Pain Management ATI
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Questions and Answers

A nurse is caring for a client who was admitted to the emergency department for severe pain following a fall from a ladder. The client reports taking an opioid prescription for chronic pain. Which of the following provider prescriptions for initial pain relief should the nurse question?

  • Morphine sulfate
  • Naloxone (correct)
  • Fentanyl
  • Hydromorphone
  • A nurse is planning to administer a dose of morphine sulfate IV for a client who is postoperative. Which of the following pain management protocols should the nurse use when caring for this client?

  • Withhold the medication for a respiratory rate of 14/min.
  • Perform the IV injection over 1 min.
  • Avoid administering opioid agonists on a fixed schedule.
  • Have an opioid antagonist available during the administration. (correct)
  • A nurse is caring for a client prescribed IV morphine via PCA with a demand of 1 mg every 15 min and a 4 mg/hr lockout. The client reports unbearable pain after attempting six demand doses within the last hour. After assessing the client's pain, which of the following actions should the nurse take?

  • Check the IV site and PCA pump for proper functioning. (correct)
  • Teach the client proper use of the PCA system.
  • Ask the provider to increase the morphine dose and shorten the interval between doses.
  • Encourage family members to administer a dose of morphine via PCA when the client is in too much pain to do it themselves.
  • A nurse is preparing to assess the pain level of a 4-year-old child. Which of the following pain assessment tools should the nurse use?

    <p>FACES</p> Signup and view all the answers

    During a pain assessment, a nurse asks questions about the quality of an adult client's pain. Which of the following statements by the client refers to pain quality?

    <p>&quot;My pain feels like I'm being stabbed by a knife.&quot;</p> Signup and view all the answers

    A nurse is caring for two clients who are 2 hr postoperative following the same procedure. Which of the following factors should the nurse expect to be similar for both clients?

    <p>Prescriptions containing guidelines for pain medication administration</p> Signup and view all the answers

    A nurse is speaking with a client who reports experiencing frequent, severe migraines and asks, "Can you tell me about biofeedback?" Which of the following responses should the nurse make?

    <p>&quot;Biofeedback measures skin tension and uses learned techniques to relieve pain.&quot;</p> Signup and view all the answers

    Study Notes

    Opioid Prescriptions and Pain Relief

    • Question prescriptions that might increase the risk of respiratory depression in clients with opioid use history, especially when experiencing acute pain.

    Morphine Sulfate IV Administration

    • Follow established pain management protocols for postoperative clients receiving morphine sulfate IV.

    PCA Pump Management

    • If a client experiences unbearable pain despite using a PCA pump, assess the client's pain and consider increasing the demand dose or lockout interval.

    Pain Assessment Tools for Children

    • Utilize age-appropriate pain assessment tools for children, such as the FACES pain scale for a 4-year-old.

    Pain Quality Descriptors

    • "My pain feels like a burning sensation" is an example of a pain quality descriptor.

    Postoperative Factors

    • Clients undergoing the same procedure will likely have similar postoperative pain levels and responses to pain medications.

    Biofeedback for Migraines

    • Explain that biofeedback is a technique that involves learning to control physiological responses, like heart rate and muscle tension, which can help manage migraines.

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    Description

    Test your knowledge on pain management protocols for emergency nursing. This quiz focuses on the appropriate care for clients with severe pain, particularly those with a history of opioid use. Evaluate which prescriptions should be questioned and enhance your critical thinking skills in a high-pressure setting.

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