24 Questions
What type of pain does a client with diabetic neuropathy typically report?
Burning, electrical-type pain worse at night
In the scenario provided, which medication is the nurse most likely to advocate for first for a client with diabetic neuropathy?
Gabapentin
Why would a client with progressive pancreatic cancer most likely receive opioids for extended periods of time?
To manage severe pain associated with the cancer progression
According to recent evidence-based guidelines, what approach would be best for managing postoperative pain in a client?
Multimodal strategies
What should the charge nurse do first upon finding that a newly graduated RN has missed documenting nonpharmaceutical measures for pain relief in client records?
Make a note in the nurse's file and continue to observe clinical performance
Who would be the most appropriate member of the health care team to aid in the client's report of pain?
Physical therapist for evaluation of function and possible exercise therapy
What is a recommended multimodal therapy approach for postoperative pain management that includes both opioids and nonopioid therapies?
Combining opioids with regional anesthetic techniques and nonpharmacologic therapies
What should be the first action taken by the nurse in the scenario?
Assess the pain for location, quality, and intensity
Which type of analgesia is recommended for major thoracic and abdominal procedures when the client has cardiac risk factors or prolonged ileus?
Regional anesthetic techniques
What is an example of a medication recommended for postoperative pain management through neuraxial administration?
Tramadol
What is the best task to assign to an LPN/LVN providing emergency care to a client who received an excessive dose of opioid pain medication?
Monitoring the respiratory status for the first 30 minutes
Family members are encouraging the client to avoid opioids due to fear of drug addiction. What sociocultural dimension of pain is the nurse recognizing as the current priority for the client?
Cultural beliefs about stoicism and pain tolerance
How should medication be scheduled for a client with constant pain?
Around-the-clock
A client complains of joint stiffness in the morning. What type of therapy would be most appropriate to address this complaint?
Referral to a physical therapist for evaluation and possible exercise therapy
Which client can be appropriately assigned to an LPN/LVN under RN supervision?
Client with a leg cast who needs neuro-circ checks and as needed (PRN) hydrocodone
Which client can be appropriately assigned to a newly graduated RN who has recently completed orientation?
Client on the second postoperative day who needs pain medication before dressing changes
What is the nurse's best response when a family member requests more pain medicine for the client?
"The health care provider (HCP) ordered the medicine to be given every 4 hours."
Which client statement is cause for greatest concern in a client with pain disorder and depression?
"I’m so sick of this pain.I think I’m going to find a way to end it."
What components are included in the solution provided by Baxter Healthcare Corporation?
10 mg of phosphate, 2.8 mg of dibasic sodium phosphate, and 2.5 mg of phenol
What pH range is indicated for the solution provided by Baxter Healthcare Corporation?
2.5-6.5
How should the solution be stored according to the information provided?
Protect from light and avoid freezing
What precaution should be taken before administering the medication?
Check for the presence of a precipitate in the solution
What action should be taken if a client has a respiratory rate of 10 breaths/min after receiving certain medications?
Assess the client's responsiveness and respiratory status
Why is it essential for unlicensed assistive personnel (UAP) to report a client's respiratory rate of 10 breaths/min?
To prompt further assessment and intervention if necessary
Test your knowledge on postoperative pain management strategies including neuraxial analgesia, multimodal therapy, long-acting oral opioids, and other recommended interventions for clients at risk for complications. Explore the use of regional anesthetic techniques, nonpharmacologic therapies, and various medications.
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