Exam 10: Nursing Care of Patients in Pain

The nurse is having difficulty assessing the pain of a mentally impaired patient who has an approximate functional level of a 4-year-old child. Which method should the nurse use to determine the patient's pain level?

The nurse is reviewing orders for a patient with diabetic neuropathy. Which medication should the nurse expect to administer?

A physician writes an order to give a saline injection to a patient who has been requesting frequent meperidine (Demerol) shots. Which initial response by the licensed practical nurse (LPN) is best?

The nurse is caring for a patient who was in a motor vehicle accident and has multiple fractures. The patient reports level 9 pain on a 0-to-10 scale. Which route should the nurse use to administer the medication for quickest relief of pain?

The nurse is preparing to administer morphine 5 mg intravenously to a patient with cancer. Available is morphine 10 mg/mL. How many mL will the nurse administer? Enter the numeral only.

The nurse is providing education for a patient being discharged with a fentanyl (Duragesic) patch. Which statements made by the patient indicate an understanding of the teaching? (Select all that apply.)

The nurse is caring for a patient with metastatic cancer. The patient is receiving 4 mg of morphine intravenously every 6 hours as needed and 5 mg hydrocodone/acetaminophen (Lortab) every 6 hours orally as needed for breakthrough pain. The patient reports the medication is effective, but the medication wears off before the dose is due. The nurse notifies the health care provider. Which order should the nurse anticipate?

The nurse is preparing to administer Roxanol 5 mg orally to a patient. The available dose is 20 mg/mL. How many mL will the nurse administer? Enter the numeral only.

A patient taking hydromorphone for cancer pain is experiencing constipation. What should the nurse teach to help this patient?

A patient with a gastrostomy tube is prescribed a sustained-released opioid medication. What should the nurse do when preparing to provide this medication to the patient?