PAIN

A licensed practical nurse is caring for a postoperative client who is receiving demand-dose hydromorphone via a patient-controlled analgesia (PCA) pump for pain control. The nurse enters the client's room and finds the client drowsy and records the following vital signs: temperature 36.2° C (97.2° F) orally, pulse 52 beats per minute, blood pressure 101/58 mm Hg, respiratory rate 11 breaths per minute, and SpO2 of 93% on 3 liters of oxygen via nasal cannula. Which action would the nurse take first?

Attempt to arouse the client.

The nurse is assisting in preparing a plan of care for a client with a diagnosis of cancer who is receiving morphine sulfate in an extended release form by mouth. The nurse would include which priority nursing action in the plan of care for this client?

Encourage the client to cough and deep breathe.

The nurse is caring for a client in labor. The nurse reviews the primary health care provider's prescriptions and notes that the client has a prescription for butorphanol tartrate. Which client statement indicates that the client understands the purpose of receiving this medication?

"I should experience at least some pain relief shortly after receiving this medication."

A client with fibromyalgia has not achieved pain relief with opioid pain medication. The client has a history of diabetes mellitus and atherosclerosis. The nurse anticipates that which single medications may be selected by the primary health care provider to be given in conjunction with the opioid pain medication? Select all that apply.

1 Duloxetine 2Pregabalin 3Alprazolam

A postoperative client has been receiving morphine sulfate every 3 to 4 hours for pain. The nurse would be sure to implement which measures to reduce the risk of adverse effects from this medication? Select all that apply.

1 Encourage fluids when not NPO. 5Encourage coughing and deep breathing. 6Monitor the number of bowel movements.

The nurse is caring for a client with chronic cancer pain who is requesting pain medication. The primary health care provider's prescription reads (morphine sulfate extended-release tablet) 0.6 mg/kg orally every 4 hours as needed for pain. The client weighs 110 pounds. The morphine sulfate extended release tablet available is 15 mg/1 tablet. How many tablets would the nurse administer?

2 TABLET

The client is receiving meperidine hydrochloride for pain. Which signs/symptoms are side and adverse effects of this medication? Select all that apply.

2 Tremors 3Drowsiness 4Hypotension

Meperidine has been prescribed for a client to treat pain. Which side and adverse effects would the nurse monitor for? Select all that apply.

2Tremors 3Drowsiness 4Hypotension

A client with rheumatoid arthritis is taking acetylsalicylic acid on a daily basis. Which medication dose would the nurse expect the client to be taking?

4 g daily

A client with trigeminal neuralgia tells the nurse that acetaminophen is taken on a frequent daily basis for relief of generalized discomfort. The nurse reviews the client's laboratory results and determines that which indicates toxicity associated with the medication

A direct bilirubin level of 2 mg/dL

A client has been taking indomethacin for gout and experiencing side/adverse effects. Which assessment would the nurse expect the primary health care provider to prescribe?

Checking for occult blood

A client diagnosed with pleurisy is being started on medication therapy with ibuprofen. Which statement by the nurse accurately describes the purpose of the medication for the client?

Ibuprofen is a nonsteroidal anti-inflammatory medication to enhance coughing and deep breathing.

The nurse is providing instructions to a client who is taking codeine sulfate for severe back pain. Which action does the nurse instruct the client to do?

Increase fluid intake.

Ibuprofen is prescribed for a client. Which instruction would the nurse give the client about taking this medication?

Take with 8 ounces of milk.

The nurse is assisting in preparing a plan of care for a client with renal colic receiving meperidine hydrochloride for pain. The nurse includes in the plan of care to monitor for which side effect of this medication?

Urinary retention

The nurse is caring for a client in the emergency department who has been diagnosed with Bell's palsy. The client has been taking acetaminophen, and acetaminophen overdose is suspected. Which antidote would the nurse prepare for administration if prescribed?

Acetylcysteine

The nurse employed in a primary health care provider's office is collecting data on a client who is taking ergotamine tartrate. The nurse evaluates the effectiveness of therapy by asking which question?

Are the headaches relieved?"

A client with vascular headaches is taking ergotamine. Which client complaint would the nurse monitor?

Cool, numb fingers and toes

The nurse is caring for a client receiving morphine sulfate intravenously for pain. Because morphine sulfate has been prescribed for this client, which nursing action would be included in the plan of care?

Encourage the client to cough and deep breathe.

Morphine sulfate is being administered to a client with cancer. The nurse is monitoring the client for signs of overdose related to this medication therapy. Which finding noted in the client would require the need to notify the registered nurse?

Respirations of 10 breaths per minute

A registered nurse has administered a dose of naloxone intravenously to a client with intravenous opioid overdose. The licensed practical nurse assigned to assist in monitoring the client ensures that which equipment is available in the immediate vicinity of the client?

Resuscitation equipment

A postoperative client has received a dose of naloxone hydrochloride for respiratory depression shortly after transfer to the nursing unit from the postanesthesia care unit. After administration of the medication, the nurse would check the client for which sign/symptom?

Sudden increase in pain

The nurse is checking postoperative prescriptions and planning care for a 110-pound child after spinal fusion. Morphine sulfate, 8 mg subcutaneously every 4 hours as needed (PRN) for pain, is prescribed. The pediatric drug reference states that the safe dosage is 0.1 to 0.2 mg/kg/dose every 2 to 4 hours. What would the nurse determine about the medication dosage?

The dosage is within the safe range.

Morphine sulfate, 2.5 mg, is prescribed for a child. The safe pediatric dose is 0.05 mg/kg/dose to 0.1 mg/kg/dose. The child weighs 50 kg. Which statement accurately describes the prescribed dosage for this child?

The dose is within the safe dosage range.

A newborn infant receives naloxone hydrochloride to reverse opiate-induced respiratory depression that occurred following labor and delivery. For which reason would the nurse continue to monitor the respiratory status of a newborn infant following the administration of this medication?

The newborn infant may demonstrate a reappearance of respiratory depression.

A client is admitted to the hospital with complaints of back spasms. The client states, "I have been taking 2 or 3 aspirin every 4 hours for the past week, and it hasn't helped my back." Aspirin intoxication is suspected. Which complaint would indicate aspirin intoxication?

Tinnitus

A client is taking large doses of acetylsalicylic acid for rheumatoid arthritis. The nurse tells the client to report which signs/symptoms of ototoxicity?

Tinnitus, hearing loss, dizziness, ataxia

Meperidine hydrochloride is prescribed for a client with pain. Which would the nurse monitor as a side effect of this medication?

Urinary retention

The nurse is caring for a client with severe back pain, and codeine sulfate has been prescribed for the client. Which would the nurse include in the plan of care while the client is taking this medication?

Monitor bowel activity.

An older client with rheumatoid arthritis has been instructed by the primary health care provider to take acetaminophen 3000 mg to 4000 mg daily. Which laboratory test needs to be monitored on this client?

Liver function test (LFTs)

A client receiving morphine by the epidural route complains of itching. The nurse would anticipate which prescription to relieve the itching?

Low dose infusion of naloxone

The primary health care provider has prescribed morphine sulfate intravenous push for a client with pulmonary edema. Which therapeutic effects would the nurse expect in this client? Select all that apply.

1 Relief of anxiety 3Reduction of oxygen consumption 5Improvement in efficacy of breathing