Exam 20: Clients with Pain

A client who has been in chronic pain after an automobile accident successfully reduces his pain through a combination of biofeedback and meditation. The conclusion the nurse may draw from his success is that the

The client who had a right below-the-knee amputation 2 days ago is requesting pain medication for pain in his right foot. The nurse should

A client's leg was pinned under a piece of heavy equipment in the workplace for several hours, during which he was in severe pain. The physiologic response that the occupational health nurse could have assessed in this situation is

A client has chronic back pain from an injury several years ago. The client is in the doctor's office, complaining of insomnia with fatigue and dissatisfaction with the previous physician who "did nothing to help the pain." The client has a blunt affect and relates no longer being able to do many things that once were enjoyable. The nurse working with an interdisciplinary team to manage this client's pain understands the client

The most effective way for the nurse to administer pain medication to a client who is experiencing severe pain related to metastatic liver cancer is to

The nurse practitioner (NP) infiltrates with lidocaine the area around a lesion to be incised. For optimal anesthesia, the NP should anticipate a waiting period of

The nurse caring for a client with suspected appendicitis knows that the pain associated with appendicitis is

A client is being discharged with scheduled doses of morphine every 8 hours. The goals for discharge teaching have been met when the client says "I will

The teaching plan for an individual receiving transcutaneous electrical nerve stimulation (TENS) should include the information that

A client is receiving an opioid analgesic through an epidural catheter. The nurse places the highest priority on

An elderly client has mild dementia and the nurse feels the client may be in pain. The best way for the nurse to assess this client for pain is by

A nurse is describing a client to a nursing student as "watching the clock" for the next dose of pain medication, "liking pain medication too much," and being overly dramatic when expressing pain. This nurse described the client as addicted. The nursing instructor conferences with the student later, describing the client's behavior as

The nurse reminds a group of student nurses that the most significant problem associated with the use of "demand" or nurse-administered analgesia is

When the client complains of nausea after receiving his first dose of morphine for pain, the nurse should

A client is having a small wart removed from his index finger. The nurse assisting with this procedure would question the use of

The client with neuropathic pain develops allodynia, which

A client is in the hospital with an exacerbation of a chronic pain condition. Orders are for prn morphine IV push. When the primary nurse left for the weekend, the client's pain was under control. When the nurse returns to work, the client is reporting wild swings in pain control, being oversedated at some times and having extreme pain at other times. Which action by the primary nurse would best get this client's pain under control?

A client with a known opioid addiction is scheduled for surgery tomorrow. The nurse can best meet this client's needs for pain control by incorporating which interventions into the plan of care? (Select all that apply.)

The nurse is caring for a client from the Mexican culture who is moaning and groaning in response to pain. The nurse plans care understanding that this response is viewed in the client's culture as

A client who has been dealing with chronic pain for the past 2 years would like to try biofeedback as a method of pain relief. The statement that indicates that the client understands this method of treatment is