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23 Cards in this Set
- Front
- Back
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When a smile and cooperative patient complains of discomfort, nurses caring for this patient ofter harbor misconceptions about the patients pain. What is true? |
Pain is subjective, it is what the patient says it is |
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A postoperative patient is using patient controlled analgesse . you will evaluate the effectiveness of the meds when |
Get patients baseline levels of pain |
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the nurse knows that a massage provides non pharmacologic relief of |
muscle tension |
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the nurse is preparing to provide a back massage to a postoperative patient. which of the following assessment observations would influence the delivery of the massage? a)generalized pain b)bruising on shoulder c)localized erythema d)swelling over shoulder joint e)pulse of 102 bpm f)oral tem of 100.8 |
b,c,d |
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when preparing to delegate a patients back massage to assistive personnel, the nurse must first |
assess the assisstive personnels understanding of the proper technique for back massage. |
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the nurse identifies which of the following statements regarding acetaminophen as true?(tylonal) |
acetlylcysteine ( musonex) is the antidote for acetaminophen overdose |
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when working with a client receiving morphine therapy, the nurse will |
have naloxone (narcan) available as an antidote if needed |
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adjuvant therapy for pain relief in neuropathy includes all of the following except a)meperidine (demerol) b)gabapentin (neurontin) c)amitriptyline (elavil) d) mexiletine(mexitil) |
A |
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a client recieved morphine sulfate for severe pain. which of the following would indicate that the med us effective |
clieve verbalizing pain relief |
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the patient is receiving his first dose of an opioid analgesic for pain. the nurse is expecting that another med will probably be order concurrently for this patient wil be a |
laxative |
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true of false a patient who has a history of chronic pain is in danger of experiencing respiratory depression when taking opioid as long term therapy |
false |
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what is one misconception an older adult may have about pain |
*pain is a natural outcome of growing old *pain perception decreases with age *if they don't report pain, it is not there *if they appear to be occupied or sleeping, the pain is not there *Alzheimer's do not feel pain and reports of pain and usually invalid * |
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which afferent nerve fiber transmits acute, well localized pain? |
A-delt fibers |
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Explain the expected physiological responses the nurse will anticipate assessing when a client experiences pain |
increases respiration, HR, BP |
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identify 3 patient barriers to effective pain management |
*cultural *side effects *takes to many pills already *scared on injections *fear of bothering you *don't want to worry anyone *inadequate education *past experiences *they think they should suffer for what they did wrong *its apart of aging (not true) *they are doing all they can already |
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what is important for the nurse to include in teaching for a patient prescribed codeine |
*side effects especially constipation, dizziness, nausea, confusion, decreases RR, don't drive |
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a client recovering from surgery request pain meds, the main med has been order every 3-4 hours. what will the nurse do prior to administering the meds |
* determine time last med was given *vitals *allergies *assess baseline for pain |
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describe the patient controlled analgesic (PCA) |
*safe method for pain management with minimal risk for overdose. *self adminitering pain method *instruct family not to press button |
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The nurse administers a PO (by mouth) pain med at 1530. what and when will the nurse assess to determine the effectiveness of the med |
*pain scale to reassess pain 30 min after meds administered |
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identity the best schedule for opioid administration for a client with chronic pain and explain |
around the clock to maintain consistent plasma levels and better pain control |
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what question will the nurse ask to determined *quality, *intensity and *timing of pain |
*tell me what your pain feels like *use pain scale 1-10 to assess patients pain *is your pain constant, intermitted, or both |
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identify what the nurse must first establish is essential for pain control. this influences how the client reports the pain and the effects of the interventions |
nurse-client relationship build on trust |
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what is referred pain and how will the nurse determined this |
pain distant to the actual site of where even occured |
