Exam 3: Assessment and Care of Patients with Pain

A hospitalized client has a history of depression for which sertraline (Zoloft)is prescribed.The client also has a morphine allergy and a history of alcoholism.After surgery,several opioid analgesics are prescribed.Which one would the nurse choose?

A student asks the nurse what is the best way to assess a client's pain.Which response by the nurse is best?

A nurse is preparing to give a client ketorolac (Toradol)intravenously for pain.Which assessment findings would lead the nurse to consult with the provider?

A client has received an opioid analgesic for pain.The nurse assesses that the client has a Pasero Scale score of 3 and a respiratory rate of 7 shallow breaths/min.The client's oxygen saturation is 87%.What action should the nurse perform first?

A postoperative client has an epidural infusion of morphine and bupivacaine (Marcaine).What actions does the nurse delegate to the unlicensed assistive personnel (UAP)? (Select all that apply.)

A nurse uses the Checklist of Nonverbal Pain Indicators to assess pain in a nonverbal client with advanced dementia.The client scores a zero.What action by the nurse is best?

A client is to receive 4 mg morphine sulfate IV push.The pharmacy delivers 5 mg in a 2-mL vial.How much should the nurse administer for one dose? (Record your answer using a decimal rounded to the nearest tenth.)____ mL

A client is being discharged from the hospital after surgery on hydrocodone and acetaminophen (Lorcet).What discharge instruction is most important for this client?

A nurse is preparing to give an infusion of acetaminophen (Ofirmev).The pharmacy delivers a bag containing 50 mL of normal saline and the Ofirmev.At what rate does the nurse set the IV pump to deliver this dose? (Record your answer using a whole number.)____ mL/hr

The nurse is assessing a client's pain and has elicited information on the location,quality,intensity,effect on functioning,aggravating and relieving factors,and onset and duration.What question by the nurse would be best to ask the client for completing a comprehensive pain assessment?

A client is put on twice-daily acetaminophen (Tylenol)for osteoarthritis.What finding in the client's health history would lead the nurse to consult with the provider over the choice of medication?

A nurse on the postoperative inpatient unit receives a hand-off report on four clients using patient-controlled analgesia (PCA)pumps.Which client should the nurse see first?

A hospitalized client uses a transdermal fentanyl (Duragesic)patch for chronic pain.What action by the nurse is most important for client safety?

A nurse is caring for four clients receiving pain medication.After the hand-off report,which client should the nurse see first?

A postoperative client is reluctant to participate in physical therapy.What action by the nurse is best?

A nurse is caring for a client on an epidural patient-controlled analgesia (PCA)pump.What action by the nurse is most important to ensure client safety?

The nurse in the surgery clinic is discussing an upcoming surgical procedure with a client.What information provided by the nurse is most appropriate for the client's long-term outcome?

A nurse is assessing pain in an older adult.What action by the nurse is best?

A client with a broken arm has had ice placed on it for 20 minutes.A short time after the ice was removed,the client reports that the effect has worn off and requests pain medication,which cannot be given yet.What actions by the nurse are most appropriate? (Select all that apply.)

A faculty member explains the concepts of addiction,tolerance,and dependence to students.Which information is accurate? (Select all that apply.)