NMNC 1110 EAQ 6: Pain

Which rational supports administering the medication pregabalin to a client with acquired immunodeficiency syndrome (AIDS)?

To reduce neuropathic pain

Which client assessment finding would the nurse document as subjective data?

Pain rating of 5

A client who is 29 weeks pregnant reports a dull backache and abdominal cramps. Which condition would the nurse suspect?

Preterm labor

Which intervention would the nurse include in the plan of care for a client admitted with herpes zoster? Select all that apply. One, some, or all responses may be correct.

Acyclovir Silvadene Gabapentin Wet compresses Contact isolation

Which describes the role of the nurse in this situation when he or she informs the health care provider the client is requesting pain medication after surgery?

Advocate

Aspirin is prescribed on a regular schedule for a client with rheumatoid arthritis. The nurse understands that the medication is being used primarily for which property?

Anti-inflammatory

Which instruction would the nurse provide to an older client using ice and heat to treat pain from back strain? Select all that apply. One, some, or all responses may be correct.

Apply for 30-minute time intervals

A pediatric client with a past history of chicken pox reports a fever and headache. Which medication would the nurse avoid giving to the client?

Aspirin

An adolescent who has had a leg amputated because of bone cancer begins to experience phantom limb sensations. How would the nurse respond to complaints of pain?

By acknowledging that the pain is real and administering medication to relieve it

A client in active labor becomes very uncomfortable and asks the nurse for pain medication. Nalbuphine is prescribed. The nurse understands that this medication relieves pain by which mechanism?

By acting on opioid receptors to reduce pain

When developing the plan of care for a client with rheumatoid arthritis, which client consideration would the nurse include?

Comfort

Which medication is used in the treatment of a client with intervertebral disc disease?

Cyclobenzaprine

The nurse asks an unlicensed assistive personnel (UAP) to provide an ice pack to a client. Which nursing function does this represent?

Delegation

The nurse understands which anesthetic medication is commonly used for short procedures on pediatric clients?

Fentanyl

When a client is experiencing acute coronary syndrome, which factor would the nurse identify as the cause of the pain experienced by a client?

Heart muscle ischemia

A client with a diagnosis of myocardial infarction asks the nurse, "What is causing the pain I am having?" Which explanation would the nurse give?

Inadequate oxygenation of the myocardium

The postoperative prescriptions for a client who had repair of an inguinal hernia include docusate sodium daily. Before discharge, the nurse instructs the client about which potential side effect?

Mild abdominal cramping

A client receives intrathecal morphine to control severe postoperative pain. Which action will the nurse include as part of the client's initial 24-hour postoperative care plan?

Monitoring of respiratory rate hourly

A client with a myocardial infarction is admitted to the cardiac intensive care unit. Which pain relief medication would the nurse expect to find on the plan of care for this client?

Morphine

On the third postoperative day after a subtotal gastrectomy, a client reports severe abdominal pain. The nurse palpates the client's abdomen and determines rigidity. Which action would the nurse perform first?

Obtain the client's vital signs.

A client with sickle cell anemia is experiencing a painful episode (vaso-occlusive crisis) and has a patient-controlled analgesia (PCA) pump. The current pain rating is 5 on a scale of 1 to 10 at the right elbow. The nurse observes that the pump is "locked out" for another 10 minutes. Which action would the nurse implement?

Placing the prescribed as-needed warm, wet compress on the elbow

Which parameters would the nurse consider for proper rapid baseline assessment using a disability mnemonic (AVPU) in a client with drug abuse? Select all that apply. One, some, or all responses may be correct.

Reaction to pain Response to voice

Which is a sensory simulation strategy a laboring client can use as a nonpharmacological strategy for pain management?

Selecting a focal point and beginning breathing techniques

Which is the most important topic to include in teaching to promote the comfort of a client with a pruritic skin disease?

Sleep

Which finding is an indication of ulcer perforation in a client with peptic ulcer disease (PUD)? Select all that apply. One, some, or all responses may be correct.

Tachycardia Hypotension Rigid abdomen Nausea and vomiting Back and shoulder pain

The nurse is assessing a client who had knee replacement surgery. Which assessment finding gathered by the nurse is an example of subjective data?

The client's pain is 7 on a scale of 1 to 10.

A client with a skin infection reports an itching sensation associated with pain at the site of infection. The assessment finding shows erythematous blisters and interdigital scaling and maceration. The nurse would expect to teach the client about which condition?

Tinea pedis

Which intervention would the nurse recommend for post-cesarean gas pain?

Walking around the room

A pain scale of 1 to 10 is used by the nurse to assess a client's degree of pain. The client rates the pain as an 8 before receiving an analgesic and a 7 after being medicated. Which conclusion would the nurse make regarding the client's response to pain medication?

The medication is not adequately effective.

Which statement indicates the nurse has a correct understanding about trigeminal autonomic cephalalgia (cluster headaches)?

It is caused by an overactive hypothalamus