Exam 10: Nursing Care of Patients in Pain

The nurse is determining equivalent doses of pain medication for a patient.Which dose is equivalent to a 10-mg dose of subcutaneous morphine? (Select all that apply.)

A patient has been on opioids for 3 months to control pain caused by injuries from a motor vehicle crash.The patient asks about the risk of withdrawal symptoms when the drugs are no longer needed.How should the nurse respond to the patient?

The nurse is providing care for a patient being discharged on opioid therapy.What should the nurse include when teaching the patient about this medication? (Select all that apply.)

The nurse enters the room of a patient who is moaning loudly and thrashing around in bed.What action should the nurse take first?

A patient is experiencing phantom limb pain.For which type of pain should the nurse plan care for this patient?

The nurse is admitting a patient with pancreatitis.What should the nurse include in the patient's pain history? (Select all that apply.)

A 91-year-old nursing home resident has been receiving meperidine (Demerol)injections for right shoulder pain.During the morning assessment,the nurse finds the resident irritable and jumpy.Which nursing actions and rationales is appropriate?

The nurse is preparing to provide an opioid medication for a patient's postoperative pain.Which action should the nurse take first?

A patient receiving opioid medication for cancer pain is experiencing increasing pain when being repositioned and changing bed linen.What should the nurse consider is occurring with this patient?

A patient with peripheral neuropathy states,"I don't know why the doctor put me on an antidepressant.I am not depressed!" Which response by the nurse is best?

A patient is prescribed a nonopioid medication for pain.Which characteristics of nonopioid drugs should the nurse keep in mind when caring for this patient? (Select all that apply.)

A nurse is preparing an order for grain of morphine IM.It is supplied as 10 mg per mL.How many mL should the nurse administer? Round to the nearest 10th mL.____________________ mL

A patient admitted with liver disease complains of pain in his right shoulder.What should the nurse use as explanation for this patient's site of pain?

A patient of Asian American descent recovering from abdominal surgery refuses all pain medication.What can the nurse do to ensure for this patient's comfort?

A patient is given a prescription for oxycodone/acetaminophen (Vicodin),two tablets to be taken every 4 to 6 hours as needed for pain.What should the nurse include when teaching about this medication?

The nurse is determining a pain management plan for a patient with chronic pain.What should the nurse identify as the best analgesic schedule for this patient?

A patient comes into the emergency department after vomiting blood.The nurse should be most concerned if the patient reports taking which medication?

A patient receiving large doses of opioids is lethargic and difficult to arouse,with a respiratory rate of 6 per minute and constricted pupils.Which medication should the nurse anticipate being prescribed?

A patient with chronic back pain has a new order for a fentanyl (Duragesic)patch.As the nurse applies the patch,the patient states,"I'm really glad to get that patch on.I am really hurting bad." Which response by the nurse is correct?

The nurse is questioning if a patient is experiencing pain.Which myth should the nurse recall when determining this patient's pain level?