Exam 3: Assessment and Care of Patients with Pain

A faculty member explains to students the process by which pain is perceived by the client.Which processes does the faculty member include in the discussion? (Select all that apply.)

A client who had surgery has extreme postoperative pain that is worsened when trying to participate in physical therapy.What intervention for pain management does the nurse include in the client's care plan?

A nurse on the postoperative unit administers many opioid analgesics.What actions by the nurse are best to prevent unwanted sedation as a complication of these medications? (Select all that apply.)

A registered nurse (RN)and nursing student are caring for a client who is receiving pain medication via patient-controlled analgesia (PCA).What action by the student requires the RN to intervene?

An emergency department (ED)manager wishes to start offering clients nonpharmacologic pain control methodologies as an adjunct to medication.Which strategy would be most successful with this client population?

A new nurse reports to the precepting nurse that a client requested pain medication,and when the nurse brought it,the client was sound asleep.The nurse states the client cannot possibly sleep with the severe pain the client described.What response by the experienced nurse is best?

An older client who lives alone is being discharged on opioid analgesics.What action by the nurse is most important?

A nursing student is studying pain sources.Which statements accurately describe different types of pain? (Select all that apply.)

A student nurse asks why several clients are getting more than one type of pain medication instead of very high doses of one medication.What response by the registered nurse is best?

A client reports a great deal of pain following a fairly minor operation.The surgeon leaves a prescription for the nurse to administer a placebo instead of pain medication.What actions by the nurse are most appropriate? (Select all that apply.)

A nurse on the medical-surgical unit has received a hand-off report.Which client should the nurse see first?

The nurse receives a hand-off report.One client is described as a drug seeker who is obsessed with even tiny changes in physical condition and is "on the light constantly" asking for more pain medication.When assessing this client's pain,what statement or question by the nurse is most appropriate?

A student nurse learns that there are physical consequences to unrelieved pain.Which factors are included in this problem? (Select all that apply.)

A nurse is assessing pain on a confused older client who has difficulty with verbal expression.What pain assessment tool would the nurse choose for this assessment?

An older adult has diabetic neuropathy and often reports unbearable foot pain.About which medication would the nurse plan to educate the client?