Exam 9: Pain Management

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An older client living at home with cancer reports having to take twice as much pain medication over the last 24 hours. What should the nurse do with this information?

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B

An older client prescribed an oral time-release pain medication is having difficulty swallowing the dose. What should the nurse do to help this client?

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C

An older client is prescribed topical capsaicin for joint pain. What should the nurse instruct the client about the use of this medication? Select all that apply.

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A,C,D,E

An older client with arthritis pain asks the nurse what can be taken to help with the mild discomfort. How should the nurse respond to this client?

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An older client recovering from surgery is prescribed IV morphine sulfate 2 to 6 mg every four hours prn for pain. What approach will the nurse take to manage this client's pain?

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An older client receiving intravenous morphine sulfate is experiencing nausea and vomiting. What action should the nurse take at this time?

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An older client with a history of severe arthritis has not received pain medication for over 18 hours. The client is currently complaining of severe pain in both legs. What will the nurse attribute as being the reason for the client's increase in pain?

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The nurse is caring for an older client with chronic pain caused by arthritis and uterine cancer. What is the best approach for the nurse to take when managing this client's pain?

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The nurse observes myoclonic movements in an older client receiving IV morphine sulfate for pain. What should the nurse do with this finding?

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An older client recovering from surgery refuses pain medication because of the fear of becoming addicted. What action should the nurse take at this time?

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An older client takes meperidine daily for arthritic pain. Which finding is most concerning?

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An older client newly diagnosed with arthritis wants to know what else can be done to help with the pain. What should the nurse instruct this client? Select all that apply.

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An older adult client has a history of osteoarthritis. The nurse cares for the client in the postoperative period after a below-the-knee amputation for complications of peripheral vascular disease. Which finding most concerns the nurse?

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The nurse explores nonpharmacological approaches with an older client with chronic osteoarthritis pain. What is the best action for the nurse to teach to the client?

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An older client with a history of constipation is prescribed an opioid analgesic for postoperative pain. What should the nurse include in this client's plan of care to avoid the pain management complication of constipation? Select all that apply.

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An older client asks why sustained-release pain medication cannot be chewed. How should the nurse respond to this client? Select all that apply.

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An older client receiving a low dose of oral morphine for chronic pain feels sleepy when taking the medication. What should the nurse explain to the client about this analgesic?

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A terminally ill older client with ongoing pain is prescribed an increased dose of morphine. What is the best way for the nurse to manage this new dose?

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An older client with chronic pain is newly prescribed transdermal fentanyl. What will the nurse do when providing this medication? Select all that apply.

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An older client, experiencing severe pain from diabetic neuropathy, is having minimal pain relief from opioid analgesics. Which adjuvant medications should the nurse ask the healthcare provider to consider helping this client's pain? Select all that apply.

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