Medical-Surgical Nursing Study Set 1

Nursing

Quiz 2 :

Assessment and Care of Patients With Pain

Quiz 2 :

Assessment and Care of Patients With Pain

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An older woman visits the neurologist for low back pain that she has had for several months. She has been taking high doses of ibuprofen and acetaminophen every day with some pain relief. After a thorough physical examination, the neurologist starts her on pregabalin (Lyrica) 75 mg twice daily for pain. As her office nurse, you are preparing for health teaching. What questions will you ask the patient at this time in preparation for teaching?
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A patient has been taking ibuprofen and acetaminophen in high doses for several months for severe back pain.
For a patient who has been prescribed pregabalin for pain and who has used high doses of ibuprofen and acetaminophen, the questions which are asked by the nurse with respect to health teaching are relevant to the illness. They are:
• Does she have any side effects after taking high doses of ibuprofen and acetaminophen?
• Has she tried non pharmacological methods to reduce the pain?
• Is she taking any other medications which might interfere with the drug?
• Are any of her daily activities causing the pain?

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A client who had a laminectomy reports new onset of severe back pain. What responses by the nurse are most appropriate for the client at this time? Select all that apply.
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For a patient who has had a laminectomy, and who reports with back pain, the responses by the nurse which are most appropriate at this time are discussed below.
Option A is "How is your pain on a scale of 1-10?" This would give an assessment of how bad the pain is and if it really needs any immediate attention. This is one of the correct options.
Option B is asking the patient to describe the pain. This is not the correct option.
Option C is not the correct option since the patient cannot be laughing in pain.
Option D is one of the correct options. Giving some medication for the pain is one of the correct responses by the nurse.
Option E is also one of the correct options. Making the patient comfortable in whichever position he feels comfortable is good. Also, finding out which positions are painful give a idea of what the origin of the pain is.
Hence, the correct options would be A, D, and E.

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An older woman visits the neurologist for low back pain that she has had for several months. She has been taking high doses of ibuprofen and acetaminophen every day with some pain relief. After a thorough physical examination, the neurologist starts her on pregabalin (Lyrica) 75 mg twice daily for pain. As her office nurse, you are preparing for health teaching. How might you find the best evidence to help prepare her teaching plan?
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Answer:

A patient has been taking ibuprofen and acetaminophen in high doses for several months for severe back pain.
For a patient who has been prescribed pregabalin for pain and who has used high doses of ibuprofen and acetaminophen, the best evidence to help prepare her teaching plan can be found by making her talk.
Usually patients are very willing to talk to medical personnel and are open to all the problems they face. So, by talking to her with care and love, we can instill that confidence in her.
By asking her the regular schedule which she follows, we can adjust her medication to her lifestyle. We can also give some advice to reduce further worsening of the pain by telling her to be fit.

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An older client who has advanced Alzheimer's disease is admitted to the clinical unit after abdominal surgery and is guarding her abdomen and moaning. What action will the nurse take?
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An older woman visits the neurologist for low back pain that she has had for several months. She has been taking high doses of ibuprofen and acetaminophen every day with some pain relief. After a thorough physical examination, the neurologist starts her on pregabalin (Lyrica) 75 mg twice daily for pain. As her office nurse, you are preparing for health teaching. What are the concerns about her current pain management regimen?
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An older client takes acetaminophen (Tylenol) 2000 mg daily for osteoarthritis. What health teaching will the nurse provide for the client related to this medication?
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An older woman visits the neurologist for low back pain that she has had for several months. She has been taking high doses of ibuprofen and acetaminophen every day with some pain relief. After a thorough physical examination, the neurologist starts her on pregabalin (Lyrica) 75 mg twice daily for pain. As her office nurse, you are preparing for health teaching. What nonpharmacologic methods might benefit her? How will you determine if they are appropriate for her values and beliefs?
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A client has a one-time order for morphine 2 mg IV push. The drug is available as 5 mg/mL. The nurse administers _____ mL of morphine for one dose
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A nursing technician reports that a postoperative client who is receiving IV PCA morphine is very drowsy, unable to complete a sentence without falling asleep, and has a respiratory rate of 12 breaths per minute. What is the nurse's first action at this time?
Multiple Choice
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