Exam 9: Pain Management

The nurse administers a nonsteroidal anti-inflammatory drug (NSAID)to a client who is experiencing chronic pain.When teaching the client about this medication,which effects will the nurse include in the session?

After administering an opioid analgesic,the nurse assesses the client using the sedation scale and finds the client sleeping and arousable,but the client drifts off to sleep during conversation.Which level of sedation is appropriate for the nurse to document for this client in the medical record?

The client has pain in the lower back that radiates down the leg as the result of a herniated disk compressing the sciatic nerve that began 4 months ago.When documenting this client's pain,which term will the nurse use?

The nurse working in a surgical center is caring for a client who had an abdominal nevus removed.The client is complaining of intense pain.Which action by the nurse is the most appropriate?

The nurse is caring for a client who is experiencing acute pain.Which action by the client,noted by the nurse during the assessment,is considered an associated symptom of pain?

When documenting the maximum amount of pain a client can tolerate,which term is the most appropriate for the nurse to use?

When conducting a pain history,which data is not essential for the nurse to obtain regarding the client's pain?

Nurses must be aware of cultural considerations when assisting clients with pain tolerance.Which statement made by the nurse indicates an understanding of cultural awareness?

The nurse is working on a surgical unit,and overhears another nurse say,"That client is asking for pain medication again.He is constantly on the call bell,always reporting how severe his pain is,and I think he's just drug-seeking.I'm going to make him wait the full 4 hours before I give this medication again." Which action by the nurse is the most appropriate in this situation?

According to the World Health Organization Three-Step Approach,if the nurse is caring for a client complaining of mild pain that persists after using full doses of step 1 medications,which medications can the nurse administer?

Many clients have misconceptions regarding assessment and treatment of pain.Which statement by the client indicates the need for additional clarification?

The nurse working on the labor and delivery unit has noticed how differently each client responds to the pain associated with labor.Which reasons does the nurse attribute to these various responses to pain?

The nurse is working on the orthopedic unit,and is caring for a client who complains of back pain.Which responses by the nurse would be appropriate when caring for this client?

The nurse is initiating a client-controlled anesthesia (PCA)pump delivering morphine sulfate for an older school-age client post-appendectomy.Prior to connecting the PCA tubing to the client's IV fluid line,which action by the nurse is the priority?

The nurse is using a nonpharmacologic method to manage a client's pain,and applies a unit that applies low-voltage electrical stimulation directly over the pain area.When documenting this intervention,which term is the most appropriate for the nurse to use?

A client who recently had surgery is medicated prior to return to the nursing unit.Which assessment finding warrants the need for a more in-depth assessment when determining the client's score on the sedation scale?

The nurse is caring for a preschool-aged client who is in pain secondary to a compound fracture resulting from a motor vehicle crash.The nurse recognizes which items as true when providing care to this client?

The nurse is instructing the client on how to use the client-controlled analgesia (PCA)pump.Which statement made by the client indicates an appropriate understanding of the nurse's instructions regarding the use of the PCA pump?

The nurse is applying a TENS unit to a client in pain.Prior to applying the electrodes,which action by the nurse is the most appropriate?

Pain is a complex phenomenon that affects both the physical and mental areas.When teaching the client about pain,which statement made by the client would indicate appropriate understanding?