Pain in the ____
The nurse is preparing to discharge a client home with a prescription for ibuprofen. What should the nurse instruct as a common side effect of this medication? 1. Gastrointestinal (GI) bleeding 2. Shakiness 3. Tremors 4. Rash
1: The most common side effect of NSAIDs, including ibuprofen, is gastrointestinal, such as heartburn or indigestion. Rationale 2: Shakiness is not a common side effect of NSAIDs. Rationale 3: Tremors are not a common side effect of NSAIDs. Rationale 4: A rash is not a common side effect of NSAIDs
The nurse is to administer acetaminophen (Tylenol) prn for a headache. The client has been vomiting all day. Which route should the nurse use to administer the medication?
rectal
A client experiencing chronic pain is not getting relief with pain medication. What should the nurse do to help this client? 1. Ask the physician to change the prescribed pain medication. 2. Reassess the pain and consider another pain relief measure. 3. Limit interaction with the client. 4. Stop using alternative pain relief measures, if not effective.
2 Rationale 1: If a pain relief measure is ineffective, encourage the client to try it again before abandoning it. Medications might need repeated doses to saturate plasma proteins before sufficient “free drug” is available to work on the intended target. Rationale 2: Keep trying. Do not ignore a client because pain persists despite failed attempts to alleviate the discomfort. In these circumstances, reassess the pain and consider other relief measures. Rationale 3: The nurse should not ignore the client Rationale 4: Many nonpharmacologic measures require practice before they are effective.
A 53-year-old patient who is receiving ibuprofen 400 mg twice a day, for chronic, low back pain develops lower-extremity edema. The pain management nurse suspects that the edema is caused by:
a decrease in renal function.
a low creatinine level.
an increase in glomerular filtration rate.
an increase in plasma proteins.
decreased renal function causes edema
Which drug is not a NSAID?
A-Tylenol
B. Motrin
C. Ibuprofen
D. Ketorolac
a-non-opioid analgesic-no anti-inflammatory effects
Which of the following objective assessment data will the nurse obtain before administering a prescribed opioid medication to a client? 1. Pain level as stated by client 2. Any nausea the client may be feeling 3. Respiratory rate 4. Color of skin
3 Rationale 1: This is subjective data. Rationale 2: This is subjective data. Rationale 3: Opioids may depress the respiratory system, so the nurse should assess the respiratory rate before administering opioids. Rationale 4: This is not applicable to assess prior to administering an opioid medication to a client
A client rates pain as being 7 on a scale from 0 to 10. What will the nurse document as this client's pain intensity? 1. Mild pain 2. Moderate pain 3. Severe pain 4. Physiological pain
3 Rationale 1: Mild pain is rated as being from 1 to 3 on a 0 to 10 rating scale. Rationale 2: Moderate pain is rated as being from 4 to 6 on a 0 to 10 pain rating scale. Rationale 3: Severe pain is rated a 7-10 on a scale of 0 to 10. Rationale 4: Physiological pain does not describe the intensity of the client's pain.
What is an electrical device that can be used for muscle pain?
TENS unit
The pt bent over and hurt their back. What class of drugs would be the best option.
NSAIDs
Name a topical product that can be applied for pain.
Ben Gay, Lidocaine gel, Diclofenac gel, Salonpas, etc
The client is taking meperidine (Demerol) and experiencing pruritus. Which of the following medications would the nurse expect the physician to order? 1. Naloxone hydrochloride (Narcan) 2. Acetaminophen (Tylenol) 3. Diphenhydramine hydrochloride (Benadryl) 4. Normal saline
3 Rationale 1: When clients experience pruritus, an antihistamine, such as Benadryl, is ordered. Rationale 2: When clients experience pruritus, an antihistamine, such as Benadryl, is ordered. Rationale 3: When clients experience pruritus, an antihistamine, such as Benadryl, is ordered. Rationale 4: When clients experience pruritus, an antihistamine, such as Benadryl, is ordered
While conducting a pain assessment, the nurse knows to assess which of the following? (Select all that apply.) 1. Duration 2. Location 3. Intensity 4. Etiology 5. Neurology
1,2,3,4 PQRST
List three non-pharmacological pain interventions.
guided imagery, distraction, ice, heat, therapeutic touch, TENS unit, prayer, etc
corticosteroids
What lab work do you look for when a pt is taking NSAIDs?
BUN, Creatinine
The nurse is providing discharge instructions to a client prescribed an opioid medication. What can the nurse suggest to decrease the risk of constipation with this medication?
Increase water intake and fiber intake.
The nurse is obtaining a comprehensive pain history on a client admitted with complaints of continuous low back pain. Which of the following should be included in the history? (Select all that apply.) 1. Pain location 2. Intensity 3. Quality 4. Alleviating factors 5. Past pain experiences 6. Effect on ADLs
1, 2, 3, 4, 5, 6
What does radiculitis or radiculopathy mean?
Nerve pain by a pinched nerve
A patient is utilizing a heating pad at home for the treatment of a muscle spasm. The pain management nurse notes the patient is on a transdermal fentanyl (Duragesic) patch. What will the nurse include in the patient's education?
Avoid using the heating pad directly over the patch.
Cover the patch with a cloth while using the heating pad.
Remove the patch while using the heating pad.
Stop the use of the heating pad until the patch is discontinued.
Name a drug category that can be used for radiculitis or radiculopathy (neurogenic pain).
anti depressants, antiepileptic (Gabapentin)
A client is surprised to learn of the diagnosis of a heart attack when there was no chest pain experienced but only some left shoulder pain. What should the nurse explain to the client about the type of pain experienced?
Referred pain
The nurse is caring for an adolescent client who is experiencing postoperative pain. What interventions would be appropriate for the nurse identify to help this client? Select all that apply. 1. Talk with the client about pain. 2. Provide privacy. 3. Present choices for dealing with pain. 4. Encourage distraction with music or television. 5. Ignore the pain complaint
1,2,3,4
Your pt refuses to ambulate post operatively. The pt says it hurts too much. What can you, as the nurse, do to help the situation?
Listen to the pt, pre-medicate prior to ambulation if it is time for the med, encourage splinting, teach the benefits of early ambulation.
A patient has overdosed on morphine. Which medication does the nurse anticipate will be ordered by the physician to treat the patient’s overdose?
A )Propranolol (Inderal)
B) Naloxone (Narcan)
C) Flumazenil (Romazicon)
D) Atropine
B-antagonist drug
What type of anti-inflammatories can raise one's blood glucose?
corticosteroids