Quiz 3: Assessment and Care of Patients With Pain

Nursing

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?

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.

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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