Pain

A nurse is caring for a client who is experiencing mild acute pain after spraining an ankle. Which of the following analgesics should the nurse expect to administer?
A. Ketorolac
B. Ketamine
C. Meperidine
D. Methadone
A nurse at a clinic is talking with a client who has cancer and takes extended release opioids twice daily. The client reports an increase in localized, achy pain over the last few days. How should the nurse document this increase in pain?
A. Phantom limb pain
B. Mixed pain
C. Breakthrough pain
D. Neuropathic pain
A nurse is caring for a client who is receiving morphine via a patient-controlled analgesia(PTA) infusion device after abdominal surgery. Which of the following client statements indicates that the client understands how to use the device?
A. I'll wait to use the device until it's absolutely necessary
B. I'll be careful about pushing the button so I don't get an overdose
C. I should tell my nurse if the pain does not stop after I use this device.
D. I will ask my son to push the dose button when I am sleeping.
A nurse is caring for a nonverbal patient when she begins to suspect that the patient is in pain. Which nonverbal manifestations would indicate pain? Select all that apply:
A. Decreased respiratory rate
B.Increased blood pressure
C. Facial grimacing
D. Decreased urinary output
A patient complains of abdominal pain that is difficult to localize. The nurse documents this as which type of pain?
A. Cutaneous.
B. Visceral
C. superficial
D. somatic
Mr. Bellos is a 68 yr old F complaining of sharp, stabbing pain in the left leg starting about 7 days ago. What best describes her complaints?
A. Substernal chronic pain
B. Neuropathic pain
C umbrella term
D. Acute pain
A nurse is monitoring a client who is receiving opioid analgesia. Which of the following findings should the nurse identify as adverse effects of opioid analgesics? Select all that apply
A. Urinary incontinence
B diarrhea
C. bradypnea
D. Orthostatic hypotension
E. nausea
True or False: Local anesthetics eliminate sensation of pain and loss of consciousness.
A. true
B. false
A patient is prescribed an opioid analgesic for chronic pain. Which information would the nurse discuss with the patient to minimize the GI adverse effects?
A. Avoid eating foods high in lactobacilli
B. Increase fluid intake and fiber in the diet
C. Take the medication on an empty stomach.
D. Take diphenoxylate-atropine (Lomotil) with each dose.
In developing a plan of care for a patient receiving morphine sulfate (MS Contin), which nursing diagnosis has the highest priority?
A. Acute pain related to metastatic tumor cancer
B. Impaired gas exchange related to respiratory depression
C. Constipation related to decreased GI motility
D. Risk for injury related to CNS adverse effects
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