The nurse is administering ibuprofen (Advil) to an older patient. Which of the following assessment data causes the nurse to hold the medication? (Select all that apply.)

The nurse is administering ibuprofen (Advil) to an older patient. Which of the following assessment data causes the nurse to hold the medication? (Select all that apply.)

a. Past medical history of gastric ulcer

b. Patient states last bowel movement was 4 days ago

c. Stated allergy to aspirin

d. Patient states has 2/10 intermittent joint pain

e. Patient experienced respiratory depression after administration of an opioid medication




Answer: A, C

The nurse is caring for an infant in the intensive care unit. Which of the following is the most accurate description of factors that will influence the perception and management of pain for this patient?

The nurse is caring for an infant in the intensive care unit. Which of the following is the most accurate description of factors that will influence the perception and management of pain for this patient?

a. Infants cannot tolerate analgesics owing to an underdeveloped metabolism.

b. Infants have an increased sensitivity to pain when compared with older children.

c. Pain cannot be accurately assessed in infants.

d. Infants respond behaviorally and physiologically to painful stimuli.




Answer: D

A nurse is caring for a patient who fell on the ice and has connective tissue damage in the wrist and hand. What does type of pain does the nurse document that the patient has?

A nurse is caring for a patient who fell on the ice and has connective tissue damage in the wrist and hand. What does type of pain does the nurse document that the patient has?

a. Visceral pain

b. Somatic pain

c. Peripherally generated pain

d. Centrally generated pain





Answer: B

Which of the following is the best way for the nurse to manage pain for a patient with chronic pain from arthritis?

Which of the following is the best way for the nurse to manage pain for a patient with chronic pain from arthritis?

a. Administer pain medication before any activity.

b. Provide intravascular bolus as needed for breakthrough pain.

c. Give medications around-the-clock.

d. Administer pain medication only when non-pharmacological measures have failed.



Answer: C

The nurse is caring for a patient who recently had surgery to repair a hernia. The patients pain was 7 out of 10 before receiving pain medication. One hour after receiving an oral opioid, the patient ranks his pain at 3 out of 10. The patient asks the nurse why he isn't receiving more pain medication. Which is the nurses best response?

The nurse is caring for a patient who recently had surgery to repair a hernia. The patients pain was 7 out of 10 before receiving pain medication. One hour after receiving an oral opioid, the patient ranks his pain at 3 out of 10. The patient asks the nurse why he isn't receiving more pain medication. Which is the nurses best response?

a. This medication can be given only every 4 hours. It is not time for you to have any other pain medication right now.

b. I will notify the health care provider to come perform an assessment if your pain doesn't improve in 30 minutes.

c. If the pain becomes severe, we may need to transfer you to an intensive care unit.

d. It can take 2 hours for oral pain medication to work, and your pain is going down. Lets try boosting you up in bed and putting an ice pack on the incision to see if that helps.




Answer: D

The nurse is caring for a patient who suddenly experiences chest pain. What is the nurses first priority?

The nurse is caring for a patient who suddenly experiences chest pain. What is the nurses first priority?

a. Call the rapid response team.

b. Ask the patient to rate and describe the pain.

c. Raise the head of the bed.

d. Administer pain relief medications.




Answer: B