pain management prep u

A client in a hospice program has increasing pain. The nurse and client collaborate to schedule analgesics to provide which of the following?

Around-the-clock routine administration of analgesics for continuous pain relief.

The nurse explains to the client that the primary reason a back rub is used as therapy to relieve pain is because the massage:

Blocks pain impulses from the spinal cord to the brain.

A client has an epidural catheter inserted for postoperative pain management. The client rates his pain at 4 on a 0-to-5 pain scale. What should the nurse do first?

Check the patient-controlled analgesia (PCA) pump function.

Which of the following terms describes the condition of a client who requires an increase in dosage to maintain adequate analgesia?

Drug tolerance.

Which statement would most likely be made by a Mexican-American client with pain?

Enduring pain is a part of God's will

A 34-year-old Chinese man is admitted with multiple injuries from a motor vehicle accident. He has severe pain and requests frequent medication. One of the assistive nursing personnel expresses surprise, saying, "I thought Asian people were very stoic about pain." Which is the nurse's best response about pain?

Expression and perception of pain vary widely from person to person

Two days after a right total knee replacement, a client rates his right-knee pain as 9 on a 10-point pain scale. A physician orders hydrocodone/APAP (Vicodin) 1 tablet by mouth every 4 to 6 hours as needed for pain. When a nurse notifies the physician of the client's pain, the physician states that one hydrocodone/APAP tablet should be sufficient and refuses to order anything stronger for pain. Which measure should the nurse select to act as an advocate for the client?

Follow the chain of command to obtain adequate pain relief for the client

Which of the following is a serious adverse effect of ibuprofen (Advil, Motrin) in the elderly?

Impaired renal function

The nurse assesses a client who has just received morphine sulfate. The client's blood pressure is 90/50 mm Hg; pulse rate, 58 bpm; respiration rate, 4 breaths/minute. The nurse should check the client's chart for an order to administer?

Naloxone hydrochloride (Narcan)

A man of Chinese descent is admitted to the hospital with multiple injuries after a motor vehicle accident. His pain is not under control. The client states, "If I could be with my people, I could receive acupuncture for this pain." The nurse should understand that acupuncture in the Asian culture is based on the theory that it:

Restores the balance of energy

Which principle should a nurse consider when administering pain medication to a client?

Sustained-release oral formulations should be given around the clock, if possible, for control of chronic pain.

Use of a patient-controlled analgesia (PCA) pump is effective when

The client achieves a therapeutic level of analgesia

When planning pain control for a client with terminal gastric cancer, a nurse should consider that:

clients with terminal cancer may develop tolerance to opioids.