Nursing 3- Pain
A teenage client is undergoing a dressing change to burns on the thigh. The client refuses pain medication and states, "I do not hurt, and I don't need it." He is withdrawn, grimaces, and turns away during the dressing change. He was last medicated 8 hours ago. What is the best statement by the nurse?
"I saw you grimacing during the dressing change. Please explain the reason you refused the pain medication.
A client has been prescribed a fentanyl patch for pain control. The nurse understands that this patch should be replaced every
48-72 hours
How should the administration of analgesics be scheduled to provide a uniform level of pain relief to a client?
Administering the analgesics every three hours
Prior to starting a peripheral intravenous line on a patient, what intervention can the nurse provide to decrease the pain from the needle puncture?
Apply eutectic mixture of local anesthetic cream 30 minutes prior to the procedure.
When using transdermal Fentanyl, the nurse and patient should be aware of which sign or symptom of Fentanyl overdose?
Confusion
About which issue should the nurse inform clients who use pain medications on a regular basis?
Inform the primary health care provider about the use of salicylates before any procedure, and avoid over-the-counter analgesics consistently without consulting a physician
A client is being taught to self-administer a narcotic analgesic by means of an intravenous PCA pump system. Which of the following would help prevent accidental overdosage?
Programming the dosage and time interval into the device
Which of the following is the most important potential nursing diagnosis for the client receiving opiate therapy?
Risk for impaired gas exchange
Your patient has just returned from the PACU following orthopedic surgery. The patient is complaining of pain, and you are preparing to administer the patient's first dose of meperidine. Prior to administering the drug, what assessment would you prioritize?
The patient's allergies to any medications
When completing a teaching plan for a client receiving patient-controlled analgesia (PCA), which component would be important for the nurse to stress?
The pump will deliver a preset amount of medication
An adult with severe cognitive impairment has had a surgical procedure, and the nurse is having a difficult time assessing the level of pain the client is having postoperatively. What method can the nurse use to obtain data about the client's pain?
Use behavioral comparison of the client's current and previous behavior patterns
A client is receiving morphine sulfate intravenously (IV) every 4 hours as needed for the relief of pain related to a surgical procedure the client had 3 days previously. The physician is discontinuing the IV and will be starting the client on oral pain medication. What would provide the client with optimal pain relief when discontinuing the IV dose?
Administer an equianalgesic dose
