Pain Flashcards
Based on the clients reported pain level, the nurse adminsters 8 mg of the prescribed morphine. The medication is available in a 10 mg syringe. Wasting of the remaining 2 mg of morphine should be done by the nurse and a witness. Who should be the witness?
LPN
What is a nurses responsibility when administering prescribed opiod analgesics?
- Count the clients respirations
- Document intensity of clients pain
- Verify the number of doses in the locked cabinet before administering the prescribed
What are the desired outcomes that the nurse expects when administering a non steroidal anti inflammatory drug (NSAID)?
- Pain relief
- Antipyretics
- Reduced inflammation
A client with an inflamed sciatic nerve is to have a conventional transcutaneous electrical nerve stimulation (TENS) device applied to the painful nerve pathway. When operating the TENS unit, which nursing action is appropriate?
Adjust the dial on the unit until the client states the pain is relieved
A client who had abdominal surgery is receiving patient controlled analgesia IV to manage pain…What should the nurse do first?
Determine the integrity of the IV delivery system
A client reports severe pain 2 days after surgery. Which initial action should the nurse take after assessing the character of pain?
Obtain the vital signs
A client with arthritis increases the dose of ibuprofen to abate joint discomfort. After several weeks the client becomes increasingly weak….
- Melena
2. Tachycardia
A client who had a total hip replacement asks the nurse about the continuous regional analgesia being used. What info should the nurse include when explaining the benefits of this treatment over conventional methods to control pain?
Systemic side effects are minimal
In the postanesthia care unit it is reported that the client received intrathecal morphine intraoperatively to control pain. Considering the admin of this medication, what should the nurse include as part of the clients initial 24 hour postop care?
Monitoring of resp. rate hourly
A nurse is taking the health history of a client who s to have surgery in 1 week. The nurse identifies that the client is taking ibuprofen for discomfort associated with osteoarthritis and notifies the health care provider. Which drug does the nurse expect will most likely be prescribed in stead of advil?
Acetaminophen
A nurse is caring for a client after a total knee replacement who is requesting vicodin in addition to patient controlled analgesia.
6,000 mg
A client receiving morphine by patient controlled analgesic has a respiratory rate of 6 breaths a min. What intervention should the nurse anticipate?
Naloxone admin.
A terminally ill client in a hospice unit for several weeks is recieving a morphine drip. The dose is now above the typical dosage. The clients spouse tellls the nurse that the client is again uncomfortable and needs the morphine increased?
Assess the clients pain before increasing the dose of morphine
