CHAPTER 36: PAIN MANAGEMENT YOOST & CRAWFORD: FUNDAMENTALS OF NURSING: ACTIVE LEARNING FOR COLLABORATIVE PRACTICE, 2ND EDITION

The nurse is caring for a patient recovering from knee replacement surgery. The patient complains of severe pain in the knee after receiving hydrocodone with acetaminophen (Vicodin) 2 hours previously. What is the nurse's best action? a. Administer another dose of the medication. b. Apply ice packs to the knee. c. Apply heat packs to the knee. d. Perform gentle range of motion. B The nurse is checking on the patient after administering pain medication 30 minutes previously. Which assessment finding best indicates to the nurse that the pain medication was effective? a. The patient is sleeping quietly. b. The patient states a reduction of the pain. c. The patient's respirations are slow and regular. d. The patient's blood pressure has returned to baseline. B The nurse is caring for a patient who has severe abdominal pain caused by acute cholecystitis. The nurse recognizes which type of pain is this patient experiencing? a. Visceral pain b. Somatic pain c. Radiating pain d. Referred pain A The nurse knows which is the best pain medication option for a patient to manage severe long-term cancer pain at home? a. Fentanyl (Duragesic) 50 mcg transdermal patch q 72 hours b. Meperidine (Demerol) 50 mg IM q 6 hours c. Hydromorphone (Dilaudid) 0.2 mg q 10 minutes IV via PCA pump d. Hydromorphone (Dilaudid) 0.08 mg/hour infusion through epidural catheter A The nurse is caring for a patient with severe chronic pain and applied the first 50 mcg transdermal fentanyl (Duragesic) patch 2 hours ago. The patient states that the pain is presently rated at 9 on a 1 to 10 scale. What is the nurse's best action? a. Instruct the patient that the fentanyl patch will start to work soon. b. Check the provider's orders for a short-acting narcotic medication to administer for breakthrough pain. c. Give the patient a gentle back rub and encourage guided imagery. d. Apply a second 25-mcg transdermal fentanyl patch now. B The nurse is caring for a patient who has been taking ibuprofen (Motrin) 800 mg TID for the last several months to relieve knee pain from arthritis. Which assessment finding must be reported by the nurse to the provider promptly? a. The patient has abdominal pain and pale skin. b. The patient has constipation and takes stool softeners daily. c. The patient enjoys a glass of wine every Friday and Saturday evening. d. The patient has gained 15 lb. in the last 3 months. A