ATI RN FUNDAMENTALS PROCTORED EXAM

A nurse is obtaining history from a client who has pain. The nurse's guiding principle throughout this process should be that: A. some clients exaggerate their level of pain B. pain must have an identifiable source to justify the use of opioids. C. objective data are essential in assessing pain D. pain is whatever the client says it is D. pain is whatever the client says it is Rational: the client is the best source of information in their pain, it is a subjective experience A nurse is caring for a client who is receiving morphine via a PCA infusion device after abdominal surgery. Which of the following statements indicates that the client knows how to use the device? A. "I'll wait to use the device until it's absolutely necessary." B. "I'll be careful about pushing the button so I don't get an overdose." C. "I should tell the nurse if the pain doesn't stop after I use this device." D. "I will ask my son to push the dose button when I am sleeping." C. "I should tell the nurse if the pain doesn't stop after I use this device." Rational: The client should let the nurse know if not receiving adequate pain control, so they can reevaluate the pain control plan A nurse is monitoring a client who is receiving opioid analgesia for adv effects of the med. Which of the following effects should the nurse anticipate? Select all. A. Urinary incontinence B. Diarrhea C. Bradypnea D. Orthostatic hypotension E. Nausea C, D, E Rational: Urinary retention, not incontinence is an adverse effect of these meds as well as constipation, not diarrhea