A patient is receiving IV morphine sulfate for pain management. Which assessment finding would cause
the nurse to notify the health care provider?
pupillary constriction
hypoactive bowel sounds
BP 160/80 mm Hg
RR of 8 breaths/minute - RR of 8
Which clinical manifestation should the nurse attribute to adverse effects of morphine sulfate
administered via PCA?
Diarrhea
Urinary incontinence
Nausea and vomiting
increased blood pressure - Nausea and vomiting
Morphine sulfate promotes nausea and vomiting by directly stimulating the chemoreceptor trigger zone
in the medulla. Other common side effects include constipation, sedation, respiratory depression,
decreased blood pressure, and pruritus.
Which statement describes referred pain
painful response to normal innocuous stimuli
pain arises from skin and mucous membranes
,prolonged pain after the original noxious stimuli ends
pain perceived at a different location than noxious stimuli - pain perceived at a different location
than noxious stimuli
Which brain structure is responsible for localization and characteristic of pain
limbic system
cortical system
somatosensory system
reticular activation system - somatosensory system
which assessment is of highest priority for the nurse to complete before administration of morphine
pain rating
BP
respiratory rate
LOC - respiratory rate
RR below 12 breaths/min= sign of opioid toxicity
A patient who has a history of opioid abuse has been admitted following an appendectomy. The health
care provider prescribed a narcotic analgesic for pain. which action would the nurse take?
, avoid medicating the pain to prevent re addiction
be sure the patient is really in pain before giving meds
conduct an assessment and manage the patient's reported pain
observed for objective signs of pain before administering medication - conduct an assessment and
manage the patient's reported pain
pain is subjective- patient's report of pain
which pain dimension is a patient with anxiety and anger demonstrating
affective
cognitive
behavioral
physiologic - affective
affective: emotional response
cognitive: beliefs/memories attributed to pain
behavioral: observable actions (grimacing)
physiologic: physical determinants (genetic/anatomic)
which health problem is associated with deafferentation pain