Pain

A nurse is caring for a client who is postoperative following abdominal surgery and has a morphine PCA pump. Which of the following medications should the nurse ensure is available in case the client develops respiratory depression? a. Naloxone b. Lidocaine c. Prednisone d. Amitriptyline

a Lidocaine: local anesthetic Prednisone: adjuvant med Amitriptyline: adjuvant med

A nurse is caring for a client who has kidney stones. Which of the following manifestations is an objective indicator of pain? a. The client is diaphoretic. b. The client is experiencing stabbing pain c. The client is nauseated d. The client states feeling dizzy

a diaphoretic: sweating

A nurse is discussing end-of-life pain management with a group of coworkers. Which of the following should the nurse include as barriers to end-of life pain management? (Select all that apply.) a. Fear of addiction b. Belief that pain is an expected part of their illness c. Inability to sleep d. Lack of support e. Inadequate pain assessment

a, b, e

A nurse is discussing the FLACC scale with a newly nurse licensed nurse. Which of the following categories should the nurse include? (Select all apply) a. Face b. Legs c. Alert d. Circulation e. Consolability

a, b, e face, legs, activity, cry, consolability

A nurse is discussing the use of heat therapy with a newly licensed nurse. The nurse should include that heat therapy is effective for which of the following conditions? (select all apply) a. Muscular pain b. Active bleeding c. Backache d. Menstrual discomfort e. Swollen extremity

a, c, d

A nurse is assisting with a staff in-service regarding pain control. Which of the following statements by a staff member indicates an understanding of the information? (Select all that apply.) a. "A client's religious beliefs might affect the way they respond to pain." b. "Herbal therapies are not permitted for a client receiving prescription pain medication" c. "The client's past pain experiences are not related to their current pain and pain management." d. "If a client can rate their pain using a numeric pain scale, there is no need to note nonverbal findings" e. "Pain control might be harder to achieve if the nurse and client speak different primary languages."

a, c, e

A nurse is evaluating a group of clients who are experiencing pain. Which of the following clients should the nurse identify as experiencing neuropathic pain? a. A client who has osteoarthritis and reports difficulty ambulating for the past 6 months b. A client who had surgery to repair a fractured tibia and reports incisional pain c. A client who has diabetes mellitus and reports bilateral burning foot pain without signs of injury d. A hospice client who has prostate cancer and reports pelvic pain

c

A nurse is caring for a client who has a prescription for oxycodone 5 to 10 mg PO every 4 to 6 hr as needed for pain rating 7 to 10 on a 0 to 10 scale. Fifteen minutes after receiving the dose, the client reports to the nurse their pain is still a 7 and has not changed. Which of the following actions should the nurse take? a. Administer another 5-mg dose of the oral opioid now b. Administer 10 mg of oxycodone every 2 hr c. inform the provider that the client's pain medication is not effective d. Offer to assist the client with nonpharmacological relief strategies.

d Oxycodone would not have had tine to peak and to be effective after 15 min. (60 to 90 min)

A nurse is discussing transcutaneous electrical nerve stimulation (TENS) treatment with a client who has chronic lower back pain. Which of the following statements should the nurse include? (Select all that apply.) a. "You can be taught how to use TENS therapy at home." b. "We will insert very small sterile needles into your skin to block your pain" c. "This therapy may result in you having some temporary bruising at the site of application" d. "The TENS therapy delivers low-voltage electrical impulses to the skin over the painful areas." e. "We will adjust the intensity, pulse rate, and duration of the electrical pulses during your therapy."

a, d, e

A nurse is caring for a client who has a prescription for heat therapy for knee pain. The nurse should apply heat therapy to the client's knee for how long? a. 60 min b. 20 min c. 30 min d. 45 min

b

A nurse is teaching staff about the ethical principle of justice and how it relates to pain management for clients. Which of the following statements should the nurse make? a. "Justice allows the client the freedom of choice b. "Justice allows the client the opportunity to be treated fairly." c. "Justice is causing no harm to the client" d. "Justice is doing good for the client"

b

A nurse is caring for a client who has severe pain and repeatedly asks for pain medication. The nurse is busy and forgets to assess the client's pain and administer prescribed pain medication. Which of the following can the nurse be charged with? a. Malpractice b. Negligence c. Nonmaleficence d. Beneficence

b failure to perform in a manner that a reasonable person would have - Malpractice: negligent act performed by a professional or trained personnel that can occur by not adhering to the standard of car - Nonmaleficence: is an ethical term used to describe causing no harm to clients - Beneficence: is an ethical term used to describe doing good for clients

A nurse is evaluating a client's pain level using the PQRST mnemonic. Which of the following questions should the nurse ask to evaluate the letter "R"? a. "Can you rate your pain on a scale of 0 to 10, with 0 being no pain and 10 being the worst pain you can imagine" b. "Can you point to where you are having your pain?" c. "What does your pain feel like?" d. "What were you doing when your pain started?"

b P. stands for palliative or precipitating factors, Q for quality of pain, R for region or radiation of pain, S for subjective descriptions of pain, T for temporal nature of pain (the time the pain occurs)

A nurse is caring for an older adult client who has a cognitive impairment and is postoperative. Which of the following actions should the nurse take? a. Use the Cry, Requires Oxygen, Increase Vital signs, Expression, Sleeplessness (CRIES) pain scale b. Reassure family members that older adult clients have a decreased ability to sense pain c. Evaluate the client for pain by observing their behavior. a. Assign a pain scale number based on the FACES pain scale

c who have cognitive impairment might be unable to appropriately report their pain should observe: guarding, grimacing, restlessness, and other behavioral changes

A nurse is monitoring a client who is 2 hr postoperative and is receiving morphine via PCA pump. Which of the following findings should the nurse plan to monitor to detect opioid-induced ventilatory impairment (OIVI)? (Select all that apply) a. Bowel sounds b. Deep tendon reflexes c. Respiratory rate d. Capnography e. Oxygen saturation

c, d, e