Exam 15: Pain Management

The nurse decides that collaboration with the health care provider is needed to review and possibly adjust the dose of analgesic for an 87-year-old patient.What is the most likely rationale for this request?

The nurse plans care for four patients receiving heat therapy.Which patient will the nurse consult with the provider about this order?

The patient with metastatic bone pain from cancer reports nausea and vomiting after receiving periodic opioid analgesia intravenously.Which can the nurse implement to manage the patient's pain effectively without nausea and vomiting?

The patient has hypotension, receives as much opioid analgesia as the prescription allows, and continues to have difficulty sleeping at night because of pain.Which should the nurse implement to relieve pain and improve sleep?

The nursing assistive personnel (NAP) reports that the patient is dizzy during a warm sitz bath.Before moving the patient, what action by the nurse is the priority?

The nurse and a student nurse receive a patient in the post anesthesia recovery unit and assesses the epidural analgesic infusion.Which assessment finding by the student is the nurse's priority?

The nurse teaches the patient in ambulatory care to apply ice packs to an injured knee.What instructions does the nurse include in patient teaching?

The patient received treatment for a sprained ankle and is receiving home care instructions regarding cold therapy.Which instructions does the nurse include?

The patient reports slight burning-like pain and numbness on the skin under a cold compress.Which action by the nurse is most appropriate?

The nurse massages the patient to promote relaxation.Which is a suitable intervention for the nurse to implement during the massage?

The nurse assesses the patient and realizes that patient pain is interfering with postoperative therapies.Which assessment findings indicate the patient may be a candidate for nonpharmacological interventions? (Select all that apply.)

The nurse assesses the patient who is 2 days postoperative to determine the need for continuing patient-controlled analgesia (PCA).Which information does the nurse use to decide that the patient is ready for oral administration of analgesia?

The nurse wants to use massage to promote relaxation.In which patient diagnosis would massage be potentially contraindicated?

The patient receives opioid analgesia along with naproxen after a total abdominal hysterectomy.Which patient information leads the nurse to collaborate with the provider about this prescription?

The school nurse provides first aid to the 10-year-old student with a new uncomplicated arm fracture.The nurse wants to provide nonpharmacological pain relief and minimize regional edema.Which first-aid treatment does the nurse provide for the patient?

The patient who receives patient-controlled analgesia (PCA) with an opioid analgesic reports that the pain level is 9 on a scale of 0-10.Which action does the nurse take first?

In the postanesthesia care unit the nurse applies an ice bag to the patient's leg at the surgical site.Which therapeutic effect does the nurse expect from this treatment?

The nurse cares for several postoperative patients using patient-controlled analgesia (PCA) pain management with a combination of an opioid and a local anesthetic agent on the first postoperative day.Which patient will the nurse assess first?

The adult patient who receives morphine sulfate intravenously by patient-controlled analgesia (PCA) tells the nurse that the pain level is 8 on a scale of 0-10.Which is the best intervention for the nurse?

The nurse prepares an oral opioid analgesic for the patient who has dementia and pain.After checking the patient's medication administration record (MAR) for the last administration time and the patient's response to pain medication, the nurse chooses the correct analgesic and compares the patient's picture and wristband to the medical record.Which is the most important intervention for the nurse to implement next?