HCD ati quizzes

a nurse is caring for a client who is 1 day post op and reports incisional pain. which of the following actions should the nurse take first?

ask the client to rate her pain scale from 0-10

a nurse is caring for a client receiving HCL via PCA pump and reports continuous pain of 6/10. which of the following actions should the nurse take first?

check the display on the PCA pump

a nurse is caring for a 6 month old infant. which of the findings should indicate to the nurse that the client is experiencing pain following a procedure?

increased crying episodes

a nurse is caring for a client who reports low back pain and asks the nurse for specific exercise recommendations. which of the following activities should the nurse suggest?

swimming

a nurse is caring for a client who is postop. the nurse should base her pain management interventions primarily on which of the following methods of determining the intensity of the client's pain?

the client's self report

a nurse is providing info about pain control for a client who has acute pain following a gastric resection. which of the following client statements indicates an understanding of pain control?

"i will call for pain medication before the previous dose wears off"

a nurse is teaching a client who has a new prescription for ibuprofen to treat hip pain. which of the following instructions should the nurse include in the teaching?

Take the medication with food

a nurse is caring for a 3 year old child whose parents report that she has an intense fear of painful procedures. which of the following strategies should the nurse add to the child's plan of care?

perform procedure as quickly as possible have a parent stay with the child during procedures allow the child to keep a toy from home with her

a nurse is providing teaching to a client who is post op and receiving opioid medications to manage discomfort. aside from managing pain, which of the following desired effects of medications should the nurse identify as most important for the client's recovery?

it facilitates the client's deep breathing

the nurse is caring for a client who is post op and reports pain. which of the following actions should the nurse take?

offer the client a back rub remind the client to use incisional splinting identify the client's pain level is correct change the client's position

nurse is caring for a patient who is post op and reports incisional pain. the surgeon has prescribed morphine 4 mg IV bolus every 6 hr as needed. before administering this medication, the nurse should complete which priority assessment?

respiratory rate

a nurse is monitoring a client who is post op and unable to 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 hospice nurse is caring for a client who has terminal cancer and takes PO morphine for relief. the client 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?

the client has developed a tolerance to the medication

a nurse is caring for a client who is using a PCA pump for post op pain management. the nurse enters the room to find the patient asleep and his partner dispensing another dose. which of the following responses should the nurse make?

"your husband should devide when more medication is needed"

a nurse is assessing a client who reports acute pain. the nurse should anticipate which of the following findings?

increased heart rate

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 caring for a 6 month old infant who is post op. which of the following pain scales should the nurse determine the infant's pain level?

FLACC