week 9 prepU

A 10-year-old is returning to the surgical unit following an appendectomy. The client has a patient controlled analgesia (PCA) pump with the button resting on the client's lap. The parents are very unsure of the client having the ability to administer a narcotic. Which statements, made by the nurse, reassure the parents of the client's appropriate understanding and use? Select all that apply. "Rest assured, we have had clients even younger use a PCA pump." "A 10-year-old has the cognitive ability to understand pain control via PCA." "An alarm at the nursing station alerts the nurse to frequent pain medication requests." "The nurse will continue to assess the client's pain status and sedation scale hourly." "Due to programmable pump limits, the client cannot overdose on narcotic medication."

"A 10-year-old has the cognitive ability to understand pain control via PCA." "The nurse will continue to assess the client's pain status and sedation scale hourly." "Due to programmable pump limits, the client cannot overdose on narcotic medication."

Which misconception is common in clients in pain? "I will get addicted to pain medications." "I do not have to fight the pain without help." "I need to ask for pain medications." "The nurses are here to help relieve the pain."

"I will get addicted to pain medications."

The nurse is caring for a client utilizing a Patient Controlled Analgesia (PCA) pump that is programmed to allow a bolus dose every 10 minutes. The client is sleeping with visitors at the bedside. Which of the following instructions should the nurse give the client's visitors? "Push the button on the pump every 10 minutes." "Push the pump button when you think the client is in pain." "Only the client should push the pump button." "Remind the client to push the button more often than every 10 minutes."

"Only the client should push the pump button."

While caring for a client with chronic pain, the nurse talks with a family member. Which family member statement does the nurse identify as consistent with caregiver role strain?

"Sometimes it seems like I can never get a moment to myself."

A client who is using a patient-controlled analgesia (PCA) pump after bowel surgery states, "I'm afraid that I'll become addicted if I use too much morphine." Which would be the best response by the nurse? "Have you had problems with drug addiction before?" "When morphine is used to alleviate severe pain for 2 to 3 days, there is little likelihood of becoming addicted." "You need to take the morphine to help you rest and recuperate from the surgery; you can deal with the addiction later." "Morphine is not addicting in these circumstances. Why are you worried about it?"

"When morphine is used to alleviate severe pain for 2 to 3 days, there is little likelihood of becoming addicted."

A client is postoperative day 1 and the nurse's assessment reveals signs of pain, such as grimacing and guarding. Which is the most reliable method for assessing the client's pain? Ask the client to describe and rate their pain. Compare the client's presentation to expected outcomes at this point in recovery. Assess and document the client's behaviors over a period of hours. Correlate the client's vital signs with their symptoms.

Ask the client to describe and rate their pain.

The nurse is caring for a client who has experienced significant pain following a surgical procedure. Which nursing interventions are appropriate? Select all that apply. Delegate pain assessment to the UAP. Consider cultural implications of the perception of pain. Provide pain medication before activity that may increase pain. Infer that the client who does not complain has no pain. Assess for pain control 30 minutes after administering an analgesic.

Assess for pain control 30 minutes after administering an analgesic. Consider cultural implications of the perception of pain. Provide pain medication before activity that may increase pain.

The nurse is preparing to administer an NSAID to a client for pain relief. The nurse notices that the client is diagnosed with a bleeding disorder. What should the nurse do?

Contact the health care provider.

A nurse is assessing the vital signs of a client who is moaning due to the acute onset of pain. What would be the expected objective findings?

Increased pulse and blood pressure

The nurse recognizes which statement is true of chronic pain?

It may cause depression in clients.

Why is acute pain said to be protective in nature? It enables the person to increase personal strength. As a subjective experience, it serves no purpose. It warns an individual of tissue damage or disease. As an objective experience, it aids diagnosis.

It warns an individual of tissue damage or disease.

The nurse preparing to admit a client receiving epidural opioids should make sure that which of the following medications is readily available on the unit?

Naloxone

A nurse is assessing a mentally challenged, adult client who is in pain after a fall. Which of the following scales should the nurse use to assess the client's pain? Pain Assessment in Advanced Dementia (PAINAD) Wong-Baker Faces scale Linear Scale Numeric Scale

Pain Assessment in Advanced Dementia (PAINAD)

The client is in the postanesthesia care unit (PACU) recovering from surgery. The nurse administers the prescribed hydromorphone IV push (IVP). Five minutes later the nurse notes a respiratory rate of 9 breaths per minute on the same client. Which interventions should the nurse implement? Select all that apply. Start ventilations. Ask the anesthesiologist to assess the client. Re-assess the client's respiratory rate in 5 minutes. Administer naloxone. Start CPR.

Re-assess the client's respiratory rate in 5 minutes. Administer naloxone.

A 38-year-old client is in an outpatient clinic reporting chronic back pain. As the nurse reviews the chart, the nurse notices that the client has required escalating doses of hydromorphone to treat this pain. The client tells the nurse that "the old dose just doesn't work anymore." What term best describes this client's situation?

Tolerance

The nurse is caring for a client with an amputated limb. The client asks the nurse why they feel a burning sensation in the amputated limb. How should the nurse respond?

You are experiencing phantom pain.

What is the term used to describe a pharmaceutical agent that relieves pain?

analgesic

The nurse is caring for a client on a patient-controlled analgesia (PCA) pump. What additional interventions by the nurse would be effective for pain relief? Select all that apply. encouraging relaxing of inflamed muscles and performing distraction exercises prolonged heat application followed by prolonged cold application to the area encouraging ambulation and deep massage of inflamed tissues maintaining complete bed rest in a supine position gentle massage of the area with positioning

gentle massage of the area with positioning encouraging ambulation and deep massage of inflamed tissues

In the first 12 hours after starting a patient-controlled analgesia (PCA) infusion to administer an opioid, what should the nurse monitor every 1 to 2 hours? Select all that apply. level of sedation oxygen saturation muscle strength vital signs arterial blood gas values

level of sedation oxygen saturation vital signs

Which of the following nonpharmacologic pain relief measures has been found to be effective for soothing agitated newborns and comatose clients? music humor imagery distraction

music

A client describes pain in the lower leg and has been diagnosed with a herniated lumbar disk. The pain in the leg is what type of pain? acute pain limited pain chronic pain referred pain

referred pain