Exam 10: Pain

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Aclient with chronic abdominal pain has learned to control the pain with the use of imagery and hypnosis. A family member asks the nurse how these techniques work. Which of the following reasons provide the basis for the nurse's response in relation totheeffectiveness of these strategies?

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A

The nurse is caring for a client who is taking an opioid for postoperative pain. Which of the following interventions should the nurse include in the clients plan of care to manage possible adverse effects of opioids?

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B

Aclient who uses a fentanyl patch for chronic cancer pain complains to the nurse of the rapid onset of pain at a level 9 (0-10 scale) and requests "something for pain that will work quickly." Which of the following types of pain is the most appropriateforthe nurse to document for this client?

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D

The nurse is caring for a client with diabetes who has chronic burning leg pain even when taking oxycodone twice daily. Which of the following prescribed medications is the most appropriate choice for the nurse to administer as an adjuvant to decrease theclient's pain?

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The nurse is caring for a client who has just started taking sustained-release morphine sulphate for chronic pain and is nausea with abdominal fullness. Which of the following interventions is the most appropriate for the nurse to implement?

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The nurse visits a hospice client and assesses a respiratory rate of 8 breaths/minute and the client states "I am having severe pain." Which of the following interventions should the nurse implement at this time?

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The nurse is caring for a client diagnosed with tendinitis in the outpatient clinic and advises that the client use a topical ointment to assist with pain relief. The client informs the nurse that they have never used a topical ointment for pain reliefbeforeso the nurse provides education related to the correct use of the ointment. Which of the following information should the nurse include in the teaching plan?

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The nurse is caring for a client who has chronic musculo-skeletal pain and states "I feel depressed because I ache too much to play golf." The client says the pain is usually at a level 7 (0-10 scale). Which of the following client goals has the highestpriority when the nurse is developing the treatment plan?

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These medications are prescribed by the health care provider for a client who uses long-acting morphine for chronic back pain, but still has ongoing pain. Which of the following medications should the nurse question?

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The nurse is caring for a client who is receiving epidural morphine. Which of the following information obtained by the nurse indicates that the client may be experiencing an adverse effect of the medication?

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Aclient with second-degree burns has been receiving morphine through patient-controlled analgesia (PCA) for a week. The client wakes up frequently during the night complaining of pain. Which of the following actions should the nurse implement?

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The nurse is admitting a client to hospital with a history of chronic cancer pain. When reviewing the client's home medications, which of the following medications should be of most concern?

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The health care provider plans to titrate a patient-controlled analgesia (PCA) machine to provide pain relief for a client with acute surgical pain who has never received opioids in the past. Which of the following nursing actions regarding opioid administration are appropriate at this time? (Select all that apply.)

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A client with cancer-related pain and a history of opioid abuse complains of breakthrough pain 2 hours before the next dose of morphine sulphate extended-release is due. Which of the following actions is priority for the nurse to implement?

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The nurse is caring for a client who is using fentanyl patch and immediate-release morphine for chronic cancer pain who develops new-onset confusion, dizziness, and a decrease in respiratory rate. Which of the following actions is the priority for the nurse to implement?

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Aclient who is receiving sustained-release morphine sulphate every 12 hours for chronic pain experiences level 9 (0-10 scale) breakthrough pain and anxiety. Which of these prescribed medications should the nurse anticipate administering?

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When doing a pain assessment for a client who has been admitted with metastatic breast cancer, which question asked by the nurse will give the most information about the client's pain?

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The nurse is caring for a client with chronic back pain who has arrived at the pain clinic for a follow-up appointment. In order to evaluate whether the pain management is effective, which of the following questions is most appropriate for the nurse to ask?

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These medications are ordered for an older-adult client with arthritis in both hips who is complaining of level 3 (0-10 scale) hip pain while ambulating. Which medication should the nurse use as initial therapy?

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The nurse assesses a postoperative client who is receiving morphine through

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