Exam 8: Pain

A patient who is receiving sustained-release morphine sulfate (MS Contin)every 12 hours for chronic pain experiences level 9 (0 to 10 scale)breakthrough pain and anxiety. Which action by the nurse is appropriate for treating this change in assessment?

A nurse assesses a postoperative patient 2 days after chest surgery. What findings indicate that the patient requires better pain management ?

Which question asked by the nurse will give the most information about the patient's metastatic bone cancer pain?

A patient with terminal cancer-related pain and a history of opioid abuse complains of breakthrough pain 2 hours before the next dose of sustained-release morphine sulfate (MS Contin)is due. Which action should the nurse take first?

A patient who is using both a fentanyl (Duragesic)patch and immediate-release morphine for chronic cancer pain develops new-onset confusion,dizziness,and a decrease in respiratory rate. Which action should the nurse take first?

The health care provider orders a patient-controlled analgesia (PCA)machine to provide pain relief for a patient with acute surgical pain who has never received opioids before. Which nursing actions regarding opioid administration are appropriate at this time ?

Which nursing action could the nurse delegate to unlicensed assistive personnel (UAP)when caring for a patient who is using a fentanyl (Duragesic)patch and a heating pad for treatment of chronic back pain?

The nurse is caring for a patient who has diabetes and complains of chronic,burning leg pain even when taking oxycodone (OxyContin)twice daily. Which prescribed medication is the best choice for the nurse to administer as an adjuvant to decrease the patient's pain?

The nurse assesses that a patient receiving epidural morphine has not voided for more than 10 hours. What action should the nurse take initially?

A patient with chronic neck pain is seen in the pain clinic for follow-up. To evaluate whether the pain management is effective,which question is best for the nurse to ask?

A patient who has just started taking sustained-release morphine sulfate (MS Contin)for chronic arthritic joint pain after a traumatic injury complains of nausea and abdominal fullness. Which action should the nurse take initially?

The nurse is caring for a patient who had abdominal surgery yesterday and is receiving morphine through patient-controlled analgesia (PCA). What action by the nurse is a priority?

The nurse on a surgical inpatient unit is caring for several patients. Which patient should the nurse assess first?

The nurse teaches a student nurse about the action of ibuprofen. Which statement,if made by the student,indicates that teaching was effective?

The nurse reviews the medication orders for an older patient with arthritis in both hips who reports level 3 (0 to 10 scale)hip pain while ambulating. Which medication should the nurse offer as initial therapy?

A patient with chronic pain who has been receiving morphine sulfate 20 mg IV over 24 hours is to be discharged home on oral sustained-release morphine (MS Contin)administered twice a day. What dosage of MS Contin will be needed for each dose to obtain an equianalgesic dose for the patient? (Morphine sulfate 10 mg IV is equianalgesic to morphine sulfate 30 mg orally.)

A patient with chronic back pain has learned to control the pain with the use of imagery and hypnosis. The patient's spouse asks the nurse how these techniques work. Which response by the nurse is accurate?

The nurse assesses that a home hospice patient with terminal cancer who complains of severe pain has a respiratory rate of 11 breaths/min. Which action should the nurse take?

A patient with a deep partial thickness burn has been receiving hydromorphone through patient-controlled analgesia (PCA)for 1 week. The nurse caring for the patient during the previous shift reports that the patient wakes up frequently during the night complaining of pain. What action by the nurse is appropriate?

A nurse assesses a patient with chronic cancer pain who is receiving imipramine (Tofranil)in addition to long-acting morphine (MS Contin). Which statement,if made by the patient,indicates to the nurse that the patient is receiving adequate pain control?