Exam 44: Pain Management

The nurse has brought a patient the scheduled pain medication. The patient asks the nurse to wait to give pain medication until the time for the dressing change, which is 2 hours away. Which response by the nurse is most therapeutic?

A woman is in labor and refuses to receive any sort of anesthesia medication. Which alternative treatment is best for this patient?

The nurse is evaluating the effectiveness of guided imagery for pain management as used for a patient who has second- and third-degree burns and needs extensive dressing changes. Which finding best indicates the effectiveness of guided imagery?

A patient arrives at the emergency department experiencing a headache and rates the pain as 7 on a 0 to 10 pain scale. Which nonpharmacological intervention does the nurse implement for this patient while awaiting orders for pain medication from the health care provider?

A nurse is caring for a patient with rheumatoid arthritis who is now going to be taking 2 acetaminophen (Tylenol) tablets every 6 hours to control pain. Which part of the patient's social history is the nurse $\bold{most}$ concerned about?

The nurse is assessing the characteristics of a patient's pain. Match the characteristic to the question a nurse will ask to determine that specific characteristic. -Timing

A nurse is providing medication education to a patient who just started taking ibuprofen. Which information will the nurse include in the teaching session?

The nurse is caring for an infant in the intensive care unit. Which information should the nurse consider when planning care for this patient?

A patient who had a motor vehicle crash 2 days ago is experiencing pain and is receiving patient-controlled analgesia (PCA). Which assessment finding indicates effective pain management with the PCA?

A nurse is caring for a patient with chronic pain from arthritis. Which action is best for the nurse to take?

A nurse teaches the patient about the gate control theory. Which statement made by a patient reflects a correct understanding about the relationship between the gate control theory of pain and the use of meditation to relieve pain?

The nurse is preparing pain medications. To which patient does the nurse anticipate administering an opioid fentanyl patch?

The nurse is teaching a student nurse about pain assessment scales. Which statement by the student indicates effective teaching?

A nurse is caring for a patient who is experiencing pain following abdominal surgery. Which information is important for the nurse to share with the patient when providing patient education about effective pain management?

A nurse is teaching a patient about patient-controlled analgesia (PCA). Which statement made by the patient indicates to the nurse that teaching is effective?

The nurse is assessing the characteristics of a patient's pain. Match the characteristic to the question a nurse will ask to determine that specific characteristic. -Severity

The nurse is caring for a group of patients. Which task may the nurse delegate to the nursing assistive personnel (NAP)?

A nurse is caring for a group of patients. Which patient will the nurse see first?

The nurse is assessing the characteristics of a patient's pain. Match the characteristic to the question a nurse will ask to determine that specific characteristic. -Location

A nurse is assessing a patient who started to have severe pain 3 days ago. When the nurse asks the patient to describe the pain, the patient states, "The pain feels like it is in my stomach. It is a burning pain, and it spreads out in a circle around the spot where it hurts the most." Which type of pain does the nurse document the patient is having at this time?