Exam 31: Pain

Which side effect associated with opioid use may improve after taking a few doses of the drug?

A patient reports using music therapy to help control the chronic pain. Music therapy works by prompting the release of endogenous opioids during which stage of the pain process?

An older adult receiving hospice care has dementia as a result of metastasis to the brain. The bone cancer has progressed to an advanced stage. Why might the client fail to request pain medication as needed?

The nurse is caring for an immobile patient with chronic, unrelieved pain that is frequently severe. For which potential complication should the nurse monitor?

The nurse is teaching a client who sustained an ankle injury about cold application. Which instruction should the nurse include in the teaching plan?

What is typically the most reliable indicator of pain?

The patient has an epidural catheter for analgesia. Which signs and symptoms would alert the nurse to local anesthesia toxicity?

The nurse is caring for several clients with patient controlled analgesia. It would be most important to assess for respiratory depression in the client with:

To provide the most analgesic effect, a medication should bind with and block the pain impulse especially at which opioid receptor sites?

A nurse is preparing to administer pain medications to a client. Which statement by the nurse indicates correct understanding of the guidelines for pain management?

A 64-year-old female patient just returned from surgery. She is breathing rapidly and moving constantly in bed. She states, "I am scared, and I hurt so much." What would be appropriate interventions? Select all that apply.

When should the nurse assess pain?

The nurse plays music for a child with leukemia who is experiencing pain. Which pain management technique is this nurse using?

A 73-year-old patient admitted after a stroke has expressive aphasia (inability to express words accurately). Which pain intensity scale would be most appropriate to use with this patient?

A patient develops a respiratory rate of 6 breaths/min after receiving intravenous hydromorphone 2 mg. Which medication should the nurse anticipate administering to this patient after notifying the prescriber of this side effect?

The patient reports pain after surgery, ranking it 6 on a scale of 1 to 10. The patient tells the nurse, "I don't want to be all doped up. My family is coming to visit and I want to be alert enough to visit with them." Which medication would most likely be effective for postoperative pain relief without excessive sedation?

Which characteristic about pain would the nurse most consider when developing a pain management plan for a patient with chronic lower back pain?

A patient who underwent left above-the-knee amputation reports pain in the left foot. The nurse should document this finding as what type of pain?

Which expected outcome is best for the patient with a nursing diagnosis of Acute Pain related to movement and secondary to surgical resection of a ruptured spleen and possible inadequate analgesia?

A nurse using the Richmond Agitation-Sedation Scale documents a patient has a score of +1 before pain medication but after pain medication has a score of -2) Which patient behaviors did the nurse observe?