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What is the best approach for a nurse to use when planning pain relief measures?
- A. Use a variety of pain relief methods.
- B. Use only nonopioid analgesics.
- C. Use at least three alternating methods.
- D. Use only one method at a time.
Correct Answer: A
Rationale: A variety of methods applied simultaneously have an additive effect on pain control.
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The nurse is trying to establish an effective relationship with a patient in pain. What is the best statement for the nurse to make when beginning the assessment?
- A. I'll check to see if you can have anything.
- B. Let me give you a backrub and see if it helps.
- C. I believe you are in pain.
- D. When was your last medication for pain?
Correct Answer: C
Rationale: A nursing intervention to establish an effective relationship is to believe the patient. Although the other options are not wrong, they do not help establish an effective relationship.
Why should a nurse promptly administer a prescribed analgesic after a pain assessment?
- A. The health care provider has ordered it.
- B. It is an efficient use of time.
- C. Unrelieved pain can cause setbacks.
- D. It meets the goals of the nursing care plan.
Correct Answer: C
Rationale: Appropriate pain management can bring about quicker recoveries, shorter hospital stays, fewer readmissions, and can improve the quality of life.
What is the defining term for continuous or intermittent pain that may not be indicative of tissue damage?
- A. Acute
- B. Unrelieved
- C. Chronic
- D. Subacute
Correct Answer: C
Rationale: Chronic pain can be continuous or intermittent and may not be indicative of tissue damage.
A patient tearfully declares the use of relaxation techniques does not work for her. What is the best action for the nurse to implement?
- A. Give up on the idea.
- B. Encourage the patient to try again.
- C. Assure the patient that not everyone is successful.
- D. Give the patient a sedative.
Correct Answer: B
Rationale: Some alternative approaches to pain control require practice. Encouragement to try again is appropriate.
Which documentation sample is the most helpful to share assessment findings and pain relief interventions?
- A. 1600: Patient reports chest pain. Medicated with morphine sulfate.
- B. 1600: Patient reports sharp chest pain. Morphine sulfate given IM.
- C. 1600: Patient reports sharp pain in left chest radiating to neck. Morphine sulfate 5 mg administered IM in right deltoid.
- D. 1600: Patient requested medication for pain in left chest. Morphine sulfate 10 mg PO given.
Correct Answer: C
Rationale: The nurse should record subjective information relative to the pain, as well as the intervention and administration route.