Pain

The nurse is caring for a client who is experiencing postoperative pain. The client has a prescription for a patient-controlled analgesia (PCA) pump. Which statement by the client indicates a need for further teaching? ​​"I should press the button on the pump before my pain gets severe." "I should notify the nurse if I am having breakthrough pain." "There is little risk of overdosing due to the settings on the pump." "If I am unable to press the button, I can ask my family member to do it for me."

"If I am unable to press the button, I can ask my family member to do it for me."

The nurse is providing discharge instructions to a client who is being discharged after a coronary artery bypass graft. Which statement by the client indicates a need for additional teaching?​ "I can turn on my favorite music when I experience pain." "If I have mild pain, I should take ibuprofen." "If I experience incisional pain, I can take the prescribed codeine." "I should notify my primary care provider if I experience left shoulder pain."

"If I have mild pain, I should take ibuprofen."

A nurse is planning care for a client with chronic non-cancer pain. Which statements by the client indicate the plan of care has been effective? Select all that apply. "I keep a diary of my pain." "I sleep two hours each night." "I can now increase my work hours from 6 to 8 hours a day." "I stopped taking the gabapentin because it made me sleepy." "I use music therapy to assist in managing my pain."

-"I keep a diary of my pain." -"I can now increase my work hours from 6 to 8 hours a day." -"I use music therapy to assist in managing my pain."

The nurse is caring for a client with stage 3 osteosarcoma who is reporting pain of 3/10 on the Numerical Rating Scale with occasional episodes of pain 10/10 on the Numerical Rating Scale. Identify the four priority nursing actions by dragging the correct answers to the boxes on the right. Administer hydromorphone 2mg IV for mild pain. Educate the client on the use of guided imagery.​ Assess the client's pain before and after pain administration. Instruct the client to ask for pain medication rather than expect it to be given. Administer fentanyl transdermal patch. Offer the client a cool or warm compress.

-Educate the client on the use of guided imagery.​ -Assess the client's pain before and after pain administration. -Administer fentanyl transdermal patch. -Offer the client a cool or warm compress.

The nurse is creating a plan of care for a client with chronic pain. Select the appropriate client outcome statements to match chronic pain by dragging the correct answer to the boxes on the right. I will make plans to attend one social event each week. I will not write down my grocery list before I go to the store. I will sleep 7 hours each night. I will only eat when I am hungry.

-I will make plans to attend one social event each week. -I will sleep 7 hours each night.

The nurse is caring for a client who was admitted with a fractured pelvis and is reporting pain of 8/10 on the Numerical Rating Scale. Which assessment findings would the nurse anticipate? Select all that apply.​ The client is demonstrating facial grimacing. The client's heart rate is 106. The client is having difficulty sleeping. The client is unable to void. The client's blood pressure is 126/84.

-The client is demonstrating facial grimacing. -The client's heart rate is 106. -The client is unable to void.

Click the assessment items that require follow-up by the nurse. The nurse is caring for a client who was admitted after a fall from a ladder. The client sustained a right hip fracture and a right humerus fracture and has a patient-controlled analgesia (PCA) pump. The client is reporting pain of 10/10 on the Numerical Rating Scale, despite a morphine bolus via PCA pump 30 minutes ago. Upon assessing the client, the nurse notes the following: T 99.1°F (37.3°C), RR 10, HR110, BP 110/78, and pulse oximetry reading 97% on room air. The client falls asleep before being able to complete their sentences.

-pain 10/10 -RR 10, HR 110 -falls asleep

For each assessment finding below, click to specify if the finding is consistent with acute pain or chronic pain. Each finding may support more than one process.​ Diaphoresis Heart rate 110 Blood pressure 120/76 Anxiety Facial grimacing Social isolation Respiratory rate 12

Acute Pain --> Diaphoresis HR 110 Anxiety Facial grimacing Chronic Pain --> BP 120/76 Anxiety Social Isolation RR 12

The nurse is caring for a client with several prescriptions for pain management. For each medication side effect below, click to specify if the effect is consistent with morphine, naproxen, or aspirin. Each finding may support more than one medication.​ Black, tarry stools Skin rash Decreased level of consciousness Increased risk of thrombotic events Tinnitus

Black, tarry stools --> Naproxen, Aspirin Skin rash --> Morphine, Naproxen Decreased LOC --> Morphine Increased risk of thrombotic events --> Naproxen Tinnitus--> Aspirin

The nurse is caring for a client experiencing pain. Match the symptom the nurse would assess in a client with acute pain to the reason for the physiologic change.

Cardiovascular --> -Peripheral vasoconstriction -Improved organ perfusion Gastrointestinal--> -Decreased bowel sounds -Diverted energy to the rest of the body Respiratory--> -Increased respiratory rate -Increased need for oxygen Neurological--> -Dilated pupil​ -Improved vision

The nurse is caring for a postoperative adult client who had a repair of a broken right tibia and fibula. The client is reporting pain on a scale of 3/10 on the Numerical Rating Scale. Vital Signs include P 86, RR 10, and BP 90/62.​ For each potential healthcare provider prescription, click to specify whether the prescription is indicated or contraindicated in the management of the client's pain.​ Administer ketorolac 30 mg intramuscalar (IM). Dangle the affected extremity over the bed. Apply cold compress to the surgical site. Administer morphine 8 mg IV. Instruct the client on the use of relaxation techniques.

Indicated --> -Administer ketorolac 30 mg intramuscalar (IM). -Apply cold compress to the surgical site. -Instruct the client on the use of relaxation techniques. Contraindicated --> -Dangle the affected extremity over the bed. -Administer morphine 8 mg IV.

The nurse is caring for a 1-year-old client who was admitted after sustaining a right wrist fracture. The client is frowning, kicking their legs, squirming in the bed, crying steadily, and having difficulty being consoled. For each potential nursing action, click to specify whether the action is indicated, non-essential, or contraindicated.

Indicated --> -Administer morphine 0.2 mg/kg orally -Turn on the TV to the child's favorite show -Administer ibuprofen 5 mg/kg Non-essential --> Administer ibuprofen 5 mg/kg Contraindicated --> Administer codeine 2 mg/kg orally

The nurse is caring for a client who has an epidural infusion. For each nursing action, identify if the action is indicated or contraindicated in caring for this client.​ Use strict aseptic technique while caring for the epidural catheter. Infuse the prescribed antibiotic into the epidural catheter. Ensure adequate client hydration. Change the dressing on the epidural catheter every four hours. Label the epidural catheter.

Indicated --> -Use strict aseptic technique while caring for the epidural catheter. -Ensure adequate client hydration. -Label the epidural catheter. Contraindicated --> -Infuse the prescribed antibiotic into the epidural catheter. -Change the dressing on the epidural catheter every four hours.

Identify the three assessment findings that require follow-up by the nurse by dragging the correct answer to the boxes on the right. Level of consciousness Heart rate Respirations Blood pressure Temperature Oxygen saturation

Level of consciousness Respirations Oxygen saturation

A nurse is caring for a client who was in a motor vehicle accident and is reporting a stiff neck and difficulty turning their head. Which action by the nurse demonstrates an understanding of the gate control theory of pain? Massaging the client's neck and shoulders Encouraging the client to ambulate Administering acetaminophen 500 mg Placing an extra pillow underneath the client's head

Massaging the client's neck and shoulders

The nurse is caring for a client with a fractured femur. Which should be assessed before administration of an opioid analgesic?​ Respiratory rate Balance Palliative factors Bowel function Past medical history Pupillary responses Intensity

RR Palliative factors Bowel Function Intensity

The nurse is caring for a client who has been receiving ketorolac 30 mg intramuscular (IM) daily for 15 days. The client reports vomitus that looks like coffee grounds. Upon assessing the client, the nurse notes the P 110, BP 90/62, RR 14, and pulse oximetry reading 98%. ​ The client is at greatest risk for developing _______, related to _______.

deficient fluid volume blood loss

The nurse is caring for a client who was diagnosed with Stage 3 breast cancer 5 months ago and has a prescription for oxycodone 10 mg immediate-release tablets by mouth every 4 hours for pain. The client reports that the medication seems to not be working as well as it did previously. ​ After assessment, the nurse identifies the client is experiencing breakthrough pain. The nurse anticipates ________ will be prescribed by the primary care provider.

fentanyl patch every 12 hours

The nurse is caring for a client who has diabetes mellitus type 1. The client is reporting chronic burning pain in the hands and feet. The nurse anticipates the primary care provider will prescribe ________ and ________.

ketorolac duloxetine

A nurse is caring for a pregnant client who is in labor with an epidural catheter in place, infusing morphine. Identify the three client findings that would require follow-up by the nurse by dragging the correct answers to the boxes on the right. ​Photophobia Confusion Pruritis Nausea Reduced pain relief

​Photophobia Confusion Reduced pain relief