old Purple to dark blue are 1 to 4 days old Green to yellow are 5 to 7 days old Yellow to brown are 7 to 10 days old

A client has been prescribed a fentanyl patch for chronic pain. What client teaching should the nurse provide to the client and family upon discharge? Remove the patch every 3 days. Apply it to the chest only. Apply it for breakthrough pain. Remove it daily and clean skin.

Remove the patch every 3 days.

Antipyretic drugs, such as aspirin, ibuprofen, and acetaminophen, often are used to alleviate the discomforts of fever and protect vulnerable organs, such as the brain, from extreme elevations in body temperature. However, the use of aspirin in children is limited due to the possibility of what disease? Munchausen syndrome Guillain-Barre syndrome Angelman syndrome Reye syndrome

Reye syndrome

Which condition is a heightened response that occurs after exposure to a noxious stimulus? Pain tolerance Sensitization Pain threshold Dependence

Sensitization

Using silence is a therapeutic communication technique. Which of the following describes its therapeutic value? Dilutes emotional tension Allows the nurse and client time to relax Slows the pace of the interaction Lets the client monitor tone of voice

Slows the pace of the interaction

The client on an NSAID reports to the nurse that her skin is reddened, blistered, and peeling. The nurse suspects which of the following? Purpura Ecchymosis Dysuria Stevens-Johnson syndrome

Stevens-Johnson syndrome

A nurse is caring for a client who is receiving morphine via a patient controlled analgesia (PCA) pump. When assessing the client, she notes that his respiratory rate is 4. What should the nurse do first? Notify the physician. Stop the PCA pump. Administer naloxone. Increase the primary IV rate.

Stop the PCA pump.

Naproxen has been prescribed to a client whose increasingly severe migraines are interfering with work performance and family life. When providing health education to this client, the nurse should instruct the client to consider what intervention? Take the pills with meals to minimize stomach upset. Crush the pills and mix with applesauce to reduce gastritis. Report any new onset of constipation promptly. Arrange for monthly blood work.

Take the pills with meals to minimize stomach upset.

The nurse is receiving an older adult client from the PACU. Part of the report had been passed on from the preoperative assessment where it was noted that the client has been agitated in the past following opioid administration. What principle should guide the nurse's management of the client's pain? The elderly may require lower doses of medication and are easily confused with new medications. The elderly may have altered absorption and metabolism, which prohibits the use of opioids. The elderly may be confused following surgery, which is an age-related phenomenon unrelated to the medication. The elderly may require a higher initial dose of pain medication followed by a tapered dose.

The elderly may require lower doses of medication and are easily confused with new medications.

The nurse informs the patient that a preventive approach for pain relief will be used, involving nonsteroidal anti-inflammatory drugs. What will this mean for the patient? The pain medication will be administered before the pain becomes severe. The pain medication will be administered before the pain is experienced. The pain medication will be administered when the pain is at its peak. The pain medication will be administered when the level of pain tolerance has been exceeded.

The pain medication will be administered before the pain is experienced.

The nurse knows that NSAIDs are effective in relieving mild to moderate pain. The use of NSAIDs can also produce adverse effects. Some cardiovascular side effects include which? Select all that apply. Decreased or increased BP Enlarged heart Congestive heart failure Cardiac arrhythmias Myocardial infarction

Decreased or increased BP Congestive heart failure Cardiac arrhythmias Myocardial infarction

The nurse is taking a client's history and knows that which therapeutic communication technique is being used during this admission process? Structuring Broad opening Reflecting Direct questioning

Direct questioning Acquires specific information "Do you have any allergies?" Broad opening Relieves tension before getting to the real purpose of the interaction "Wonderful weather we're having."

A nurse is teaching a new mother about self-care measures. Which action would the nurse do as the final step in this process? Document the teaching and effectiveness. Reassess the teaching plan. Develop goals for the future. Reinforce positive behavioral changes.

Document the teaching and effectiveness.

A client diagnosed with impaired renal function has been prescribed morphine. How will the client's underlying condition affect the pharmacokinetics of the drug? Duration of action will be prolonged. Onset of desired effect will be shortened. The peak drug effect will occur earlier. Desired effect will be lessened.

Duration of action will be prolonged.

The family functions as the oldest and most basic social unit in society. What is the primary purpose of the family? Ensure survival Socialize children Provide intellectual stimulation Preserve the spiritual beliefs and customs

Ensure survival

A client has been prescribed a fentanyl patch for pain control. The nurse understands that this patch should be replaced how often? Every 12-24 hours Every 24-36 hours Every 36-60 hours Every 48-72 hours

Every 48-72 hours

A 20-year-old man has presented to the emergency department with a 24-hour history of abdominal pain. The nurse who is admitting the patient notes that he is diaphoretic, wincing, and guarding the lower right quadrant of his abdomen. The nurse asks the patient to rate his pain on a scale of 1 to 10, to which the patient responds, "One or two." How should the nurse best respond to this patient's statement? Administer ibuprofen or acetaminophen rather than an opioid. Reassess the patient's pain in 30 to 45 minutes. Explain the 0-to-10 pain scale in greater detail. Document the fact that the patient has slight pain.

Explain the 0-to-10 pain scale in greater detail.

The physician has ordered Tylenol to the client for a fever in excess of 101 degrees F. The nurse administering acetaminophen should do which? Give it to client with orange juice. Give it to the client with a full glass of water. Give it to the client who has an empty stomach. Give it to the client who has eaten a full meal.

Give it to the client with a full glass of water.

When caring for an elderly client, the nurse observes that the client is quiet and does not have any visitors. Which action helps develop therapeutic communication between the nurse and the client? Having the client discuss concerns with other clients Helping the client to resolve feelings and speak up Talking with the client using direct questions Asking the client's family to participate in client care

Helping the client to resolve feelings and speak up

A client is admitted to the emergency department with a suspected overdose of acetaminophen. What adverse effect is the most common in acute or chronic overdose of acetaminophen? Nephrotoxicity Hepatotoxicity Pulmonary insufficiency Pancreatitis

Hepatotoxicity

The nurse is preparing to reduce a young parent's anxiety about a child needing hospitalization. Which action should the nurse prioritize? Tell the parent about the tests being performed. Let the parent know you will relay any messages she has for the doctor. Include the parent in the medical decision-making. Schedule time to address the parent's concerns.

Include the parent in the medical decision-making.

Prostaglandins are chemical substances with what property? Increase the sensitivity of pain receptors Reduce the perception of pain Inhibit the transmission of pain Inhibit the transmission of noxious stimuli

Increase the sensitivity of pain receptors

How do prostaglandins influence pain? The sensitize pain receptors. They decrease pain associated with other chemical mediators of inflammation. They decrease inflammation. They block pain receptors.

The sensitize pain receptors.

A nurse is reviewing the medical record of a client who is prescribed nonsteroidal anti-inflammatory drug (NSAID) therapy. The nurse determines that the drug would be contraindicated for the client if a hypersensitivity to which drug was found? aspirin acetaminophen hydrochlorothiazide lisinopril

aspirin

A community-based nurse has a different set of skills than those of counterparts who work in a hospital. Community-based nurses also face unique issues and challenges. What is one of the unique aspects of community-based nursing? teamwork disease-oriented autonomous action less holistic focus

autonomous action

A client is ordered to receive an nonsteroidal anti-inflammatory drug (NSAID) for pain. The client states that NSAIDs are taken only to decrease inflammation. The nurse instructs the client that these medications are also used for which? decrease blood pressure. decrease body temperature. increase appetite. increase platelet production.

decrease body temperature.

asks the nurse what the options are beyond heat and the yoga exercises the client has been doing. What does the nurse describe as the cornerstone treatment modality for pain? drug therapy physical therapy acupuncture psychological counseling

drug therapy

An older adult client experiencing recurrent tension headaches reports taking an over-the-counter (OTC) combination of acetaminophen, aspirin, and caffeine several times a week. The nurse should recognize that this combination medication may be contraindicated if the client has a history of what medical condition? gastrointestinal (GI) bleeding peripheral vascular disease coronary artery disease contact dermatitis

gastrointestinal (GI) bleeding

A nurse is caring for a client with pain. What should the nurse monitor for when administering intravenous acetaminophen? hepatotoxicity renal toxicity bleeding gastrointestinal effects

hepatotoxicity

Which types of pain are classified as acute pain? Select all that apply. postoperative pain procedural pain osteoarthritis pain fibromyalgia pain diabetic neuropathic pain

postoperative pain procedural pain

A client has received a narcotic agonist for pain relief. The nurse should monitor the client for what? pupil constriction. diarrhea. tachypnea. hypertension.

pupil constriction.

A client with rheumatic disease is being prescribed salicylate therapy. The nurse should teach the client monitor himself or herself for which adverse effects? ringing in the ears visual changes irritation of oral mucosa increased hair growth

ringing in the ears

A nurse is preparing to teach a client about the adverse effects of prescribed nonsteroidal anti-inflammatory drug (NSAID) therapy. The nurse plans to focus on the most common adverse reactions caused by this group of drugs. Which effects would the nurse include as being involved? stomach lungs liver peripheral nerves

stomach

An 80-year-old man has been prescribed oxycodone for severe, noncancer, chronic pain. He tells the nurse that he has difficulty swallowing and asks if he can crush the tablet before swallowing. The nurse will advise the client that: the tablet would have no effect if crushed and ingested. there is risk of an extremely high dose available all at once if the tablet is crushed. crushing the tablet increases the drug's efficacy. crushing the tablet is a safe option.

there is risk of an extremely high dose available all at once if the tablet is crushed.

When a client who has been taking opioids becomes less sensitive to the drug's analgesic properties, that client is said to have developed a(n) addiction. dependence. tolerance. balanced analgesia.

tolerance.

A nursing instructor is preparing a class presentation about the pain process. As part of the class, the instructor will be describing the 4 steps as listed below. Place the steps in the order that the instructor would discuss them from first to last.

transduction transmission perception modulation

The nurse is caring for a client who has come to the emergency department reporting chest pain rated at 9 on a scale of 1 to 10. The pain shoots down the left arm and started 45 minutes ago. How will the nurse document this pain in the electronic health record? Select all that apply. cutaneous visceral referred acute chronic

visceral referred acute

A client asks the nurse about herbal products that might provide the same effects as aspirin. Which product would the nurse identify? willow bark kava kava feverfew black cohosh

willow bark

A nurse is reviewing a journal article about a nonsteroidal anti-inflammatory drug (NSAID) that is associated with an increased risk of cardiovascular thrombosis, myocardial infarction, and stroke. The nurse is most likely reading about which drug? celecoxib sulindac oxaprozin ketorolac

celecoxib

When assessing a client's pain, what would the nurse evaluate? (Select all that apply.) client's description of the pain location of pain intensity of pain nurse's beliefs about pain quality of pain

client's description of the pain location of pain intensity of pain quality of pain

A client with a history of diabetic retinopathy resulting in blindness has been admitted for inpatient procedures. The nurse should use affective touch therapeutically to: communicate caring and support. encourage client's verbal communication. provide a personal presence. assist the client with processing information.

communicate caring and support.

Endogenous opioids such as endorphins: excite neural pathways. contribute to analgesia. cause muscle spasms. release neurotensin.

contribute to analgesia.

A client reports throbbing pain caused by a laceration that occurred to the finger while cutting vegetables. Which terminology should the nurse use to document this pain? Select all that apply. cutaneous somatic neuropathic acute chronic

cutaneous acute

A nurse consults with a nurse practitioner trained to perform acupressure to teach the method to a client being discharged. What process is involved in this pain relief measure? biofeedback cutaneous stimulation patient controlled analgesia percutaneous electrical nerve stimulation

cutaneous stimulation

A group of nursing students are reviewing the pain-relieving action of NSAIDs. The students demonstrate understanding of the information when they identify which actions as being blocked to achieve pain relief? cyclooxygenase-2 cyclooxygenase-1 cyclooxygenase-3 cyclooxygenase-4

cyclooxygenase-2

A client is prescribed sumatriptan. Which statement should be included in the teaching plan regarding how the medication works? "It produces vascular constriction of cranial blood vessels." "The medication causes bronchiole constriction." "The medication impairs the reuptake of norepinephrine." "It relaxes smooth muscles of the cardiovascular system."

"It produces vascular constriction of cranial blood vessels."

The nurse applies a transdermal patch of fentanyl for a client with pain due to cancer of the pancreas. The client puts the call light on 1 hour later and tells the nurse that it has not helped. What is the best response by the nurse? "It will take approximately 12 to 18 hours for the medication to begin to work, so I will give you something else now to relieve the pain." "It should have begun working 30 minutes ago. I will call the doctor and let the doctor know you need something stronger." "You have probably developed a tolerance to the medication." "It will take about 24 hours for the medication to work. I can't give you anything else or you will overdose."

"It will take approximately 12 to 18 hours for the medication to begin to work, so I will give you something else now to relieve the pain."

A client has sought care for the treatment of migraines that have become increasingly severe. The care provider has prescribed abortive therapy. What should the nurse teach the client about this drug regimen? "Take your medication at the first sign of a migraine." "If you miss one of your daily doses, don't take a double dose." "Be sure to take your medication at around the same time each day." "You might want to use a weekly pill organizer so you don't forget a dose."

"Take your medication at the first sign of a migraine."

A female client with acute joint inflammation asks the nurse why she shouldn't use acetaminophen for her condition. What would be the nurse's best response to this client? "The drug has no effect on inflammation." "The drug has quite a few adverse effects." "This drug is reserved for long-term therapy." "The drug can increase your risk for bleeding."

"The drug has no effect on inflammation."

The nurse is caring for a client who has been prescribed a nonopioid analgesic in addition to a narcotic analgesic. What effect will the nurse expect? Antagonism Additive effect Interference Increased exertion

Additive effect

A school-age child, a member of a family with a mother, father, and toddler, is hospitalized. The father is employed outside of the home, and the mother stays at home with the other child. The mother is challenged with supporting both children at this time. What should the nurse suggest to the mother? Place the toddler in day care. Suggest the father take time off to help. Ask extended family members to help out during this time. Visit with the patient after the father comes home from work.

Ask extended family members to help out during this time.

The client is having surgery this week. What information should the nurse give the client concerning the use of pain medication after surgery? Take as little pain medication as possible to prevent addiction. Ask for pain medication before the pain gets severe. Request your pain medication whenever it is available to you. Wait as long as possible for pain medication; it will work more effectively.

Ask for pain medication before the pain gets severe.

The client reports to the nurse that the client is having ringing in the ears. The nurse questions the client on use of what medication? Aspirin Acetaminophen Steroids Antibiotics

Aspirin

A client has been taking morphine PO for several months following a back injury. The care team is working with the client to wean the client off morphine. The client reports he is getting minimal relief from the pain with the new nonopioid medication he is receiving. What action should the nurse prioritize for this client? Administer a higher dose of morphine Assess for signs of addiction Assess for signs of withdrawal syndrome Monitor the client for hypersensitivity

Assess for signs of withdrawal syndrome

Advocacy for the client is an important aspect of community-based nursing. What is one way a nurse can advocate for a pediatric client? Assist the family to apply for Medicaid or other forms of health care reimbursement. Report a new case of whooping cough to the county health authorities. Arrange for educational events for the local hospital staff. Assure a young mother that the nurse will not report the suspicious bruises on her toddler to social services

Assist the family to apply for Medicaid or other forms of health care reimbursement.

The nurse is assessing an 86-year-old postoperative client who has an unexpressive, stoic demeanor. The client is curled into the fetal position, vital signs are elevated and he is diaphoretic. On a 10-point scale, the client indicates a pain level of "3 or so." How should the nurse treat this client's pain? Treat the client on the basis of objective signs of pain and reassess him frequently. Call the physician for new prescriptions because it is apparent that the pain medicine is not working. Believe what the client says, reinforce education, and reassess often. Ask the family what they think and treat the client accordingly.

Believe what the client says, reinforce education, and reassess often

A primary care provider tells a pregnant woman with slightly elevated blood pressure to return home on bed rest until her next scheduled checkup. This is an example of which type of care? home care skilled home care hospice care community care

home care

The nurse is aware that aspirin not only lowers the client's fever but can also reduce the pain the client is experiencing by: promoting the production of prostaglandins. inhibiting the production of prostaglandins. prolonging the bleeding time. inhibiting the aggregation of platelets.

inhibiting the production of prostaglandins.

A group of nursing students are reviewing information about opioid analgesics. The students demonstrate understanding of the information when they identify which as the gold standard in pain management? morphine sulfate codeine oxymorphone hydromorphone

morphine sulfate

Which principle in pain management is the point beyond which a person is no longer willing to endure pain? pain threshold pain tolerance pain factor pain receptors

pain tolerance

The nurse is admitting a client to the rehabilitation unit who has a diagnosis of persistent, severe pain. According to the client's history, the client's pain has not responded to conventional approaches to pain management. What treatment should the nurse expect will be tried with this client? Intravenous analgesia Long-term intrathecal or epidural catheter Oral analgesia Intramuscular analgesia

Long-term intrathecal or epidural catheter

Which condition, approved by the U.S. Food and Drug Administration, is the only use for the lidocaine 5% patch? Postherpetic neuralgia Epidural anesthesia General anesthesia Diabetic neuropathy

Postherpetic neuralgia

A 15-year-old client is brought to the emergency department by his friends. He reports visual changes, drowsiness, and tinnitus. He is confused and hyperventilating. These symptoms may be attributable to which condition? Acute acetaminophen poisoning Salicylate intoxication Ibuprofen overdose Caffeine abuse

Salicylate intoxication

A client has been taught relaxation exercises before a painful procedure. Which does the nurse explain to the client about the value of doing relaxation exercises before the procedure? "Relaxation strategies are guaranteed to help you recover more quickly." "Relaxation increases muscle tension and decreases pain. "Relaxation exercises cause the inhibition of hormones that cause pain." "Hormones are released during relaxation exercises that can prolong analgesia and produce euphoria."

"Hormones are released during relaxation exercises that can prolong analgesia and produce euphoria."

The nurse is taking a history for a client who is being seen for chronic unrelieved back pain. Which assessment question will the nurse ask? Select all that apply. "How has your life changed since experiencing back pain?" "Why do you take so many medications for pain if they do not help?" "What pain level reflects an acceptable goal for you if total pain relief is not possible?" "Do you use recreational drugs to relieve your pain?" "How do you prefer to manage your back pain?"

"How has your life changed since experiencing back pain?" "What pain level reflects an acceptable goal for you if total pain relief is not possible?" "Do you use recreational drugs to relieve your pain?" "How do you prefer to manage your back pain?"

The nurse is taking a history for a client who is being seen for chronic unrelieved back pain. Which assessment question helps the nurse assess duration of pain? "When did your pain begin?" "Have you had this pain before?" "Could you please rate your pain on a 1-10 scale?" "How long have you experienced this pain?"

"How long have you experienced this pain?"

The nurse administers morphine 15 mg oral solution to a client with cancer pain at 09:30. What time should the nurse reassess the client for peak analgesic effect? 10:30 9:45 10:00 11:00

1030

The nurse administers morphine 15 mg oral solution to a client with cancer pain at 09:30. What time should the nurse reassess the client for peak analgesic effect? 10:30 9:45 10:00 11:00

10:30

What client should not receive a nonsteroidal anti-inflammatory medication as ordered for migraine relief? The client with a gastric ulcer The client who drinks 10 cups of coffee a day The client who has arthritis The client who takes one aspirin per day for the prevention of heart diseas

The client with a gastric ulcer

x A client diagnosed with migraines expresses interest in taking an over-the-counter acetaminophen, aspirin, and caffeine combination drug. Which information presented in the client's history should prompt the nurse to discourage the client from taking the drug? The client has not adhered to previous treatment regimens. The client has a chronic venous ulcer on the lower leg. The client has a diagnosis of liver cirrhosis. The client is a smoker.

The client has a diagnosis of liver cirrhosis.

What client characteristic may contraindicate the use of tramadol for the treatment of a client's pain following traumatic injuries? The client has developed a wound infection and is at risk of sepsis. The client is 48 hours postorthopedic surgery. The client has a history of crack cocaine addiction. The client required a transfusion of packed red blood cells on admission.

The client has a history of crack cocaine addiction.

A 5-year-old client reports abdominal pain. Which action(s) will the nurse take to assess the pain? Select all that apply. Ask the parents if the client is in pain. Use the numeric rating scale. Use the Wong-Baker FACES pain rating scale. Observe the client. Ask the client to describe the pain.

Use the Wong-Baker FACES pain rating scale. Observe the client. Ask the client to describe the pain.

A client with a history of migraine headaches self-medicates with an over-the-counter (OTC) medication that contains a common combination of drugs. The nurse recognizes the client is medicating with a combination of which drugs? Select all that apply. Codeine Acetaminophen Aspirin Caffeine Naproxen

Acetaminophen Aspirin Caffeine

When providing care to a client receiving an opioid analgesic, which would be most important for the nurse to do if the client's respiratory rate drops? Instantly administer methadone. Position the client in Fowler position. Encourage the client to take deep breaths. Monitor the client for signs of nausea and vomiting.

Encourage the client to take deep breaths.

A client is admitted to an acute care unit with signs and symptoms warranting further inpatient testing. During professional interactions with the client, the nurse's empathy when performing nursing care: helps the nurse to be effective while remaining detached. supports the client's ultimate decision. empowers the client to become involved with self-help groups. helps reserve the right of the client in making choices.

helps the nurse to be effective while remaining detached.

A client is prescribed acetylsalicylic acid for fever and headache. What is the action of acetylsalicylic acid? inhibiting prostaglandin synthesis in the central and peripheral nervous system Providing selective action by inhibiting prostaglandin synthesis in the CNS Inhibiting the release of norepinephrine to increase blood pressure Suppressing the function of the hypothalamus to decrease inflammation

inhibiting prostaglandin synthesis in the central and peripheral nervous system

The nurse is aware that aspirin not only lowers the client's fever but can also reduce the pain the client is experiencing by: promoting the production of prostaglandins. inhibiting the production of prostaglandins. prolonging the bleeding time. inhibiting the aggregation of platelets.

inhibiting the production of prostaglandins

Whenever possible, the nurse who is treating the pain of older adults should avoid the use of which drug(s)? nonsteroidal anti-inflammatory drugs (NSAIDs) fentanyl hydromorphone morphine

nonsteroidal anti-inflammatory drugs (NSAIDs)

The nurse teaches the client to avoid which when taking aspirin products? Spinach Tea Grapefruit Coffee

tea

The nurse is admitting a client to the postsurgical unit from the postanesthetic care unit. The client is in pain so the nurse administers 4 mg morphine IV as prescribed. After administering the drug, the PACU nurse calls to say a dose of morphine was given and not documented. What actions should the nurse perform? Select all that apply. Ensure naloxone is readily available. Inform the client's health care provider. Administer buprenorphine as prescribed. Document the event. Monitor the client's respiratory rate closely. Arrange for cardiac monitoring.

Ensure naloxone is readily available. Inform the client's health care provider. Document the event. Monitor the client's respiratory rate closely.

The nurse is caring for a client with gout that is taking colchicine. In addition to the administration of this medication, what education can the nurse provide to help with the prevention of future episodes of gout? Follow a low purine diet For an acute gouty flare up take double the dose and then another dose in 1 hour Alcohol can be used in moderation only Severe diarrhea is an expected response

Follow a low purine diet

The advance nurse practitioner, who is treating a client diagnosed with neuropathic pain, decides to start adjuvant analgesic agent therapy. Which medication is appropriate for the nurse practitioner to prescribe? Tramadol Ketamine Gabapentin Hydromorphone

Gabapentin

The nurse and client are in a nurse-client relationship and the nurse occasionally nods or says to the client, "Go on", in response to something the client says. The nurse is demonstrating the use of what therapeutic communication technique? Broad opening Giving general leads Reflecting Clarifying

Giving general leads

The nurse is explaining to a client about the analgesic and its possible adverse effects. The client is receiving an opioid analgesic. What would be important to teach this client is a possible adverse effect of this drug? Ataxia Blurred vision Hypotension arrhythmias

Hypotension

The nurse is caring for an adult who had knee surgery this morning. An ice pack is ordered. The patient asks why ice is necessary. The nurse should explain that the primary reason for ordering ice is which of the following? 1. Ice promotes blood flow to the area and will promote more rapid healing. 2. Ice is ordered primarily to help with pain control. 3. Ice causes the blood vessels to constrict and reduces swelling. 4. Ice will help to prevent development of infection and a fever.

Ice causes the blood vessels to constrict and reduces swelling.

The client is taking isoniazid and rifampin for treatment of tuberculosis. The nurse identifies that these medications when administered with acetaminophen have what effect? Increased toxicity and decreased effect of acetaminophen Decreased effectiveness and increased effect of acetaminophen Increased toxicity and increased effect of acetaminophen Increased effectiveness and decreased effect of acetaminophen

Increased effectiveness and decreased effect of acetaminophen

A client presents at the emergency department reporting dizziness, mental confusion, and difficulty hearing. What should the nurse suspect is the client's issue? Anakinra toxicity Ibuprofen toxicity Salicylism Acetaminophen toxicity

Salicylism

The nurse, as a member of the patient's health care team, obtains pain assessment information to identify goals for pain management. Select the most important factor that the nurse would use for goal setting: Severity of the pain as judged by the patient Anticipated harmful effects of the pain experience Anticipated duration of the pain Medical interventions for pain management

Severity of the pain as judged by the patient

x A 60-year-old client who has diabetes had a below-knee amputation 1 week ago. The client asks, "Why does it still feel like my leg is attached, and why does it still hurt?" The nurse explains neuropathic pain in terms that are accessible to the client. The nurse should describe what pathophysiologic process? The proliferation of nociceptors during times of stress Age-related deterioration of the central nervous system Psychosocial dependence on pain medications The abnormal reorganization of the nervous system

The abnormal reorganization of the nervous system

What client should not receive a nonsteroidal anti-inflammatory medication as ordered for migraine relief? The client with a gastric ulcer The client who drinks 10 cups of coffee a day The client who has arthritis The client who takes one aspirin per day for the prevention of heart disease

The client with a gastric ulcer

Which observation indicates to the nurse that a family is not functioning in a healthy way? The family pays cash for health care. The father comforts his crying daughter. The mother states, "This family couldn't function without me." The father does not share his concerns so his wife will not worry about them.

The father does not share his concerns so his wife will not worry about them.

What statement is correct concerning the use of sumatriptan (Imitrex) for migraine headache relief? An anti-nausea medication should be taken first. An antiemetic should be taken with the medication. Dark glasses should be worn to prevent photophobia. The medication causes vasoconstriction.

The medication causes vasoconstriction.

A client admitted for a severe migraine reports taking ergotamine tartrate at home. What is most essential information for the nurse to obtain? What other medications the client takes The client's ability to swallow The number of ergotamine tablets the client took at home How long the client has had the headache

The number of ergotamine tablets the client took at home

A nurse has just administered an IM injection of meperidine (Demerol) to an elderly client. The priority nursing action for the nurse would be which? close the draperies. make sure the side rails are up. check the temperature of the room. make sure the client is positioned comfortably.

make sure the side rails are up.

The nurse understands the definition of pain as "an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage." Which of the following comments by a client confirm the client's understanding of the fundamental concepts of pain? Select all that apply. "I am tired of living with this nagging pain; I'm not sure how much longer I can go on." "I would love to go to church, but my back pain is too uncomfortable to make it through the service." "I used to walk every day for exercise; pain in my knee made me stop walking." "I feel good in knowing that my doctor will determine when and how I get pain medication." "I will depend on you and your experience to treat my pain, as you feel appropriate."

"I am tired of living with this nagging pain; I'm not sure how much longer I can go on." "I would love to go to church, but my back pain is too uncomfortable to make it through the service." "I used to walk every day for exercise; pain in my knee made me stop walking."

The nurse is caring for a client who has been prescribed a patient-controlled analgesia (PCA) pump to manage postoperative pain. The client tells the nurse, "I am really scared that I will end up with an overdose on this medication." What is the nurse's best response? "Do you have a health history of drug addiction?" "At least you do not need frequent injections." "The device is controlled by the nurse only so you will be safe." "Less of the drug is required to control pain by this method."

"Less of the drug is required to control pain by this method."

A client who has been prescribed sumatriptan as abortive therapy for migraines reports, "I took that pill about an hour-and-a-half ago, but I feel like a headache is returning. Can I take another pill?" How should the nurse respond? "Wait at least half-an-hour before you take another pill." "Yes, it's likely safe to take one more dose of your sumatriptan." "You should probably go to the emergency department." "You can take another pill now and one more in 1 hour, but then no more."

"Wait at least half-an-hour before you take another pill."

An older adult client has presented to the emergency department reporting frank blood in their stool over the past 24 hours. What assessment question should the nurse prioritize? "What medications do you take for pain or inflammation?" "Have you ever been diagnosed with rheumatoid arthritis?" "Have you ever been diagnosed with kidney disease of any kind?" "Have you taken any medications for a fever lately?"

"What medications do you take for pain or inflammation?"

A nurse has entered a client's room at the beginning of a shift to quickly assess the client's airway, breathing, circulation, and consciousness. The nurse observes that the client is wincing, stating, " Oh, I am in so much pain right now." What initial question should the nurse ask this client? "When did this pain begin?" "Would you like me to get you something?" "In the past, what has helped your pain?" "Where exactly are you hurting?"

"Where exactly are you hurting?"

A client has taken sumatriptan and does not feel it is working. The client wants to know when more medication can be administered. Which response should the nurse prioritize? "You can double the dose within a few minutes of administration." "You can only take one dose safely." "If it does not work with the first dose, we will add a different medication." "You can take a second dose 2 hours after the first."

"You can take a second dose 2 hours after the first."

A mother has come to meet with local school officials regarding admission of her child with spina bifida. The child requires catheterizations several times a day and the mother is requesting information on admission of the child for school and what accommodations can be made for the child's health care needs. What is the best response to the mother? "Your child would be best served by home schooling as we are unable to accommodate these needs." "Your child may be mainstreamed into a regular classroom and assisted with catheterizations by the school nurse." "Your child may come to school here, and we will place him/her in a special education classroom." "Your child will be admitted to the school. How many times a day can we expect that you will come to catheterize her?"

"Your child may be mainstreamed into a regular classroom and assisted with catheterizations by the school nurse."

4. A post-operative patient tells the nurse that his healing touch practitioner is coming to work with him in an hour. How should the nurse respond? 1. Ask the patient if the practitioner is a member of the hospital staff. 2. Provide privacy for the patient and the practitioner. 3. Tell the patient that a staff member must be present when outside caregivers visit. 4. Ask the patient's surgeon for approval.

2. Provide privacy for the patient and the practitioner.

nurse is caring for an adult who has been receiving narcotic pain medication for several days. Which observation indicates a side effect of the drug? 1. The patient's pulse rate is 84 beats per minute. 2. The patient is constipated. 3. The patient is coughing. 4. The patient is alert.

2. The patient is constipated.

5. The family of a bedridden client asks the nurse how to prevent skin breakdown. What should be included in the nurse's teaching? 1. Limit the person's fluids to reduce the number of times the person needs to use the bedpan. 2. Turn the patient every two hours. 3. Position the patient in the supine position for 1 hour daily. 4. Rub pressure points with alcohol two times a day.

2. Turn the patient every two hours.

A home health nursing practice has 7 out of 10 clients who are over the age of 65. Understanding the prevalence of noncancerous chronic pain among those over 65, how many of the clients would the nurse expect to experience chronic pain? 5 3 2 0

5

An elderly client has taken ibuprofen 800 mg 2 times per day for longer than 10 years. Which laboratory test is the priorityassessment? Renin and aldosterone levels 24-hour urine for microalbumin Blood urea nitrogen and serum creatinine Complete blood count

Blood urea nitrogen and serum creatinine

Which statement accurately describes pain experienced by the older adult? Boredom and depression may affect an older person's perception of pain. Residents in long-term care facilities have a minimal level of pain. The older client has decreased sensitivity to pain. A heightened pain tolerance occurs in the older adult.

Boredom and depression may affect an older person's perception of pain.

A 13-year-old client with menstrual cramps is seen in the clinic. The nurse anticipates that the primary care provider (PCP) will order which medications? Dayr Advil Nalfon Indocin

Advil

The nurse is to give ibuprofen to a client with moderate pain. The pharmacy only stocks the drug under its trade name. Which should the nurse administer to the client? Tylenol Advil Aspirin Bufferin

Advil

A parent has sought care from the nurse practitioner to treat a child's fever. The nurse practitioner is most likely to recommend what nonsalicylate drug? Acetaminophen Ibuprofen Naproxen Indomethacin

Acetaminophen

A client reports nausea with a severe headache. On assessment, the nurse learns the client has vomited several times this hour. What is the best way to treat the client's migraine? Administer a subcutaneous triptan. Administer an antacid. Administer the oral medications, then assess to make certain the client retains the medication. Give the client dry crackers or pretzels prior to taking medicat

Administer a subcutaneous triptan.

A client's post-surgical pain is severe and persistent. The client states that recent doses of morphine IV have "helped only a little bit." The client has a PRN dose of morphine available, and wants to receive the medication. The client's respiratory rate is 14 breaths per minute. What is the nurse's best action? Offer an ice pack and reassess the client's respiratory status in 30 minutes Inform the client that morphine would cause excessive respiratory depression and offer non-pharmacologic interventions Administer the morphine as prescribed and monitor the client's respiratory status closely Contact the care provider to seek direction

Administer the morphine as prescribed and monitor the client's respiratory status closely

The nurse understands that which statement is true about tolerance and addiction? Although clients may need increasing levels of opioids, they are not addicted. Tolerance to opioids is uncommon. Addiction to opioids commonly develops. The nurse must be primarily concerned about development of addiction by a client in pain.

Although clients may need increasing levels of opioids, they are not addicted.

A pregnant home care client calls the nurse and states that her husband just told her that he wants a divorce because he cannot deal with the stress of her being at home all the time. Which nursing diagnosis would the nurse assess for this client? Interrupted family process related to the need for home care Social isolation related to the need for home care Disabled family coping related to the need for home care Readiness for enhanced family coping related to increased time together due to home care

Disabled family coping related to the need for home care

The nurse has just received report on a client who is coming to the unit from the emergency department with a torn meniscus. The nurse reviews the PRN medications and sees that an NSAID (ibuprofen) is prescribed every 6 hours. How should the nurse best implement preventive pain measures? Use a pain scale to assess the client's pain, and let the client know ibuprofen is available every 6 hours if she needs it. Do a complete assessment, and give pain medication based on the client's report of pain. Check for allergies, use a pain scale to assess the client's pain, and offer the ibuprofen every 6 hours until the client is discharged. Provide medication as per client request and offer relaxation techniques to promote comfort.

Check for allergies, use a pain scale to assess the client's pain, and offer the ibuprofen every 6 hours until the client is discharged.

What information should be provided to a client diagnosed with an acetylsalicylic acid allergy? Nonaspirin form of nonsteroidal anti-inflammatory drugs (NSAIDs) should be avoided. Nonsteroidal anti-inflammatory drugs (NSAIDs) should always be taken with food. It is safe to use only buffered forms of acetylsalicylic acid. Nonsteroidal anti-inflammatory drugs (NSAIDs) should be taken for only short periods of time.

Nonaspirin form of nonsteroidal anti-inflammatory drugs (NSAIDs) should be avoided.

A client is prescribed zolmitriptan for migraine headaches. The nurse should instruct the client to administer this drug by which route? Oral Subcutaneous Transdermal patch Sublingual

Oral

A client with back pain is prescribed a transcutaneous electrical nerve stimulation (TENS) unit. Which information will the nurse provide to educate the client about the use of this device? Place one electrode from each channel on either side of the painful area. Use the unit for no more than 10 minutes at a time. The TENS unit should be used at night while you sleep. Apply alcohol to the electrodes if they get too dry.

Place one electrode from each channel on either side of the painful area.

A nurse has cited a research study that highlights the clinical effectiveness of using placebos in the management of postsurgical clients' pain. What principle should guide the nurse's use of placebos in pain management? Placebos require a higher level of informed consent than conventional care. Placebos are an acceptable, but unconventional, form of nonpharmacologic pain management. Placebos are never recommended in the treatment of pain. Placebos require the active participation of the client's family.

Placebos are never recommended in the treatment of pain.

Which of the following would the nurse accurately identify as the nurse's responsibilities in the nurse-client relationship? Select all that apply. Possess current knowledge Treat all clients the same regardless of age Be available and courteous Perform technical skills safely Make decisions for the client until he or she is better

Possess current knowledge Be available and courteous Perform technical skills safely

A nursing instructor is teaching a class about the basic functions of families. The instructor determines the class is successful when the students correctly choose which statement as a basic function of the family? Couples today are more concerned about unplanned pregnancies. Reproduction remains an important function of many families. It is primarily the younger members who teach the older members in a family. All adult members share the financial responsibilities.

Reproduction remains an important function of many families.

An 11-year-old client is having a cavity filled in the left mandibular first molar. The health care provider has prescribed aspirin for pain relief after the procedure. The nurse discovers upon assessment that the child is suffering from a flulike illness. The nurse contacts the health care provider about the prescribed medication for pain. What is the risk if aspirin is administered to this client? Reye syndrome Excess antiplatelet action Asthma Salicylate poisoning

Reye syndrome

When evaluating the plan of care for a client receiving opioid analgesics for pain management, the nurse considers the plan successful when what occurs? (Select all that apply.) Therapeutic response is achieved and discomfort is reduced. An adequate breathing pattern is maintained. Client reports decreased bowel movements. Client maintains adequate nutritional status. Client reports decreased urinary output.

Therapeutic response is achieved and discomfort is reduced. An adequate breathing pattern is maintained. Client maintains adequate nutritional status.

The nurse enters the client's room and finds that the client is upset. When the nurse asks about the problem, the client responds, "I have had my light on for the last 20 minutes. I need my pain medication." Which response by the nurse would be considered non-therapeutic in this situation? "This is a really busy unit and I was dealing with an emergency." "I understand how that is very frustrating. I will try to do better in the future." "I'm sorry for the delay and I'll get your medication right away. What is your pain level?" "I know you have had to wait a lot longer than you should have to."

This is a really busy unit and I was dealing with an emergency."

A student nurse is preparing a presentation on pain management. What information regarding nonpharmacologic interventions should he include? Select all that apply. Use cold packs for muscle spasms and surgical site pain. Dry heat penetrates deeper than moist heat. Ice packs should not be left on longer than 20 minutes. Massage can stimulate circulation. Distraction is useful for short pain periods.

Use cold packs for muscle spasms and surgical site pain. Ice packs should not be left on longer than 20 minutes. Massage can stimulate circulation. Distraction is useful for short pain periods.

How do opioid analgesics relieve moderate-to-severe pain? inhibiting the transmission of pain signals from the hypothalamus to the spinal cord preventing the opioid from binding with a receptor site inhibiting the transmission of pain signals from peripheral tissues to the brain increasing the production of endorphins in the brain

nhibiting the transmission of pain signals from peripheral tissues to the brain

A client admitted with a bleeding ulcer. The client is experiencing mild epigastric pain and asking for an aspirin. Which would be the drug of choice for this client? aspirin Dolobid acetaminophen Bufferin

acetaminophen

x The nursing student demonstrates understanding when choosing what as the effect of a salicylate? (Select all that apply.) analgesic effect antipyretic effect bronchodilating effect anti-inflammatory effect anti-infective effect

analgesic effect antipyretic effect anti-inflammatory effect

Which nonsteroidal anti-inflammatory drug (NSAID) appears to work by specifically inhibiting cyclooxygenase-2 (COX-2) without inhibiting cyclooxygenase-1 (COX-1)? celecoxib ibuprofen naproxen meloxicam

celecoxib

Increased effectiveness and decreased effect of acetaminophen

chronic acute

The nurse is caring for a client who has had back pain for 2 years, following a fall from a ladder. How does the nurse going off-shift report this kind of pain to the oncoming nurse? Select all that apply. acute chronic cutaneous somatic visceral

chronic somatic

A nurse is caring for a 49-year-old client in the intensive care unit. The client was in a motor vehicle accident and is in severe pain. The client has been given morphine. After 2 days in the unit, the nurse can detect nasal congestion when the client speaks to her. The nurse will monitor for which? renal impairment. myocardial infarction. hypersensitivity to the drug. pneumonia.

pneumonia.

A client reports awakening during the night and does not feel as though restful sleep is achieved. The nurse reviews the medications the client is prescribed and identifies one of the medication that the client may take that may have an effect on sleep patterns. Which medication will the nurse discuss with the client? metoprolol prednisone diltiazem pantoprazole

predisone

The nurse is assessing a client who lives with dementia and chronic pain. The client's family members tell the nurse they think the pain is worsening. Which sign of pain is the nurse most likely to observe in this client? refusal to go for daily walks average pain rating of 9 out of 10 baseline blood pressure of 125/70 mm Hg recent increase in bowel motility

refusal to go for daily walks

The instructor is teaching about nonopioid analgesics. The student nurse identifies the following as uses for salicylates? Select all that apply. relieving mild to moderate pain reducing elevated body temperature reducing pain of peptic ulcer disease decreasing risk of myocardial infarction (MI) helping to maintain pregnancy in special at-risk populations

relieving mild to moderate pain reducing elevated body temperature decreasing risk of myocardial infarction (MI) helping to maintain pregnancy in special at-risk populations

A client is experiencing pain in his right foot. After assessing the client, the nurse suspects that the client may be experiencing neuropathic pain. What would the nurse document to support this suspicion? Select all that apply. normal reflexes reports of tingling pain with normal touching tremors reports of numbness

reports of tingling pain with normal touching reports of numbness

A client who has undergone extensive fracture repair continues to request opioid pain medication with increasing frequency. The initial surgeries occurred more than 2 months ago, and the nurse is concerned about the repeated requests. What does the nurse suspect to be the cause of the client's frequent appeals for pain medication? tolerance addiction drug allergy poor quality control by the drug manufacturer

tolerance

he nurse is caring for a client who reports having "kidney pain from a urinary tract infection" for 3 days. How will the nurse describe this pain when reporting off via SBAR? Select all that apply.

visceral acute