NU 300 Quiz 1

A nurse is precepting a newly licensed nurse in a suggest using the IDEAL method to structure the clients discharge planning. The clients caregiver is also in the room. Which of the following statements made by the newly licensed nurse demonstrates the correct use of the IDEAL method?

"I WILL INCLUDE THE CLIENT AND CAREGIVERS IN THE DISCHARGE DISCUSSION."

A nurse is teaching staff about the ethical principle of justice and how it relates to pain management for clients. Which of the following statements should the nurse make?

"justice allows the client opportunity to be treated fairly"

A nurse is speaking with a client who is noncompliant in performing a daily blood glucose testing regimen. Which of the following responses should the nurse make?

"what is preventing you from your daily glucose checks?"

The nurse is reviewing a new prescription with a client who reports difficulty managing their chronic pain. Which of the following statement should the nurse include?

"you should write down the pain interventions you use in your pain rating before and after."

A nurse is providing end of life care for a client who is unresponsive in near death. The clients family asked the nurse about managing the clients pain. Which of the following statement should the nurse make to the clients family?

"your family member has the right to receive effective pain management."

A nurse is caring for a client who has a prescription for heat therapy for knee pain. The nurse should apply heat therapy to the clients need for how long?

20 min

A nurse is caring for a group of clients on the pediatric unit. For which of the following client should the nurse use the FLACC pain scale to determine their pain level?

A three year old toddler who has a fractured femur. A 14-year-old client who has severe cognitive and developmental delays. A five-year-old preschooler who is experiencing pain during a sickle cell crisis.

A nurse is discussing end of life pain management with a group of coworkers. Which of the following should the nurse include as barriers to end-of-life pain management?

Fear of addiction, belief that pain is an expected part of their illness, in adequate pain assessment.

A newly licensed nurse is reviewing the client assignments for a shift in determining tasks to complete. Which of the following is a time management strategy the nurse should use?

Make a list and prioritize a plan

A nurse is teaching the SMART goal method to a client who has diabetes mellitus and is setting nutrition and weight loss goals. Which of the following client statements should indicate to the nurse an understanding of the teaching?

"I will reduce my sugar intake by 10 g each week for one month until I reach the desired level."

A charge nurse is teaching a newly licensed nurse about the concept of team nursing. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

"Nurses will pair together to care for an assigned group of clients."

A nurse is caring for a client who has a prescription for hydromorphone 1 to 2 mg intramuscular every four hours as needed for pain rating of 4-6 on a 0 to 10 scale. The client has never taken hydromorphone before. Which of the following actions should the nurse plan to take?

Administer 1 mg

A nurse is monitoring a client who is 2 hr postoperative and is receiving morphine via PCA pump. Which of the following findings should the nurse plan to monitor to detect opioid induced ventilatory impairment (OIVI)?

RR Capnography O2 Sat

A nurse is caring for a client who has kidney stones. Which of the following manifestations is an objective indicator of pain?

The client is diaphoretic

A nurse is discussing the FLACC scale with a newly licensed nurse. Which of the following categories should the nurse include?

face, legs, consolability

A nurse is reviewing information for several clients on the unit. The nurse should recognize that which of the following clients is at greatest risk for respiratory depression?

A client who had surgery three hours ago and is receiving IV Hydromorephone as needed

A nurse is caring for a client who has a prescription of oxycodone 5 to 10 mg by mouth every 4 to 6 hours as needed for pain rating 7 to 10 on a 0 to 10 scale. 15 minutes after receiving the dose, the client reports to the nurse their pain is still a seven and has not changed. Which of the following action should the nurse take?

Offer to assist the client with non-pharmacological relief strategies.

A charge nurse is teaching a group of nurses about protecting themselves from an abusive client. Which of the following statements by a nurse within the group demonstrates an understanding of the teaching?

"I should try to escape or put a barrier between myself and the client."

A nurse is evaluating a clients pain level using the PQRST pneumonic. Which of the following question should the nurse ask to elevate the letter R?

"can you point to where you are having your pain?"

A nurse is assessing a client who is nonverbal for the presence of pain which of the following findings indicate an increased level of discomfort?

Grimacing, Restlessness, Increased diaphoresis.

A nurse is discussing the use of heat therapy with a newly licensed nurse. The nurse should include that heat therapy is effective for which of the following conditions?

Muscular pain, menstrual pain, and backache.

A charge nurse is reviewing factors that can affect a clients perception of pain with a newly licensed nurse. Which of the following should the charge nurse include?

Stress, culture, social support, disease severity

A nurse is caring for a client who is post operative following an abdominal surgery and has a morphine PCA pump. Which of the following medications should the nurse ensure is available in case the client develops respiratory depression?

naloxone

A nurse is caring for a client who has severe pain in repeatedly asked for pain medication. The nurse is busy and forgets to assess the clients pain and administer prescribed pain medication. Which of the following can the nurse be charged with?

negligence

A nurse is assisting with a staff in-service regarding pain control. Which of the following statements by staff member indicates an understanding of the information?

"a clients religious beliefs might affect the way they respond to pain." "the clients past pain experiences are not related to their current pain and pain management" "Pain control my be harder to achieve is the nurse and client speaks different primary languages."

A nurse is planning to teach coworkers about the legal and ethical principles used with pain management. Which of the following examples should the nurse include as an example of autonomy?

A nurse provides a client with the opportunity to take intramuscular injection or oral medication for pain relief.

A nurse is caring for a client who reports muscle pain to the lower back and has persisted for over a year after a motor vehicle crash. In which way should the nurse categorize this client's pain?

Chronic pain

A nurse is reviewing the plan of care for several clients who are receiving treatment for pain. Which of the following action should the nurse plan to take to evaluate the clients pain control?

Consider each clients cultural preferences, determine the effectiveness of non-pharmacological strategies, use a pain scale specific to each clients cognitive abilities.

A nurse is caring for a client who is being transferred to another unit, but the receiving nurse is unavailable to take report. Which of the following concepts is being violated that could place the client at risk?

Continuity of care

A nurse is caring for an older adult client who has cognitive impairment in his postoperative. Which of the following action should the nurse take?

Evaluate the client for pain by observing their behavior.

A charge nurse is reviewing client acuities and tasks to make the nursing staff's daily assignments. When using the five rights of delegation, which of the following should the charge nurse use to ensure client safety?

Right task

A nurse is giving a change of shift report to an oncoming nurse using SBAR reporting. Which of the following entries by the nurse demonstrates the correct use of SBAR?

The client in room one has been experiencing breakthrough pain following and exploratory surgery yesterday. Vital signs are stable. Recommend calling the provider for a breakthrough dose if pain continues.

THE NURSE IS DISCUSSING CUTANEOUS STIMULATION WITH A CLIENT WHO HAS BACK PAIN. WHICH OF THE FOLLOWING METHOD SHOULD THE NURSE INCLUDE?

Transcutaneous electronic stimulating unit (TENS unit) Massage Acupuncture Cold therapy

A nurse is reviewing discharge instructions for a client who has a prescription for morphine oral solution 10 to 20 mg every four hours as needed. Which of the following statements by the client indicates an understanding of the instructions?

"I will keep the morphine bottle in a locked cabinet in my kitchen."

A nurse is discussing transcutaneous electrical nerve stimulation (TENS) treatment with a client who has chronic lower back pain. Which of the following statement should the nurse include?

"you can be taught how to use TENS therapy at home." "TENS therapy delivers low voltage electrical impulses to the skin over the painful areas." "We will adjust the intensity, pulse rate, and duration of the electrical pulses during your therapy."

A nurse is evaluating a group of clients who are experiencing pain. Which of the following client should the nurse identify as experiencing neuropathic pain?

A client who has diabetes mellitus and reports bilateral burning foot pain without signs of injury