She was admittedįor investigation of functional abdominal pain and is scheduled forĤ. Middle-aged woman who is demanding and needy. He is using the patient-controlled analgesia (PCA) pumpįrequently with good relief and occasionally asks for bolus doses.ģ. Elderly man who underwent total knee replacement surgery 2 daysĪgo. He reports a continuous headache that isĢ. Order in which you will check on the following clients.ġ. You have received the shift report from the night nurse.

Give the maximum PRN dose within the minimum time frame for Look at the MAR and chart to note the time of the last dose ofĤ. Obtain baseline behavioral indicators from family members.ģ. Closely assess for nonverbal signs such as grimacing or rocking.Ģ. What is the first action that you should take?ġ. For a cognitively impaired client who cannot accurately report pain, Follow a personal code of ethics and refuse to participate.Ĥ. Check the hospital policy regarding the use of a placebo.ģ. Prepare the medication and hand it to the physician.Ģ. What is the first action that you shouldġ. You are a newly hired nurse and you feel very uncomfortableĪdministering the medication. The physician has ordered a placebo for a client with chronic pain. Evaluating relief after applying a cold compress 16. Coaching the client to deep breathe during painful proceduresĤ. Monitoring the client for signs of discomfort while ambulatingģ. Assisting the client with preparation of a sitz bathĢ. In the care of clients with pain and discomfort, which task is mostġ. A client's opioid therapy is being tapered off, and the nurse is Seek family assistance in resolving this problem. Explain that addiction is unlikely among acute care clients.Ĥ. Provide accurate information about the use of pain medication.ģ. Encourage expression of fears and past experiences.Ģ. Lives.' What is the priority intervention for this client?ġ. Medication, because 'my sibling is a drug addict and has ruined our A client is crying and grimacing but denies pain and refuses pain Child with an arm fracture and cystic fibrosis 13. Young female client with advanced multiple myelomaĤ. Client with a heroin addiction and back painģ.

Elderly client with chronic pain who has a hip fractureĢ. Which client is at greatest risk for respiratory depression whileġ. Double-check the drug order to see what the client should have Obtain a bag-valve mask and deliver breaths at 20/min.Ĥ. Assess the client's responsiveness and respiratory status.ģ. Call the physician to obtain an order for naloxone (Narcan).Ģ. A client received 'as needed' (PRN) morphine, lorazepam (Ativan),Īnd cyclobenzaprine (Flexeril).

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