Comfort and pain
Which factor may cause a client neck pain? Headache Poor posture Low body weight Sedentary lifestyle
Poor posture
A client with severe abdominal pain is on meperidine treatment and later develops seizures. Which intervention is given highest priority? Stop administration of meperidine. Administer transdermal scopolamine. Administer oxygen through facial mask. Monitor respiratory status and sedation level.
Stop administration of meperidine.
The nurse is conducting a brief neurologic examination to test the level of consciousness in a client who sustained injuries in a bus accident. Which order should the nurse follow to assess the client's condition?
Alert Voice Pain Unresponsive Pupils
Which nursing interventions would be beneficial for a child who is undergoing treatment with opioid analgesics? Select all that apply Assessing the child's level of pain Administering oral medications with meals or snacks Assessing the child's verbal and nonverbal behaviors Documenting the child's age, weight and height before treatment Monitoring and documenting the child's vital signs before the start of therapy
Assessing the child's level of pain Administering oral medications with meals or snacks Assessing the child's verbal and nonverbal behaviors Documenting the child's age, weight and height before treatment
A nursing student assesses a client with abdominal pain. Which action performed by the nursing student needs correction? Assessing the factors that worsen the pain Asking the client about his or her sleeping patterns Assessing the client for tenderness and dimpling Asking the client about the time and type of pain
Assessing the client for tenderness and dimpling
The nurse should monitor for which involuntary physiologic response in a client who is experiencing pain? Crying Splinting Perspiring Grimacing
Perspiring
A senior nurse educates a nursing student about measures to reduce vaccine-related pain in children. Which statement by a nursing student indicates a need for further teaching? I should use a microneedle . " I should apply topical anesthetics." I should provide tactile stimulation " I should give antipyretics to the child."
" I should give antipyretics to the child."
A client with an inflamed sciatic nerve is to have a conventional transcutaneous electrical nerve stimulation (TENS) device applied to the painful nerve pathway When operating the TENS unit, which nursing action is appropriate? Maintain the settings programmed by the healthcare provider. Turn the machine on several times a day for 10 to 20 minutes. Adjust the dial on the unit until the client states the pain is relieved. Apply the color - coded electrodes on the client where they are most comfortable.
Adjust the dial on the unit until the client states the pain is relieved.
The nurse is teaching a client about management of low back pain. Which statements made by the client indicate effective learning? Select all that apply. " l should sleep in a prone position . " "I should sleep with my legs out straight." " l should keep a check on my body weight." " I should stop exercising if the pain gets severe." "I should exercise by leaning forward without bending the knees."
" l should keep a check on my body weight." " I should stop exercising if the pain gets severe."
The nurse is planning to triage clients according to emergency severity index (ESI). Which client should be triaged under ESI-1 based on threat to life and stability of vital functions? A. Chest pain reaulting from ischemia B. Cardiac arrest C. Simple laceration D. Hip fracture
Cardiac arrest
A child is administered fentanyl to ease the pain of an injury. Upon regaining consciousness, the child wants to go home. What criteria must the child meet before being discharged from the hospital? Select all that apply The child is alert and active. The child's pain is at baseline levels The child's body temperature is 102 F (38.9°c) The child's vital signs have remained stable. The child 's oxygen saturation is 65 % on room air.
The child is alert and active. The child's pain is at baseline levels The child's vital signs have remained stable.
Which strategies should be used to reduce pain during or after vaccination? Select all that apply Applying topical anesthetic Providing tactile stimulation Holding the child upright during vaccination Performing intramuscular injections rapidly with prior aspiration Administering analgesics - antipyretics such as acetaminophen to reduce pain
Applying topical anesthetic Providing tactile stimulation Holding the child upright during vaccination
After abdominal surgery a client reports pain. What action should the nurse take first? Reposition the client Obtain the client's vital signs. Administer the prescribed analgesic Determine the characteristics of the pain.
Determine the characteristics of the pain.
Which pain scale should a nurse use to measure the intensity of pain in toddlers? FACES scale Visual analogue scale Numerical rating scale Verbal descriptor scale
FACES scale
A nurse is caring for a client with pain due to muscle spasm. Which nursing action is beneficial for the client? Providing heat compresses at the site Providing a massage to the affected area Encouraging the client to perform isometric exercises Encouraging the client to do active- passive range-of-motion (ROM) exercises
Providing heat compresses at the site
What is the priority nursing intervention for an older client with diabetes mellitus who presents with a large leg ulcer? Teaching techniques for dressing changes Informing the client about insurance companies Discussing community resources to obtain support Teaching how to transfer from a bed to chair in the least painful manner
Teaching how to transfer from a bed to chair in the least painful manner