Chapter 41 ATI Pain Management

a nurse at a clinic is collecting data about pain from a client who reports severe abdominal pain. the nurse asks the client if there has been any accompanying nausea and vomiting. which of the following pain characteristics is the nurse attempting to determine?

A attempt to identify manifestations that occur along the client's pain (nausea, fatigue, or anxiety)

a nurse is caring for a client who is receiving morphine via a patient-controlled analgesia (PCA) infusion device after abdominal surgery. which of the following statements indicates that the client knows how to use the device?

C PCA allows the client to self-administer pain medication on an as-needed basis. the provider can modify the PCA settings if needed to ensure the client achieves adequate pain relief.

a nurse is collecting data from a client who is reporting pain despite taking analgesia. which of the following actions should the nurse take to determine the intensity of the client's pain?

C use a pain rating scale to help the client report the intensity of the pain. the nurse should use a numeric, verbal, or visual analog scale appropriate to the client's individual needs

a nurse is monitoring a client for adverse effects following the administration of an opioid. which of the following effects should the nurse identify as an adverse effect of opioids? (select all that apply) A. urinary incontinence B. diarrhea C. bradypnea D. orthostatic hypotension E. nausea

C, D, E opioid analgesia can cause respiratory depression, which causes respiratory rates to drop to dangerously low levels. monitor the client's respiratory rate, and administer naloxone if indicated. opioid analgesia can cause orthostatic hypotension. monitor for dizziness or light-headedness when changing positions.

a nurse is discussing the care of a group of clients with a newly licensed nurse. which of the following clients should the newly licensed nurse identify as experiencing chronic pain?

D a client who reports pain that lasts more than 6 months and continues beyond the time of tissue healing is experiencing chronic pain. assist with planning interventions to relieve manifestations associated with the pain.