EAQ Comfort - Pain
A client with multiple sclerosis is informed that it is a chronic progressive neurologic condition. The client asks the nurse, "Will I experience pain?" What is the nurse's best response?
"Pain is not a characteristic symptom of this condition."
After surgery for a ruptured appendix, a 12-year-old child is receiving morphine for pain control by way of a patient-controlled analgesia (PCA) infusion. A bolus of morphine can be delivered every 6 minutes. A parent will be staying with the child during the immediate postoperative period. What statement indicates to the nurse that the instructions about the PCA pump have been understood?
"She needs to push the PCA button whenever she needs pain medication."
A client with terminal cancer is to receive 4 mg of hydromorphone intravenously (IV) every 4 hours as needed for severe breakthrough pain. It is supplied at 10 mg/mL. When the client complains of severe pain, how much solution of hydromorphone should the nurse administer? Record your answer using one decimal place and leading zero if applicable. ___ mL
0.4
Which is a sign of a ruptured ectopic pregnancy in an adolescent?
Abdominal pain and hypotension
Which medication should the nurse anticipate the health care provider will prescribe to relieve the pain experienced by a client with rheumatoid arthritis?
Acetylsalicylic acid
An 8-year-old child who is experiencing a sickle cell pain episode is admitted to the child health unit. What is the most appropriate nursing care during this acute period?
Administering prescribed analgesics
An adolescent who has had a leg amputated because of bone cancer begins to experience phantom limb sensations. How should the nurse respond when the client reports pain and requests medication?
By acknowledging that the pain is real and administering medication to relieve it
Two hours after a cardiac catheterization that was accessed through the right femoral route, an adult client complains of numbness and pain in the right foot. What action should the nurse take first?
Check the client's pedal pulses.
The partner of a woman experiencing back pain in labor asks what he can do to help. The nurse demonstrates how to apply counterpressure to his partner's back. Where on the image should counterpressure be applied?
D
A 20-year-old carpenter falls from a roof and sustains fractures of the right femur and left tibia. The client reveals a history of substance abuse. What is the primary consideration for the nurse who is caring for this client?
Determining the amount and time of last use of the substance
A woman visits the clinic because she has dysmenorrhea. What goal should the nurse identify for this client?
Easing the pain of the client's menstruation.
Which pain scale should a nurse use to measure the intensity of pain in toddlers?
FACES scale
A pain scale of 1 to 10 is used by a nurse to assess a client's degree of pain. The client rates the pain as an 8 before receiving an analgesic and a 7 after being medicated. What conclusion should the nurse make regarding the client's response to pain medication?
Medication is not adequately effective.
A nurse in the pediatric clinic observes an 11-month-old boy who is sitting on his mother's lap crying and tugging at his right ear. What probable problem does this behavior indicate?
Otitis media
A client who is 5 feet, 8 inches tall and weighs 220 pounds is admitted to the hospital with ureteral colic, blood in the urine, and a blood pressure of 150/90. The immediate objective of nursing care for this client is to decrease what?
Pain
An obese client who is mildly hypertensive is hospitalized with a diagnosis of ureteral colic and hematuria. What is the immediate focus of nursing care for this client?
Pain
Which is a clinical manifestation of osteoarthritis?
Pain and stiffness of the joints
A 37-year-old client with endometriosis visits the women's health clinic because she has dysmenorrhea and dyspareunia. Which statement is the most accurate description of dysmenorrhea?
Pain with menses
Before discharge, what suggestion should the nurse give to a nonnursing mother to help limit breast engorgement?
Place raw cabbage leaves over the breast.
A primigravida who is at 40 weeks' gestation arrives at the birthing center with abdominal cramping and a bloody show. Her membranes ruptured 30 minutes before arrival. A vaginal examination reveals 1 cm of dilation and the presenting part at -1 station. After obtaining the fetal heart rate and maternal vital signs, what should the nurse's priority intervention be?
Provide the client with comfort measures used for women in labor.
A client on hospice care is receiving palliative treatment. A palliative approach involves planning measures to:
Relieve the client's discomfort
A nurse is providing education to a community group about hospice. The nurse clarifies that the primary goal of hospice is help clients do what?
Remain comfortable until the end of life
A client is admitted to the hospital with chest pain and a diagnosis of myocardial infarction. How does the nurse expect the client to describe the chest pain?
Severe, intense
When caring for a client in the early postoperative period after a hemorrhoidectomy, to ensure the client's safety, the nurse would place the client in which position?
Side-lying
A client with dementia is admitted with a fractured hip following a fall at home. The client's family member witnessed the fall. Four hours after admission, the client's blood pressure increases to a moderately severe hypertensive level. The client pulls on the bedclothes continuously. The client's family member asks for pain medication for the client. What does the nurse conclude?
The client may be in pain and unable to respond appropriately
