Pain ATI and EOCHQ Flashcards
A nurse is caring for a client who was admitted to the ED for severe pain. The client reports taking an opioid prescription for chronic pain. Which of the following provider prescriptions for initial pain relief should the nurse question?
Naloxone
A nurse is planning to administer a dose of morphine sulfate IV for a post-op pt. Which of the following pain management protocols should the nurse use?
Have an opioid antagonist available during the administration
A nursing is caring for a client with a PCA with demand of 1 mg of morphine every 15 min with a 4 mg/ hour lockout. The pt reports unbearable pain after the 6th demand in the last hour. After assessing the clients pain, which action should the nurse take?
Check the IV site and PCA pump for proper functioning
A nurse is preparing to assess the pain level of a 4 y/o child. Which pain assessment tool should the nurse use?
FACES
During a pain assessment the nurse asks questions about the quality of an adult clients pain. Which of the following statements by the client refers to pain quality?
My pain feels like I am being stabbed by a knife
A nurse is caring for two clients post-op. Which of the following factors should the nurse expect to be similar for both clients?
Prescriptions containing guidelines for pain medication and administration
What is bio feedback?
Measures the skin tension and uses learned techniques to relieve pain
During the transduction phase of nociception, which method of pain control is most effective?
Ibuprofen
When a client has arrived at the nursing unit from surgery, the nurse is most likely to give priority to which of the following assessments?
Pain intensity
A client who describes his pain as 7 on a scale of 0 to 10 is classified as having which of the following?
Severe pain
An opioid-naïve client had abdominal surgery 4 hours ago and has received a prn IV dose of morphine. Which of the following observations indicates the nurse should monitor the client closely?
Drowsy, drifts off to sleep before completing a sentence
The client has an order of morphine 2.5 to 5.0 mg intravenous (IV) every 4 hours. He received 2.5 mg IV 4 hours ago for pain rated at 3 on a scale of 0 to 10. He is now watching television and visiting with family members. When asked about his pain, he rates it as a 6. His vital signs are stable. What nursing intervention is the most appropriate?
Give morphine 5.0 mg IV and reassess in 20 min.
During an admission nursing assessment, a client with diabetes describes his leg pain as a “dull, burning sensation.” The nurse recognizes this description to be characteristic of which type of pain?
Neuropathic
A client with arthritis has been taking over-the-counter NSAIDs for the past year. Which questions would the nurse ask during a health history? Select all that apply.
How often do you take this drug?
Do you take this drug with food?
Have you ever vomited blood or had very dark stools?
Which statement best reflects a nurse’s assessment of pain?
Are you experiencing any discomfort?
