Med Surg Practice questions- PAIN

a client with arthritis increases the dose of ibuprofen, to abate joint discomfort. after several weeks the client becomes increasingly weak. the health care provider determines that the client is severely anemic and admits the client to the hospital. what clinical indicators does the nurse expect to identify when preforming an admission assessment? sata:

melena and tachycardia.

in the postanesthesia care unit it is reported that the client received intrathecal morphine intraoperatively to control pain. considering the administration of this medication, what should the nurse include as part of the clients initial 24 hr postop care?

monitoring the respiratory rate hourly

a client receiving morphine by patient controlled analgesia has a RR of 6 breaths per min. what should the nurse anticipate?

naloxone administration (this is an opioid antagonist)

What are the desired outcomes that the nurse expects when administering a nonsteroidal anti inflammatory drug (NSAID)? (Select all that apply.) 1 Diuresis 2 Pain relief 3 Antipyresis 4 Bronchodilation 5 Anticoagulation 6 Reduced inflammation

pain relief antipyresis (reduces fever) reduced inflammation

a client who had a total hip replacement asks the nurse about the continuous regional analgesia being used. what information should the nurse include when explaining the benefits of this treatment over conventional methods to control pain?

systemic side effects are minimal.

a client reports severe pain 2 days after surgery. which initial action should the nurse take after assessing the character of pain?

take vital signs.

what is the nurses responsibility when administering prescribed opioid analgesics? sata:

1. count the clients respirations 2. document the intensity of the clients pain 4. verify the number of doses in the locked cabinet before administering the dose.

a nurse is caring for a client after a total knee replacement who is requesting Vicodin in addition to the PCA. the client reports having taken 2 Vicodin tablets every 4 hours for several weeks before surgery. if each tablet contains 500 mg of acetaminophen how much acetaminophen had the client been ingesting per day?

6000 mg.

Based on the client's reported pain level, the nurse administers 8 mg of the prescribed morphine. The medication is available in a 10 mg syringe. Wasting of the remaining 2 mg of morphine should be done by the nurse and a witness. It is most appropriate for the nurse to ask which member of the health care team to be the witness? 1 Nursing supervisor 2 Licensed practical nurse (LPN) 3 Client's health care provider 4 Designated nursing assistant

LPN

a nurse is taking the health history of a client who is in to have surgery in one week. the nurse identifies that the client is taking ibuprofen for discomfort associated with osteoarthritis and notifies the health care provider. which drug does the nurse expect will most likely be prescribed instead of the advil?

acetaminophen/ tylenol

a client with an inflamed sciatic nerve is to have a conventional transcutaneous electrical nerve stimulation device applied to the painful nerve pathway. when operating the TENS unit, which nursing action is appropriate?

adjust the dial of the unit until the client states the pain is relieved.

a terminally ill client in a hospice unit for several weeks is receiving a morphine drip. the dose is now above the typical recommended dosage. the clients spouse tells the nirse that the client is again uncomfortable and needs the morphine increased. the prescription states to titrate the morphine to a comfort level. what should the nurse do?

assess the clients pain before increasing the dose of morphine.

a client who had abdominal surgery is receiving PCA intravenously to manage pain. the pump is programmed to deliver a basal dose and bolus doses that can be accessed by the client with a lock out time frame of 10 minutes. the nurse assesses use of the pump during the last hour and identifies that the client attempted to self administer it 10 times. further assessment reveals that the client is still experiencing pain. what should the nurse do first?

determine the integrity of the IV delivery system