Comfort and Pain Management

Question 1 of 5

Based on this opening description of pain, what other information would be helpful in determining the plan of care? Select all that apply.

A. Assessment of the quality of care provided by the endocrinologist

B. Carla's wife's objective view of the patient's pain progression

C. Identification of anything that seems to trigger the pain

D. Interventions that have been tried-what worked and what did not work

Correct Answer:

Rationale:

Question 2 of 5

Based on the objective and subjective assessment of this patient, where should the nurse focus the initial efforts of the interprofessional team?

A. Collaborating with the endocrinologist to manage the patient's blood glucose and A1c

B. Consulting psychiatry to set up a medication regimen to treat the patient's anxiety and depression

C. Working with the provider, the patient, and the patient's wife to address functional pain goals

D. Providing detailed information on the microvascular and macrovascular complications of type 2 diabetes

Correct Answer:

Rationale:

Question 3 of 5

Based on this information, the provider decides to add pharmacologic strategies to the plan of care. Which interventions are the priority for Carla? Select all that apply.

A. Provide information about a multimodal pain regimen

B. Focus on the side effects of high-dose immediate-release opioids

C. Discuss the significant risk for addiction with Carla and her wife

D. Teach adjuvant medications such as gabapentin for treatment of neuropathic pain

Correct Answer:

Rationale:

Question 4 of 5

What other intervention(s) can be implemented for Carla?

A. Nothing quite yet-we need to see how the medications work before implementing other interventions.

B. The nurse could collaborate with Carla's wife to substitute the medications for placebos to see if the idea of medication helps the pain.

C. Carla could take any number of over-the-counter (OTC) and herbal supplements to augment the medications.

D. The nurse could ask Carla if she is willing to incorporate imagery, mindfulness, or other nonpharmacologic interventions.

Correct Answer:

Rationale:

Question 5 of 5

How will the nurse and Carla know that the treatment plan has been effective?

A. Carla is completely pain free but is taking large doses of OTC acetaminophen.

B. Carla reports some pain but states she was able to engage in the full walking tour with occasional rest periods.

C. Carla admits that she is not taking the medication because she has just learned to live with the pain.

D. Carla tried a few nonpharmacologic recommendations but has opted to simply double the prescribed dose.

Correct Answer:

Rationale:

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