Pain medications
List nonopioid pain medications.
NSAIDS (provide examples) and Acetaminophen
When should a nurse wear gloves?
What is when the nurse is going to or may come in contact with body fluids?
Be mindful of "over-gloving"
What are subjective indicators of pain?
What is statements made by the client?
What is considered acute pain? chronic pain?
What is pain that last less than 3 months? versus pain that lasts longer than 3 months?
What is Diclofenac? Provide client education.
A topical NSAID used for pain.
Use dosing card during application process and minimize use of oral NSAIDs during use.
What are s/s of a urinary tract infection?
What is hematuria, dysuria, frequent urination, fever, burning/pain with urination?
Confusion ONLY with older adults!
When a client complains of pain what is the first thing a nurse should do?
What is an assessment?
What is proper hand hygiene education for clients in contact with Cdiff?
What is wash hands with soap and water? No hand sanitizer?
List opioid pain medications. Provide client education.
What is morphine, hydromorphone, codeine, fentanyl?
Ensure client changes positions slowly (orthostatic hypotension), increases fiber/fluid in diet (constipation), causes drowsiness (no driving/drinking). Monitor for adverse effects such as N/V, toxicity (RR below 12, change in LOC, pinpoint pupils)
What are s/s of an infection?
What is change in temperature (hypo and hyper- thermia), increased wbcs (leukocytosis), edema, erythema (discoloration), purulent drainage, adventitious lung sounds, change in LOC, decreased urine output?
What are objective findings of pain?
What is vital sign changes, grimacing, guarding?
What is recent antibiotic use, chronic PPI use, exposure to Cdiff positive client?
Provide client education regrading glucocorticoid steroids.
What is decreases immune response, may cause hyperglycemia, may cause osteoporosis, monitor for insomnia/tachycardia/ weight gain? Steroids must be tapered off and should be taken with milk or food to prevent GI distress.
What are risk factors that increase the possibility of a client getting an infection?
What is unhealthy BMI (high or low), medications, comorbidities, smoking, excessive etoh, invasive lines, autoimmune disorders?
What is phantom pain?
What is nerve pain in area of amputation?
What are correct methods to kill Cdiff spores?
What is UV rays, autoclaves, gas sterilization?
Disinfect versus sterilization.
What are symptoms of aspirin toxicity or salicylism?
What is tinnitus, sweating, headache, dizziness, and hyperventilation?
What organism is most responsible for wound infections, respiratory infections and urinary tract infections?
What is staph, pseudomonas and E.coli?
Provide PCA client education.
What is patient controlled analgesic that provides constant pain relief and allows the client (only) to push a button for additional pain medication, best to push the button prior to pain becoming severe. Minimal risk of overdose. Eliminates the need to call for the nurse for pain medication.
What is a common stool softener used to prevent/relieve constipation?
What is docusate?