ATI LPN
Timby's Introductory Medical-Surgical Nursing Thirteenth, North American Edition
Chapter 11 : Pain Management Questions
Question 1 of 5
A client is being taught to self-administer a narcotic analgesic by means of an intravenous pump system. Which of the following functions is designed to help prevent the client from unintentionally overdosing?
Correct Answer: C
Rationale: When the client is being taught to self-administer a narcotic analgesic, the dosage and time interval between doses are programmed into the intravenous pump system to prevent accidental overdose. The frequency or dosage of the narcotic analgesic need not be reduced. Although a schedule chart is useful to the client, it does not effectively prevent accidental overdose.
Question 2 of 5
Which of the following nursing interventions contributes to achieving a client's pain relief?
Correct Answer: B
Rationale: The nurse should collaborate with each client to set a goal for a level of pain relief; this helps implement interventions for achieving the goal. The client's description of pain or need for pain relief should never doubted or minimized. The client need not refrain from self-administering analgesics; providing a client with equipment to self-administer analgesics promotes a more consistent level of pain relief. The nurse should also inform the client of available pain management techniques and incorporate any preferences or objections to interventions for pain management that the client may have when establishing a plan of care; using all forms of available pain management techniques is not necessary.
Question 3 of 5
How should the administration of analgesics be scheduled to provide a uniform level of pain relief to a client?
Correct Answer: A
Rationale: Routine scheduling of the administration of analgesics, rather than on an as-needed basis, often affords a uniform level of pain relief. Administering the analgesics intravenously or with increased dosage is not advisable unless prescribed by the physician.
Question 4 of 5
A client is prescribed pain medications. Which of the following interventions will enable the client to consume an adequate meal during treatment?
Correct Answer: C
Rationale: Some pain medications may cause nausea or sedation. However, pain medications administered 30 to 45 minutes before meals may enable the client to consume enough food. Administering the medication with plenty of fruit juice, intravenously, or 30 to 45 minutes after meals does not minimize the risk for imbalanced nutrition in a client with pain.
Question 5 of 5
A client has been using NSAIDs daily over an extended period. Which of the following effects should the nurse carefully monitor for in this client?
Correct Answer: D
Rationale: NSAIDs when used daily over an extended period may cause undesirable side effects such as gastrointestinal bleeding. Use of analgesics does not increase the risk for developing cardiac disorders, urinary tract infections, or hypothyroidism.