Pain Management

Which of the following statements indicates an appropriate response to chronic pain management?

" I plan to work full time and help plan a wedding."

Which statements, by the nurse, indicate that their personal beliefs may negatively impact the care of a client in pain? Select all that apply.

*"I know that person and they are just seeking drugs." *"Anyone who does not know what day it is cannot feel pain."

Which of the following statements by the nurse are free from bias or generalizations about pain? Select all that apply.

*"The severity of the client's illness is not necessarily directly proportionate to the level of pain he or she can expect to experience​." *"The client's culture, level of education, socioeconomic status, age, and gender can influence their perception of pain​." *"The client's level of consciousness and/or ability to report pain does not necessarily equate to the amount or level of pain being felt by the client​."

Which of the following should the nurse ask from a client when assessing pain?

*"When did you first start feeling the pain?" *"Can you rate your pain on a scale of 0 to 10?" *"Is there anything that makes your pain better or worse?" *"Is your pain radiating anywhere?" *"How would you describe your pain?" *"How long does the pain last?"

A client is experiencing chronic pain after a motor vehicle accident six months ago. The nurse knows which symptoms are associated with chronic pain? Select all that apply.

*Depression ​ *Anger ​ *Sleep deprivation *Physical fatigue​ *Mental fatigue​​

Which actions should the nurse take to promote the effectiveness of pain medication administered to a client experiencing low back pain of 8 on a 0 -10 numeric pain scale? Select all that apply.

*Encourage deep breathing for relaxation. *Ask the client what will help ease the pain. *Provide a warm compress. *Place pillows to support the area of pain.

There are various psychological factors which influence a client's pain and impact how the nurse may help a client in pain during care. Select the statement(s) which most accurately explains how attention paid to pain influences a client's perception of pain. Select all that apply.

*Increased attention to pain can cause the client to perceive and feel it more. *Distracting the client in pain can help to decrease the pain response.

The nurse enters the room of a sleeping client who is recovering from surgery and is receiving pain medication via a patient-controlled analgesia PCA pump. Which nursing actions are indicated? Select all that apply.

*Observe the client's respiratory rate and quality. *Observe the client's facial expressions and posturing. *Assess the client for non-verbal cues of pain.

Which of the following is an accurate statement about the goal of nursing care in managing clients' pain? Select all that apply.

*Provide interventions which relieve acute pain to a level which allows the client to participate in the recovery and prevent complications. *Provide interventions for clients with chronic noncancer pain that improve their functional status.

1.______________ respiratory rate in order to 2._____________. 3.______________ serum glucose level in order to 4.______________ energy. 5._____________ resulting from peripheral 6._____________ in order to shift blood (oxygen) supply 7.__________ the central circulation. 8.___________ blood pressure in order to 9.___________________.

1. Increased 2. Take in more oxygen 3. Increased 4. boost 5. Pallor 6. Vasoconstriction 7. to 8. Increased 9. Shift blood supply - oxygen- to skeletal muscles and the brain

Which of the following statements is accurate about pain related to age and developmental stage?

An infant who is sleeping soundly with stable vital signs is most likely not in pain.

Which physiological pain cue can be observed in a client with neurological deficit which is preventing the client from verbalizing pain?

Increased heart rate

The nurse understands that pain can cause a physiological response even when a client is unable to verbally express pain. Match a symptom the nurse would see in someone with severe pain, and the reason for the physiologic change.

Lungs: Increased respiratory rate- Increased need for oxygen Heart: Increased heart rate- Improved organ perfusion Skin: Pallor- Blood shunted to other areas of the body Eyes: Dilated pupils- Improved vision Intestines: Decreased bowel sounds- Delayed digestion

Which of the following must the nurse understand about pain?

Pain is often the result of a variety of factors.

The nurse knows that the prolonged stress of severe or deep pain on the body can lead to a failure in the body's defenses, in contrast to the stress response associated with low to moderate or superficial pain. Drag the symptoms to indicate if they are physiological cues related to severe or deep pain versus low to moderate or superficial pain.

Severe or deep pain -Rapid & irregular respirations​ -Decreased blood pressure -Decreased heart rate Low to moderate or superficial pain -Increased respiratory rate -Increased heart rate -Increased blood pressure

The nurse caring for a client diagnosed with cancer knows which of the following are true about cancer pain? Select all that apply.

Typically chronic in nature and treated with long-term opioids Not necessarily experienced by all clients and a thorough pain assessment is key Associated with a high incidence of drug addiction due to the chronic pain associated with it Can typically be relieved with simple interventions