Exam 91: Pain Management

The nurse is caring for a patient who recently had surgery to repair a hernia.The patient's pain was 7 out of 10 before receiving pain medication.One hour after receiving an oral opioid,the patient ranks his pain at 3 out of 10.The patient asks the nurse why he isn't receiving more pain medication.Which is the nurse's best response?

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." What type of pain does the nurse document that the patient is having at this time?

Which statement made by a nursing educator best explains why it is important for nurses to determine a patient's medical history and recent drug use?

Which of the following statements made by a patient reflects that the patient understands the relationship between the gate control theory of pain and the use of meditation to relieve pain?

The nurse is assessing a patient for opioid tolerance.Which finding supports the nurse's assessment?

The nurse is administering pain medication for several patients.Which patient does the nurse administer medication to first?

Which of the following is the best way for the nurse to manage pain for a patient with chronic pain from arthritis?

The nurse is administering ibuprofen (Advil)to an older patient.Which of the following assessment data causes the nurse to hold the medication?

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

A nurse is providing discharge teaching for a patient with a fractured humerus.The patient is going home with Vicodin (5/325).What important patient education does the nurse provide?

A patient who has had type 2 diabetes for 26 years is beginning to experience peripheral neuropathy in the feet and lower legs,which is causing the patient to have a decreased ability to feel pain in the lower extremities.The nurse is providing education to the patient to prevent injury to the feet.The nurse tells the patient to always wear shoes or slippers when walking.Which of the following statements made by the nurse best explains the rationale for this instruction?

A nurse is caring for a patient who recently had spinal surgery.The nurse knows that patients usually experience acute pain following this type of surgery.The patient refuses to get up and walk and is not moving around in the bed.However,the patient is stoic and denies experiencing pain at this time.What most likely explains this patient's behavior and response to surgery?

A patient who had a motor vehicle accident 2 days ago is experiencing pain and is receiving patient-controlled analgesia (PCA).How does the nurse know that the patient is experiencing effective pain management with the PCA?

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

What nursing intervention is most effective in preventing injury to a patient following administration of epidural anesthesia?