Exam 10: Nursing Care of Patients in Pain

The nurse is caring for a group of patients. Which patient is experiencing acute pain?

A patient receiving large doses of opioids is lethargic and difficult to arouse, with a respiratory rate of 6 per minute and constricted pupils. Which medication should the nurse anticipate being prescribed?

A patient with peripheral neuropathy states, "I don't know why the doctor put me on an antidepressant. I am not depressed!" Which response by the nurse is best?

The nurse is performing a pain assessment on a newly admitted patient. Which question best assesses the severity of pain?

The nurse enters a room just as a patient's daughter pushes the button of his IV patient-controlled analgesia (PCA) pump. Which response by the nurse is appropriate?

A patient who has just returned from abdominal surgery states, "I learned relaxation exercises, so I won't need any drugs." Which statement about relaxation therapy should the nurse use to guide care for this patient?

A patient reports that she has been having bloody stools for the past month. Which medication can the nurse expect to note on the medication history?

A patient has been on opioids for 3 months to control pain caused by injuries from a motor vehicle crash. The patient asks about the risk of withdrawal symptoms when the drugs are no longer needed. How should the nurse respond to the patient?

The nurse is preparing to provide an opioid medication for a patient's postoperative pain. Which action should the nurse take first?

A patient with chronic back pain has a new order for a fentanyl (Duragesic) patch. As the nurse applies the patch, the patient states, "I'm really glad to get that patch on. I am really hurting bad." Which response by the nurse is correct?

A patient with chronic pain is on a sustained-release opioid that is ordered every 12 hours. After 6 hours, the patient complains of increasing pain. Which intervention by the nurse is appropriate?

The nurse is caring for a group of patients. Which patient should the nurse see first?

The nurse is caring for a patient who is receiving morphine via PCA. Which finding would be of most concern to the nurse?

The nurse is caring for a patient who underwent an amputation of the left arm. The patient reports level 9 pain on a 0-to-10 scale. Which action should the nurse take?

The nurse is caring for a group of patients. Which patient is experiencing chronic pain?

The nurse is preparing to administer midazolam (Versed) 1 mg intravenously. The available dose is midazolam (Versed) 1 mg/1 mL. How many mL will the nurse administer? Enter the numeral only

The nurse is caring for a patient with lung cancer who has been receiving morphine for 2 weeks and reports the medication is no longer effective. Which is the patient likely experiencing?

The nurse is reviewing medications prescribed for a patient experiencing pain. Which medications should the nurse realize are being used as adjuvant agents for this patient's pain? (Select all that apply.)

The nurse is reviewing orders for a patient and notes an order for extra-strength Tylenol 2 tablets (1,000 mg) every 4 hours around the clock. What action should the nurse take?

The nurse is teaching a patient about nonpharmacological therapies. Which topics should the nurse include in the teaching? (Select all that apply.)