med surg EAQ chap 15

The nurse is providing preoperative instructions for a patient who is to have a patient-controlled analgesia (PCA) pump following a surgical procedure. Which statement by the patient indicates an understanding of how to use the PCA pump?

"I should press the button when I feel my pain is starting to return, and before it is too intense.

After a surgical procedure, a patient requests pain medication every 2 hours. What is the best response to the patient's request for pain medication after only 2 hours?

"I'll contact your surgeon about pain medication, and then we'll see what other comfort measures we can add." Contacting the surgeon about the pain medication and adding comfort measures demonstrates the concern of the nurse for the patient in assisting with pain management. The other choices do not demonstrate a concern for the patient in pain.

The nurse is teaching a patient how to use the patient-controlled analgesia (PCA) pump. Which instruction should the nurse provide the patient

"Press the PCA button when pain begins to return."

The nurse is reviewing the prescriptions for a patient who is experiencing mild pain. Which of these are appropriate non-opioid analgesics for mild pain? Select all that apply.

Acetaminophen Ibuprofen

While reviewing a patient's ultrasound test reports, the nurse finds that the patient has appendicitis. Where does the nurse expect the patient to experience referred pain?

Around the umbilicus In appendicitis, the pain is referred to the area around the umbilicus. If there is a condition associated with the lungs and the diaphragm, the patient may perceive referred pain in the upper back. A patient with a liver condition may perceive referred pain below the scapula. A patient with a gallbladder condition may perceive referred pain over the shoulder blades.

Which pain assessment technique should the nurse use when caring for a patient with advanced dementia?

Observe for patient behaviors that indicate pain

Which medication is a nonopioid analgesic?

Ibuprofen

When documenting pain, compliance with The Joint Commission requires which step?

Reassessment of pain after intervention

A nurse is caring for a patient who is reporting an aching, cramping-type pain located around the umbilicus that began 1 hour ago. Subsequently this patient was diagnosed by the primary care physician as having appendicitis. The nurse knows that the pain experienced by the patient is known as which type of pain?

Referred pain

The nurse walks into the room several minutes after a patient was given morphine sulfate intravenously by the registered nurse. The nurse observes that the patient has a respiratory rate of 8 per minute. Respirations are shallow, and the patient is very difficult to arouse. What is the nurse's best action?

Stay with the patient, and call for help do not administer Narcan right away

What is the best definition of pain?

Whatever the person experiencing it says it is

A female patient is being changed from patient-controlled analgesia with meperidine to morphine sulfate after experiencing restlessness and agitation. The patient's daughter asks why the change has been made. Which response by the nurse is most appropriate?

Your mother is experiencing side effects of meperidine; she may do better with morphine." Confusion, restlessness, and agitation are signs of toxicity from normeperidine, a toxic metabolite of meperidine. The agitation is not correlated with any signs or symptoms of hypoxia and the question does not include information about the patient's respiratory rate. Meperidine can be used for several days following surgery for pain control.

Student nurses assigned to the obstetric unit clinical rotation are discussing the types of pain at a post-conference gathering. When asked what classification of pain that laboring mother's experience, the students should provide which response?

acute pain

A patient experiencing postoperative abdominal pain tells the nurse that picturing herself floating on a raft in the middle of the ocean helps control her pain. This is an example of which approach?

imagery