Exam 15: Pain

The nurse is caring for a 78-year-old with a history of chronic depression who is currently reporting persistent left shoulder pain when syncope caused her to fall.To best address the client's pain, the nurse initially determines:

When planning nursing care for an older adult who is experiencing chronic pain, the nurse includes which of the following interventions? Select all that apply.

When planning care for the older adult client with a history of persistent pain, the nurse acknowledges the effects of the mind-body connection by including:

An older adult client has been prescribed an opioid to manage chronic pain resulting from a shoulder injury.To eliminate a common barrier to opioid drug compliance, the nurse:

The nurse is caring for an older adult client with terminal cancer and is receiving medication via patient-controlled analgesic ( PCA ) pump.The nurse shows an understanding of primary end-of-life concerns when asking the client:

An older client is observed grimacing whenever walking and getting in and out of bed.When assessed, the client regularly denies having any pain.To best provide the client with effective pain control, the nurse initially:

An older adult patient is prescribed an analgesic to manage the joint pain resulting from stiffness in his right shoulder.When the client asks about alternative therapy techniques that might be helpful, the nurse suggests:

The nurse is performing a pain assessment when the older adult client reports pain in his left shoulder that radiates down into his forearm.The nurse immediately:

When planning care for the older adult experiencing pain, the nurse bases interventions on the realization that:

The nurse caring for an older cognitively impaired client with osteoarthritis in both hands assesses the client for hand pain by:

The nurse caring for an older adult client experiencing carpal tunnel syndrome anticipates the client will best achieve pain control when prescribed a(n):

The nurse is discussing pain control with an older client who has been prescribed an opiate.When the client expresses concerns about the diminishing effect that the medication has had on the pain, the nurse responds:

Acetaminophen is prescribed for a 70-year-old with chronic pain.When the client reports to the nurse that she is taking the maximum daily dose of medication each day but the pain is still not controlled, the nurse responds:

An older adult who injured her knee several years ago tells the nurse that she has been managing the resulting intermittent pain with a prescription for propoxyphene (Darvon).The nurse is concerned with this treatment plan, primarily because:

The nurse shows an understanding of the most reported side effects of nonsteroidal anti-inflammatory drug ( NSAID ) therapy when asking a 74-year-old client being treated for arthritic pain: