ATI LPN
Timby's Introductory Medical-Surgical Nursing Thirteenth, North American Edition
Chapter 11 : Pain Management Questions
Question 1 of 5
A preschool-age child is admitted for reports of abdominal pain and vomiting. What is the best method for the nurse to collect data about the pain level of the child?
Correct Answer: B
Rationale: The Faces scale is best for pediatric, culturally diverse, and mentally challenged clients. It uses pictures and short descriptive phrases. The preschool-age child would have difficulty understanding the meaning of numbers in relation to pain. Asking the child to describe the pain does not give information about the level of pain the child is experiencing. Because the preschool child has a limited vocabulary, a word scale would not be appropriate for the rating of pain.
Question 2 of 5
The nurse is administering a narcotic analgesic for the control of a newly postoperative client's pain. What medication will the nurse administer to this client?
Correct Answer: D
Rationale: Opioid and opiate analgesics such as morphine and fentanyl are controlled substances referred to as narcotics. The other medications are not opioid analgesics and should not be given for a newly postoperative client.
Question 3 of 5
A client informs the nurse that of having taken ibuprofen every 6 hours for 3 weeks to help alleviate the pain of arthritis. The client has a history of a gastric ulcer and is taking a proton pump inhibitor for the treatment of this disorder. What should the nurse instruct the client about the use of the ibuprofen?
Correct Answer: C
Rationale: Clients should not use an over-the-counter analgesic agent, such as aspirin, ibuprofen, or acetaminophen, consistently to treat chronic pain without first consulting a physician. Ibuprofen is not contraindicated when taking a proton pump inhibitor. Asking 'Don't you know that you can cause bleeding when you take that medication so often?' implies accusation and is not a therapeutic response.
Question 4 of 5
A client is receiving morphine sulfate intravenously (IV) every 4 hours as needed for the relief of pain related to a surgical procedure the client had 3 days previously. The physician is discontinuing the IV and will be starting the client on oral pain medication. What would provide the client with optimal pain relief when discontinuing the IV dose?
Correct Answer: B
Rationale: When changing from a parenteral to an oral route, it is best to administer an equianalgesic dose, an oral dose that provides the same level of pain relief as when the drug is given by a parenteral route. Administering a lower dose of the medication will not provide the client with an adequate pain relief. Administering an IM dose may decrease the absorption and not provide the client with adequate relief. Administering a higher dose may cause side effects that would be detrimental to the client.
Question 5 of 5
A client sustained severe burns over both lower extremities 1 week ago. The client informs the nurse of having had to wait for 30 minutes the night before to receive pain medication, which caused the pain not to be relieved after administration. What suggestions could the nurse make to the physician to provide adequate relief of pain?
Correct Answer: A
Rationale: Patient-controlled analgesia (PC
A) allows clients to self-administer their own narcotic analgesic by means of an intravenous pump system. The client infuses the drug by pressing a hand-held button. The dose and time intervals between doses are programmed into the device to prevent accidental overdose. The nurse should not be late when administering a pain medication; giving an extra dose, increasing the frequency, or increasing the dose also increases the risk of overdosing the client.