Which patient would benefit most from the use of a patient-controlled analgesia pump?

42-year-old who is recovering from a fractured femur

A client frequently requests pain medication. What statement by the nurse is most appropriate?

"How is the pain affecting you right now?"

The nurse should question which of the following medication orders?

MS contin 30 mg Q 12 h per G-tube

One day post-op client, on PCA. Client reports pain is NOT under control. Priority action?

Further assess pain using PQRST

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Pain

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Answers

1
Which patient would benefit most from the use of a patient-controlled analgesia pump?
60-year-old with pain in left arm after a stroke
42-year-old who is recovering from a fractured femur
15-year-old who is recovering from a head injury from MVA
75-year-old who is in the last stages of the dying process
2
Client has had lower back pain that radiates down the leg for 6 months. What type of pain?
Chronic neuropathic
Acute neuropathic
Chronic nociceptive
Acute somatic
3
The patient is receiving an opioid analgesic for pain. The nurse expects an order for:
Breakthrough pain reliever
Anti-anxiety agent
Laxative or stool softener
Antacid agent
4
What medication would the nurse expect to be given for a client with diabetic neuropathy?
Pregabalin (Lyrica)
Morphine sulfate
Fentanyl patch
Desipramine (Norpramin)
5
A client frequently requests pain medication. What statement by the nurse is most appropriate?
"How is the pain affecting you right now?"
"Why do you think that the pain meds are not helping?"
"Is there anything else that I can get for you?"
"You cannot have an any more pain medication for 2 hours."
6
The nurse should question which of the following medication orders?
MS contin 30 mg Q 12 h per G-tube
Fentanyl transdermal patch 12 mcg/hr apply to skin Q 72 hour
Hydrocodone suspension 5 mg Q 4 h PRN pain per G-Tube
7
A client takes this med 3 X day. What is of most concern?
Drinks 3-5 beers/day
Previous peptic ulcer
Takes warfarin
25 pack year smoking history
8
Which med would the nurse administer to client with kidney stones who rates pain 9/10?
Ibuprofen po
Hydromorphone IV
Extended release morphine (MS contin)
Ketorolac IV
9
One day post-op client, on PCA. Client reports pain is NOT under control. Priority action?
Use alternative therapy such as distraction, imagery
Further assess pain using PQRST
Notify the HCP to request an order for change in medication
Instruct client to push button more frequently
10
Needing more of a medication to get the same desired effect is known as _________________
Tolerance
Addiction
Withdrawal
Dependence

Pain Flashcards | StudBud