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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.
You may also like to solve these questions
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.
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.
A young athlete asks the nurse why he felt little pain when he broke his leg during a game. Which of the following can have an effect on this patient's perception of pain?
- A. Hormones
- B. Enzymes
- C. Adrenaline
- D. Endorphins
Correct Answer: D
Rationale: Endorphins found in the pituitary gland and other areas of the central nervous system create the same effect as morphine, producing an analgesic effect.
A patient reports to the nurse that he is experiencing a moderate amount of back pain rated 6 out of 10 on the pain scale. What should the nurse recognize about this assessment?
- A. Pain is objective for the nurse.
- B. Pain is easy to recognize.
- C. Pain is subjective for the patient.
- D. Pain is easily relieved if found early.
Correct Answer: C
Rationale: Pain is subjective. Pain is exactly what the patient says it is.
The nurse is assessing pain reported by a Latino male patient. What is important for the nurse to take into consideration when observing objective data?
- A. Latino men are suspicious of female caregivers.
- B. Latino men have a cultural bias against use of narcotics.
- C. Latino men believe pain is necessary for cure.
- D. Latino men feel it is unmanly to admit to pain.
Correct Answer: D
Rationale: Many Latino men feel that to admit to being in pain is unmanly.