The nurse wants to document an assessment of the amount of pain a patient is
experiencing. Which of the following methods will provide the most accurate information
regarding the level of a patient's pain?
a) Assess the patient's nonverbal indicators of pain.
b) Use a numeric pain scale and have the patient rate their pain.
c) Ask open-ended questions about the patient's pain.
d) Have the patient indicate if the pain is high or low.
- b) Use a numeric pain scale and have the patient rate their pain.
Pain is subjective and specific to the patient. A numeric pain scale is a self-report tool
where the numbers range from 0 (no pain) to 10 (worst possible pain). Other responses
will not provide specific information about the level of the patient's pain.
A patient is requesting medication for pain. Which of the following is the best way for the
nurse to ensure effective pain management for the patient?
a) Complete an assessment of the patient's pain.
b) Administer an analgesic ordered for the patient.
c) Implement nonpharmacological interventions.
d) Have the patient self-select a treatment for pain.
- a) Complete an assessment of the patient's pain.
Accurately assessing pain can lead to effective pain management. Because so many
factors play a role in pain perception and it is very subjective, assessment has to
depend on the patient's report of pain. Other responses will not provide specific
information about the patient's pain.
Narcotic pain management patient education principles for adults include which of the
following? (Select all that apply.)
a) Request pain medications before pain gets unbearable.
b) Self-regulation of intravenous narcotics can be offered.
c) Addiction to narcotics is common during treatment.
d) Women who are pregnant can safely use narcotics.
e) Opioids such as morphine can be given during labor.
- a) Request pain medications before pain gets unbearable.
b) Self-regulation of intravenous narcotics can be offered.
e) Opioids such as morphine can be given during labor.
, The nurse should encourage patients to ask for pain medication before the pain is acute
to get better coverage for their pain. Many institutions allow patients to self-regulate
intravenous drips to control their pain postoperatively. Morphine is used for analgesia
during labor. Risk of addiction to a narcotic during treatment is remote. Opioids should
only be used with caution during pregnancy.
A patient has the following vital signs. Which vital sign will need to be closely monitored
if the patient receives an opioid (narcotic)?
a) Pulse: 88 beats/min
b) Respirations: 14 breaths/min
c) Temperature: 98.6 F (37.0 C)
d) Blood pressure: 132/86 mmHg
- b) Respirations" 14 breaths/min
The narcotic agonists act at specific receptor sites in the central nervous system (CNS).
They produce rapid analgesia, sedation, and respiratory depression. The most
frequently seen adverse effect associated with narcotic agonists relates to their effects
on various opioid receptors. Respiratory depression with apnea may result from
narcotic-induced respiratory center depression.
A patient is prescribed morphine for pain. Which of the following administration routes
would provide the most reliable way to achieve therapeutic levels of morphine?
a) Intramuscular
b) Oral
c) Subcutaneous
d) Intravenous
- d) Intravenous
Intravenous (IV) administration is the most reliable way to achieve therapeutic levels of
narcotics. Oral, intramuscular (IM), and subcutaneous administration offer varying rates
of absorption.
A patient is prescribed ketorolac tromethamine 40 mg orally twice a day for 10 days.
Which of the following components of the prescription should the nurse clarify with the
healthcare provider?
a) Frequency (twice a day)
b) Route (orally)
c) Duration (for 10 days)
d) Dose (40 mg)
- c) Duration (for 10 days)