F comfort 2
A nurse is assessing a client who is nonverbal for acute pain. Which of the following findings is a manifestation of pain?
Elevated blood pressure
A nurse is teaching a newly licensed nurse about pain. Which of the following is an example of nociceptive pain?
strained muscle
A nurse is caring for a client who has cancer and a new prescription for ondansetron to treat chemotherapy-induced nausea. For which of the following adverse effects should the nurse monitor?
Headache
A nurse is assessing a client in labor who has had epidural anesthesia for pain relief. Which of the following findings should the nurse identify as a complication from the epidural block?
Hypotension
A nurse is discharge teaching with a client about medications. Which of the following client statements indicate an understanding?
I will store narcotic medication in the original package.
A nurse is caring for a client who is taking naproxen following an exacerbation of rheumatoid arthritis. Which of the following statements by the client requires further discussion by the nurse?
I've been taking an antacid to help with indigestion.
A nurse is caring for a 6-month-old infant. Which of the following findings should indicate to the nurse that the client is experiencing pain following a procedure?
Increased crying episodes
A nurse is teaching an older adult client who has a new prescription for a pain medication. Which of the following actions should the nurse take?
Instruct the client to keep a pain diary.
A nurse is talking with a client who is about to start using transcutaneous electrical nerve stimulation (TENS) to manage chronic pain. Which of the following statements should the nurse identify as an indication that the client needs further teaching?
It's unfortunate that I have to be in the hospital for this treatment.
A hospice nurse is caring for a patient who has terminal cancer and takes PO morphine for pain relief. The patient reports that he had to increase the dose of morphine this week to obtain pain relief. Which of the following scenarios should the nurse document as the explanation for this situation?
The patient developed a tolerance to the medication.
A nurse is caring for a patient who has a prescription for morphine 1 to 2 mg subcut every 4 hrs PRN for pain. Which of the following actions should the nurse take?
Administer up to 2 mg of morphine in 4 hours.
A nurse is caring for a client who is 1-day postoperative following gynecologic surgery and reports incisional pain. Which of the following actions should the nurse take first?
Ask the client to rate her pain on a scale from 0 to 10
A nurse is caring for a client who had total hip arthroplasty 1 day ago and is receiving morphine sulfate by PCA pump for pain control. The client reports nausea and vomiting. Which of the following actions should the nurse take?
Auscultate bowel sounds
A nurse is teaching a newly licensed nurse about pain management during the end of life. Which of the following statements should the nurse make?
Clients are often afraid that opioid narcotics can result in addiction.
A nurse is caring for a client who has difficulty swallowing medications and is prescribed enteric-coated aspirin PO once daily. The client asks if the medication can be crushed to make it easier to swallow. Which of the following responses should the nurse provide?
Crushing the medication might cause you to have a stomachache or indigestion
A nurse is caring for a client who requests prescription pain medication. Which of the following actions should the nurse perform first?
Determine the location of the pain.
A nurse is planning care for 2-month-old infant following a surgical procedure. Which of the following pain rating scales should the nurse plan to use to determine the infant's level of pain?
FLACC scale
A nurse is caring for a client who has phantom limb pain. The nurse should identify the client is experiencing which type of pain?
Neuropathic pain
A nurse is teaching a class about pain management in older adult clients. Which of the following information should the nurse include?
Older adult clients frequently under report pain
A nurse is performing a pain assessment for a client who is alert. The nurse recognized that which of the following measures is the most reliable indicator of pain?
Self-report of pain
A nurse is monitoring a client who is postoperative and unable respond to questions. Which of the following nonverbal behaviors should the nurse identify as an indication that the client has pain?
restlessness, grimacing, clenching
A nurse is administering morphine 2 mg IV every 2 to 4 hrs to a client who has an abdominal incision. The nurse should monitor the client for which of the following adverse effects?
orthostatic hypotension
A nurse is assessing a client who received an opioid narcotic for incisional pain. Which of the following findings is the priority?
pulse oximetry