Exam 8: Pain Assessment

The nurse is interviewing a 75-year-old client who is in the healthcare provider's office for complaints of joint pain.The client verbalizes that the pain has been present for a few years.When planning interview questions to ask concerning the pain,the nurse recognizes which of the following?

The nurse is examining a client is in the Emergency Department.The client has recently been discharged after a right above-the-knee amputation.The client tells the nurse that her right foot hurts.The nurse suspects what type of pain?

Which of the following assessment data will be most reflective of a client's pain response following open-heart surgery?

A nursing student is reviewing the home medications of a client who has just been admitted with chronic back pain.When asked by the nursing instructor why there is a tricyclic antidepressant on the client's list,which response by the student is most likely the accurate reason?

The nurse is preparing to complete the admission assessment for a client who is being admitted to the acute care facility for complaints of severe pain.As the nurse plans actions relating to this task,the following steps will be taken.Organize in order the actions that should be taken by the nurse. A)Contact the healthcare provider. B)Discuss the unit routine with the client and family. C)Ask the client when the pain first began. D)Ask the client what helps to relieve the pain. E)Assess the client's past coping methods for pain throughout her life.

A 12-year-old client is brought to the emergency room after falling on his arm during a football game.When the nurse tells the client that she is going to administer pain medication through the intravenous line,the client begins to scream and wave his unhurt arm.The parents ask the nurse why their child is behaving this way.The nurse's best response would be:

A recently licensed nurse states,"My client keeps saying he is in pain.I don't believe him because I had the same surgery last year and didn't feel nearly as bad as he claims." What response by the more experienced nurse is most appropriate?

The nurse understands amount of pain stimulation that is needed for an individual to feel pain is referred to as:

The nurse is caring for a client who denies having pain.The nurse has noticed the client grimacing and clenching his teeth when moving.The client's spouse has asked the nurse why some people deny obvious pain.What response by the nurse is most appropriate?

The nurse is caring for a 3-year-old child who has been hospitalized for internal fixation of a fractured arm.The nurse is considering nonpharmacological pain management techniques to implement.What interventions should be included in the plan of care?

The nurse is performing a physical assessment on a client with undiagnosed back pain.The client is unable to communicate verbally.Which of the following vital sign values would indicate to the nurse that the client is in acute pain?

The nursing student is discussing an assigned client's pain responses with the nursing instructor.The student reports feeling amazed about how the client has continued to avoid taking any analgesics only hours after surgery.What response by the nursing instructor is indicated?

A client with a history of cardiac problems is brought to the emergency room by the paramedics with a tentative diagnosis of myocardial infarction (MI,or "heart attack").The paramedic tells the nurse that the client had pain in the jaw area that was not relieved with nitroglycerin.The client asks the nurse how jaw pain is related to having a "heart attack." The nurse's best explanation is:

The nurse is caring for a teenager and is assessing pain level with the vital signs.The client is reporting pain but when the nurse asks for a description of the pain the client says,"It just hurts.Why can't I have something?" The nurse would choose to do which of the following next?

A client has multiple fractures following a motor vehicle accident.One of the client outcomes of the nurse's plan of care includes reducing the perception of pain.Which of the following nursing interventions would apply to reaching this outcome?

The nurse has completed a shift assessment on a client who has terminal breast cancer with extensive metastasis.The client tells the nurse,"Nothing helps the pain." What best describes the pain being experienced by the client?

The client is in the triage area of the Emergency Department when a client arrives complaining of chest and arm pain.The client also reports jaw pain,but states that the chest pain hurts more.The nurse observes the client rubbing his left arm.The nurse suspects what type of pain?

A nurse is orienting to a new position in an infant nursery.When the healthcare provider is preparing to perform a circumcision on a 2-day-old newborn who was born 2 weeks early,the nurse asks about the administration of pain medication prior to the procedure.The healthcare provider states: "Newborns do not have pain at this age,so why should we give any medication?" The nurse's best response would be:

The nurse is assessing a postoperative client that reports a pain level of 10 on a 1 to 10 scale.The client is grimacing and appears anxious.Which of the following actions should the nurse perform first?

The nurse is caring for two clients involved in a motor vehicle accident.Both clients required explorative abdominal surgery.Neither has received any pain medication in six hours and both have asked.However,one client is in greater distress than the other.Which pain theory is useful in explaining this phenomenon? The theory of: