!!!!!!
⪛⪴⪴⪷⪱⪘ ⪞⪴⪸εΘΙ ΙμλΜι Ιππππ ιΤΜΜτλμτΧ⪛⪴⪴ ⪷⪱⪘⪞ ⪴⪸εΘΙΙ μλΜιΙ ππππ !!!!!! ιΤΜΜτλμτΧ
⪛⪴⪴⪷⪱⪘ ⪞⪴⪸εΘΙ ΙμλΜι Ιππππ !!!!!! ιΤΜΜτλμτΧ⪛⪴⪴ ⪷⪱⪘⪞ ⪴⪸εΘΙΙ μλΜιΙ ππππ !!!!!! ιΤΜΜτλμτΧ
⪛⪴⪴⪷⪱⪘ ⪞⪴⪸εΘΙ ΙμλΜι Ιππππ !!!!!! ιΤΜΜτλμτΧ⪛⪴⪴ ⪷⪱⪘⪞ ⪴⪸εΘΙΙ μλΜιΙ ππππ !!!!!! ιΤΜΜτλμτΧ
⪛⪴⪴⪷⪱⪘ ⪞⪴⪸εΘΙ ΙμλΜι Ιππππ !!!!!! ιΤΜΜτλμτΧ⪛⪴⪴ ⪷⪱⪘⪞ ⪴⪸εΘΙΙ μλΜιΙ ππππ !!!!!! ιΤΜΜτλμτΧ
⪛⪴⪴⪷⪱⪘ ⪞⪴⪸εΘΙ ΙμλΜι Ιππππ !!!!!! ιΤΜΜτλμτΧ⪛⪴⪴ ⪷⪱⪘⪞ ⪴⪸εΘΙΙ μλΜιΙ ππππ !!!!!! ιΤΜΜτλμτΧ
⪛⪴⪴⪷⪱⪘ ⪞⪴⪸εΘΙ ΙμλΜι Ιππππ !!!!!! ιΤΜΜτλμτΧ⪛⪴⪴ ⪷⪱⪘⪞ ⪴⪸εΘΙΙ μλΜιΙ ππππ !!!!!! ιΤΜΜτλμτΧ
NUR 424- Exam Questions with verified
solutions
Which postoperative client is manifesting the most serious negative effect of
! ! ! ! ! ! ! ! ! !
inadequate pain management?
! ! ! !
1. Demonstrates continuous use of call bell related to unsatisfied needs and
! ! ! ! ! ! ! ! ! ! !
discomfort
!
2. Develops venous thromboembolism related to immobility caused by pain and
! ! ! ! ! ! ! ! ! !
discomfort
!
3. Refuses to participate in physical therapy because of fear of pain caused by
! ! ! ! ! ! ! ! ! ! ! ! !
exercises
!
4. Feels depressed about loss of function and hopeless about getting relief from
! ! ! ! ! ! ! ! ! ! ! !
pain - correct answer ✔2. Develops venous thromboembolism related to
! ! ! ! ! ! ! ! ! !
immobility caused by pain and discomfort
! ! ! ! ! !
A client with chronic pain reports to the charge nurse that the other nurses have
! ! ! ! ! ! ! ! ! ! ! ! ! !
not been responding to requests for pain medication. What is the charge nurse's
! ! ! ! ! ! ! ! ! ! ! ! !
initial action?
! ! !
1. Check the medication administration records for the past several days
! ! ! ! ! ! ! ! ! !
⪛⪴⪴⪷⪱⪘ ⪞⪴⪸εΘΙ ΙμλΜι Ιππππ !!!!!! ιΤΜΜτλμτΧ⪛⪴⪴ ⪷⪱⪘⪞ ⪴⪸εΘΙΙ μλΜιΙ ππππ !!!!!! ιΤΜΜτλμτΧ
⪛⪴⪴⪷⪱⪘ ⪞⪴⪸εΘΙ ΙμλΜι Ιππππ !!!!!! ιΤΜΜτλμτΧ⪛⪴⪴ ⪷⪱⪘⪞ ⪴⪸εΘΙΙ μλΜιΙ ππππ !!!!!! ιΤΜΜτλμτΧ
⪛⪴⪴⪷⪱⪘ ⪞⪴⪸εΘΙ ΙμλΜι Ιππππ !!!!!! ιΤΜΜτλμτΧ⪛⪴⪴ ⪷⪱⪘⪞ ⪴⪸εΘΙΙ μλΜιΙ ππππ !!!!!! ιΤΜΜτλμτΧ
⪛⪴⪴⪷⪱⪘ ⪞⪴⪸εΘΙ ΙμλΜι Ιππππ !!!!!! ιΤΜΜτλμτΧ⪛⪴⪴ ⪷⪱⪘⪞ ⪴⪸εΘΙΙ μλΜιΙ ππππ !!!!!! ιΤΜΜτλμτΧ
⪛⪴⪴⪷⪱⪘ ⪞⪴⪸εΘΙ ΙμλΜι Ιππππ !!!!!! ιΤΜΜτλμτΧ⪛⪴⪴ ⪷⪱⪘⪞ ⪴⪸εΘΙΙ μλΜιΙ ππππ !!!!!! ιΤΜΜτλμτΧ
⪛⪴⪴⪷⪱⪘ ⪞⪴⪸εΘΙ ΙμλΜι Ιππππ !!!!!! ιΤΜΜτλμτΧ⪛⪴⪴ ⪷⪱⪘⪞ ⪴⪸εΘΙΙ μλΜιΙ ππππ !!!!!! ιΤΜΜτλμτΧ
, !!!!!!
⪛⪴⪴⪷⪱⪘ ⪞⪴⪸εΘΙ ΙμλΜι Ιππππ ιΤΜΜτλμτΧ⪛⪴⪴ ⪷⪱⪘⪞ ⪴⪸εΘΙΙ μλΜιΙ ππππ !!!!!! ιΤΜΜτλμτΧ
⪛⪴⪴⪷⪱⪘ ⪞⪴⪸εΘΙ ΙμλΜι Ιππππ !!!!!! ιΤΜΜτλμτΧ⪛⪴⪴ ⪷⪱⪘⪞ ⪴⪸εΘΙΙ μλΜιΙ ππππ !!!!!! ιΤΜΜτλμτΧ
⪛⪴⪴⪷⪱⪘ ⪞⪴⪸εΘΙ ΙμλΜι Ιππππ !!!!!! ιΤΜΜτλμτΧ⪛⪴⪴ ⪷⪱⪘⪞ ⪴⪸εΘΙΙ μλΜιΙ ππππ !!!!!! ιΤΜΜτλμτΧ
⪛⪴⪴⪷⪱⪘ ⪞⪴⪸εΘΙ ΙμλΜι Ιππππ !!!!!! ιΤΜΜτλμτΧ⪛⪴⪴ ⪷⪱⪘⪞ ⪴⪸εΘΙΙ μλΜιΙ ππππ !!!!!! ιΤΜΜτλμτΧ
⪛⪴⪴⪷⪱⪘ ⪞⪴⪸εΘΙ ΙμλΜι Ιππππ !!!!!! ιΤΜΜτλμτΧ⪛⪴⪴ ⪷⪱⪘⪞ ⪴⪸εΘΙΙ μλΜιΙ ππππ !!!!!! ιΤΜΜτλμτΧ
⪛⪴⪴⪷⪱⪘ ⪞⪴⪸εΘΙ ΙμλΜι Ιππππ !!!!!! ιΤΜΜτλμτΧ⪛⪴⪴ ⪷⪱⪘⪞ ⪴⪸εΘΙΙ μλΜιΙ ππππ !!!!!! ιΤΜΜτλμτΧ
2. Ask the nurse educator to provide in-service training about pain management
! ! ! ! ! ! ! ! ! ! ! !
3. Perform a complete pain assessment on the client and take a pain history
! ! ! ! ! ! ! ! ! ! ! ! !
4. Have a conference with the staff nurses to assess their care of this client -
! ! ! ! ! ! ! ! ! ! ! ! ! ! !
correct answer ✔4. Have a conference with the staff nurses to assess their care
! ! ! ! ! ! ! ! ! ! ! ! ! !
of this client
! ! !
According to recent guidelines from the American Pain Society in collaboration ! ! ! ! ! ! ! ! ! !
with the American Society of Anesthesiologists, what are the priority pain
! ! ! ! ! ! ! ! ! ! !
management strategies that the nurse would expect to see in the pain
! ! ! ! ! ! ! ! ! ! ! !
management for post-surgical clients? SATA.
! ! ! ! ! !
1. Acetaminophen and/or NSAIDS for management of postoperative pain in
! ! ! ! ! ! ! ! !
adults and children without contraindications
! ! ! ! !
2. Surgical site-specific peripheral regional anesthetic techniques in adults and
! ! ! ! ! ! ! ! !
children for procedures
! ! ! !
3. Neuraxial (epidural) analgesia for major thoracic and abdominal procedures if
! ! ! ! ! ! ! ! ! !
the client has risk for cardiac complications or prolonged ileus
! ! ! ! ! ! ! ! ! !
4. Multimodal therapy that could include opioids and nonopioid therapies,
! ! ! ! ! ! ! ! !
regional anesthetic techniques, and nonpharmacologic therapies
! ! ! ! ! !
5. Long-acting oral opioids, especially in the immediate postoperative period, for
! ! ! ! ! ! ! ! ! !
continuous around-the-clock relief
! ! ! !
⪛⪴⪴⪷⪱⪘ ⪞⪴⪸εΘΙ ΙμλΜι Ιππππ !!!!!! ιΤΜΜτλμτΧ⪛⪴⪴ ⪷⪱⪘⪞ ⪴⪸εΘΙΙ μλΜιΙ ππππ !!!!!! ιΤΜΜτλμτΧ
⪛⪴⪴⪷⪱⪘ ⪞⪴⪸εΘΙ ΙμλΜι Ιππππ !!!!!! ιΤΜΜτλμτΧ⪛⪴⪴ ⪷⪱⪘⪞ ⪴⪸εΘΙΙ μλΜιΙ ππππ !!!!!! ιΤΜΜτλμτΧ
⪛⪴⪴⪷⪱⪘ ⪞⪴⪸εΘΙ ΙμλΜι Ιππππ !!!!!! ιΤΜΜτλμτΧ⪛⪴⪴ ⪷⪱⪘⪞ ⪴⪸εΘΙΙ μλΜιΙ ππππ !!!!!! ιΤΜΜτλμτΧ
⪛⪴⪴⪷⪱⪘ ⪞⪴⪸εΘΙ ΙμλΜι Ιππππ !!!!!! ιΤΜΜτλμτΧ⪛⪴⪴ ⪷⪱⪘⪞ ⪴⪸εΘΙΙ μλΜιΙ ππππ !!!!!! ιΤΜΜτλμτΧ
⪛⪴⪴⪷⪱⪘ ⪞⪴⪸εΘΙ ΙμλΜι Ιππππ !!!!!! ιΤΜΜτλμτΧ⪛⪴⪴ ⪷⪱⪘⪞ ⪴⪸εΘΙΙ μλΜιΙ ππππ !!!!!! ιΤΜΜτλμτΧ
⪛⪴⪴⪷⪱⪘ ⪞⪴⪸εΘΙ ΙμλΜι Ιππππ !!!!!! ιΤΜΜτλμτΧ⪛⪴⪴ ⪷⪱⪘⪞ ⪴⪸εΘΙΙ μλΜιΙ ππππ !!!!!! ιΤΜΜτλμτΧ
, !!!!!!
⪛⪴⪴⪷⪱⪘ ⪞⪴⪸εΘΙ ΙμλΜι Ιππππ ιΤΜΜτλμτΧ⪛⪴⪴ ⪷⪱⪘⪞ ⪴⪸εΘΙΙ μλΜιΙ ππππ !!!!!! ιΤΜΜτλμτΧ
⪛⪴⪴⪷⪱⪘ ⪞⪴⪸εΘΙ ΙμλΜι Ιππππ !!!!!! ιΤΜΜτλμτΧ⪛⪴⪴ ⪷⪱⪘⪞ ⪴⪸εΘΙΙ μλΜιΙ ππππ !!!!!! ιΤΜΜτλμτΧ
⪛⪴⪴⪷⪱⪘ ⪞⪴⪸εΘΙ ΙμλΜι Ιππππ !!!!!! ιΤΜΜτλμτΧ⪛⪴⪴ ⪷⪱⪘⪞ ⪴⪸εΘΙΙ μλΜιΙ ππππ !!!!!! ιΤΜΜτλμτΧ
⪛⪴⪴⪷⪱⪘ ⪞⪴⪸εΘΙ ΙμλΜι Ιππππ !!!!!! ιΤΜΜτλμτΧ⪛⪴⪴ ⪷⪱⪘⪞ ⪴⪸εΘΙΙ μλΜιΙ ππππ !!!!!! ιΤΜΜτλμτΧ
⪛⪴⪴⪷⪱⪘ ⪞⪴⪸εΘΙ ΙμλΜι Ιππππ !!!!!! ιΤΜΜτλμτΧ⪛⪴⪴ ⪷⪱⪘⪞ ⪴⪸εΘΙΙ μλΜιΙ ππππ !!!!!! ιΤΜΜτλμτΧ
⪛⪴⪴⪷⪱⪘ ⪞⪴⪸εΘΙ ΙμλΜι Ιππππ !!!!!! ιΤΜΜτλμτΧ⪛⪴⪴ ⪷⪱⪘⪞ ⪴⪸εΘΙΙ μλΜιΙ ππππ !!!!!! ιΤΜΜτλμτΧ
6. Neuraxial administration of - correct answer ✔1. Acetaminophen and/or
! ! ! ! ! ! ! ! !
NSAIDS for management of postoperative pain in adults and children without
! ! ! ! ! ! ! ! ! ! !
contraindications
!
2. Surgical site-specific peripheral regional anesthetic techniques in adults and
! ! ! ! ! ! ! ! !
children for procedures
! ! ! !
3. Neuraxial (epidural) analgesia for major thoracic and abdominal procedures if
! ! ! ! ! ! ! ! ! !
the client has risk for cardiac complications or prolonged ileus
! ! ! ! ! ! ! ! ! !
4. Multimodal therapy that could include opioids and nonopioid therapies,
! ! ! ! ! ! ! ! !
regional anesthetic techniques, and nonpharmacologic therapies
! ! ! ! ! !
The home health nurse is interviewing an older client with a history of heart
! ! ! ! ! ! ! ! ! ! ! ! !
failure and rheumatoid arthritis. The client reports "feeling pretty good, except
! ! ! ! ! ! ! ! ! ! !
for the pain and stiffness in my joints when I first get out of bed." Which member
! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! !
of the health care team would be the most appropriate to aid in the client's
! ! ! ! ! ! ! ! ! ! ! ! ! ! !
report of pain?
! ! ! !
1. Health care provider to review the dosage and frequency of pain medication
! ! ! ! ! ! ! ! ! ! ! ! !
2. Physical therapist for evaluation of function and possible exercise therapy
! ! ! ! ! ! ! ! ! !
3. Social worker to locate community resources for complementary therapy
! ! ! ! ! ! ! ! !
⪛⪴⪴⪷⪱⪘ ⪞⪴⪸εΘΙ ΙμλΜι Ιππππ !!!!!! ιΤΜΜτλμτΧ⪛⪴⪴ ⪷⪱⪘⪞ ⪴⪸εΘΙΙ μλΜιΙ ππππ !!!!!! ιΤΜΜτλμτΧ
⪛⪴⪴⪷⪱⪘ ⪞⪴⪸εΘΙ ΙμλΜι Ιππππ !!!!!! ιΤΜΜτλμτΧ⪛⪴⪴ ⪷⪱⪘⪞ ⪴⪸εΘΙΙ μλΜιΙ ππππ !!!!!! ιΤΜΜτλμτΧ
⪛⪴⪴⪷⪱⪘ ⪞⪴⪸εΘΙ ΙμλΜι Ιππππ !!!!!! ιΤΜΜτλμτΧ⪛⪴⪴ ⪷⪱⪘⪞ ⪴⪸εΘΙΙ μλΜιΙ ππππ !!!!!! ιΤΜΜτλμτΧ
⪛⪴⪴⪷⪱⪘ ⪞⪴⪸εΘΙ ΙμλΜι Ιππππ !!!!!! ιΤΜΜτλμτΧ⪛⪴⪴ ⪷⪱⪘⪞ ⪴⪸εΘΙΙ μλΜιΙ ππππ !!!!!! ιΤΜΜτλμτΧ
⪛⪴⪴⪷⪱⪘ ⪞⪴⪸εΘΙ ΙμλΜι Ιππππ !!!!!! ιΤΜΜτλμτΧ⪛⪴⪴ ⪷⪱⪘⪞ ⪴⪸εΘΙΙ μλΜιΙ ππππ !!!!!! ιΤΜΜτλμτΧ
⪛⪴⪴⪷⪱⪘ ⪞⪴⪸εΘΙ ΙμλΜι Ιππππ !!!!!! ιΤΜΜτλμτΧ⪛⪴⪴ ⪷⪱⪘⪞ ⪴⪸εΘΙΙ μλΜιΙ ππππ !!!!!! ιΤΜΜτλμτΧ
⪛⪴⪴⪷⪱⪘ ⪞⪴⪸εΘΙ ΙμλΜι Ιππππ ιΤΜΜτλμτΧ⪛⪴⪴ ⪷⪱⪘⪞ ⪴⪸εΘΙΙ μλΜιΙ ππππ !!!!!! ιΤΜΜτλμτΧ
⪛⪴⪴⪷⪱⪘ ⪞⪴⪸εΘΙ ΙμλΜι Ιππππ !!!!!! ιΤΜΜτλμτΧ⪛⪴⪴ ⪷⪱⪘⪞ ⪴⪸εΘΙΙ μλΜιΙ ππππ !!!!!! ιΤΜΜτλμτΧ
⪛⪴⪴⪷⪱⪘ ⪞⪴⪸εΘΙ ΙμλΜι Ιππππ !!!!!! ιΤΜΜτλμτΧ⪛⪴⪴ ⪷⪱⪘⪞ ⪴⪸εΘΙΙ μλΜιΙ ππππ !!!!!! ιΤΜΜτλμτΧ
⪛⪴⪴⪷⪱⪘ ⪞⪴⪸εΘΙ ΙμλΜι Ιππππ !!!!!! ιΤΜΜτλμτΧ⪛⪴⪴ ⪷⪱⪘⪞ ⪴⪸εΘΙΙ μλΜιΙ ππππ !!!!!! ιΤΜΜτλμτΧ
⪛⪴⪴⪷⪱⪘ ⪞⪴⪸εΘΙ ΙμλΜι Ιππππ !!!!!! ιΤΜΜτλμτΧ⪛⪴⪴ ⪷⪱⪘⪞ ⪴⪸εΘΙΙ μλΜιΙ ππππ !!!!!! ιΤΜΜτλμτΧ
⪛⪴⪴⪷⪱⪘ ⪞⪴⪸εΘΙ ΙμλΜι Ιππππ !!!!!! ιΤΜΜτλμτΧ⪛⪴⪴ ⪷⪱⪘⪞ ⪴⪸εΘΙΙ μλΜιΙ ππππ !!!!!! ιΤΜΜτλμτΧ
NUR 424- Exam Questions with verified
solutions
Which postoperative client is manifesting the most serious negative effect of
! ! ! ! ! ! ! ! ! !
inadequate pain management?
! ! ! !
1. Demonstrates continuous use of call bell related to unsatisfied needs and
! ! ! ! ! ! ! ! ! ! !
discomfort
!
2. Develops venous thromboembolism related to immobility caused by pain and
! ! ! ! ! ! ! ! ! !
discomfort
!
3. Refuses to participate in physical therapy because of fear of pain caused by
! ! ! ! ! ! ! ! ! ! ! ! !
exercises
!
4. Feels depressed about loss of function and hopeless about getting relief from
! ! ! ! ! ! ! ! ! ! ! !
pain - correct answer ✔2. Develops venous thromboembolism related to
! ! ! ! ! ! ! ! ! !
immobility caused by pain and discomfort
! ! ! ! ! !
A client with chronic pain reports to the charge nurse that the other nurses have
! ! ! ! ! ! ! ! ! ! ! ! ! !
not been responding to requests for pain medication. What is the charge nurse's
! ! ! ! ! ! ! ! ! ! ! ! !
initial action?
! ! !
1. Check the medication administration records for the past several days
! ! ! ! ! ! ! ! ! !
⪛⪴⪴⪷⪱⪘ ⪞⪴⪸εΘΙ ΙμλΜι Ιππππ !!!!!! ιΤΜΜτλμτΧ⪛⪴⪴ ⪷⪱⪘⪞ ⪴⪸εΘΙΙ μλΜιΙ ππππ !!!!!! ιΤΜΜτλμτΧ
⪛⪴⪴⪷⪱⪘ ⪞⪴⪸εΘΙ ΙμλΜι Ιππππ !!!!!! ιΤΜΜτλμτΧ⪛⪴⪴ ⪷⪱⪘⪞ ⪴⪸εΘΙΙ μλΜιΙ ππππ !!!!!! ιΤΜΜτλμτΧ
⪛⪴⪴⪷⪱⪘ ⪞⪴⪸εΘΙ ΙμλΜι Ιππππ !!!!!! ιΤΜΜτλμτΧ⪛⪴⪴ ⪷⪱⪘⪞ ⪴⪸εΘΙΙ μλΜιΙ ππππ !!!!!! ιΤΜΜτλμτΧ
⪛⪴⪴⪷⪱⪘ ⪞⪴⪸εΘΙ ΙμλΜι Ιππππ !!!!!! ιΤΜΜτλμτΧ⪛⪴⪴ ⪷⪱⪘⪞ ⪴⪸εΘΙΙ μλΜιΙ ππππ !!!!!! ιΤΜΜτλμτΧ
⪛⪴⪴⪷⪱⪘ ⪞⪴⪸εΘΙ ΙμλΜι Ιππππ !!!!!! ιΤΜΜτλμτΧ⪛⪴⪴ ⪷⪱⪘⪞ ⪴⪸εΘΙΙ μλΜιΙ ππππ !!!!!! ιΤΜΜτλμτΧ
⪛⪴⪴⪷⪱⪘ ⪞⪴⪸εΘΙ ΙμλΜι Ιππππ !!!!!! ιΤΜΜτλμτΧ⪛⪴⪴ ⪷⪱⪘⪞ ⪴⪸εΘΙΙ μλΜιΙ ππππ !!!!!! ιΤΜΜτλμτΧ
, !!!!!!
⪛⪴⪴⪷⪱⪘ ⪞⪴⪸εΘΙ ΙμλΜι Ιππππ ιΤΜΜτλμτΧ⪛⪴⪴ ⪷⪱⪘⪞ ⪴⪸εΘΙΙ μλΜιΙ ππππ !!!!!! ιΤΜΜτλμτΧ
⪛⪴⪴⪷⪱⪘ ⪞⪴⪸εΘΙ ΙμλΜι Ιππππ !!!!!! ιΤΜΜτλμτΧ⪛⪴⪴ ⪷⪱⪘⪞ ⪴⪸εΘΙΙ μλΜιΙ ππππ !!!!!! ιΤΜΜτλμτΧ
⪛⪴⪴⪷⪱⪘ ⪞⪴⪸εΘΙ ΙμλΜι Ιππππ !!!!!! ιΤΜΜτλμτΧ⪛⪴⪴ ⪷⪱⪘⪞ ⪴⪸εΘΙΙ μλΜιΙ ππππ !!!!!! ιΤΜΜτλμτΧ
⪛⪴⪴⪷⪱⪘ ⪞⪴⪸εΘΙ ΙμλΜι Ιππππ !!!!!! ιΤΜΜτλμτΧ⪛⪴⪴ ⪷⪱⪘⪞ ⪴⪸εΘΙΙ μλΜιΙ ππππ !!!!!! ιΤΜΜτλμτΧ
⪛⪴⪴⪷⪱⪘ ⪞⪴⪸εΘΙ ΙμλΜι Ιππππ !!!!!! ιΤΜΜτλμτΧ⪛⪴⪴ ⪷⪱⪘⪞ ⪴⪸εΘΙΙ μλΜιΙ ππππ !!!!!! ιΤΜΜτλμτΧ
⪛⪴⪴⪷⪱⪘ ⪞⪴⪸εΘΙ ΙμλΜι Ιππππ !!!!!! ιΤΜΜτλμτΧ⪛⪴⪴ ⪷⪱⪘⪞ ⪴⪸εΘΙΙ μλΜιΙ ππππ !!!!!! ιΤΜΜτλμτΧ
2. Ask the nurse educator to provide in-service training about pain management
! ! ! ! ! ! ! ! ! ! ! !
3. Perform a complete pain assessment on the client and take a pain history
! ! ! ! ! ! ! ! ! ! ! ! !
4. Have a conference with the staff nurses to assess their care of this client -
! ! ! ! ! ! ! ! ! ! ! ! ! ! !
correct answer ✔4. Have a conference with the staff nurses to assess their care
! ! ! ! ! ! ! ! ! ! ! ! ! !
of this client
! ! !
According to recent guidelines from the American Pain Society in collaboration ! ! ! ! ! ! ! ! ! !
with the American Society of Anesthesiologists, what are the priority pain
! ! ! ! ! ! ! ! ! ! !
management strategies that the nurse would expect to see in the pain
! ! ! ! ! ! ! ! ! ! ! !
management for post-surgical clients? SATA.
! ! ! ! ! !
1. Acetaminophen and/or NSAIDS for management of postoperative pain in
! ! ! ! ! ! ! ! !
adults and children without contraindications
! ! ! ! !
2. Surgical site-specific peripheral regional anesthetic techniques in adults and
! ! ! ! ! ! ! ! !
children for procedures
! ! ! !
3. Neuraxial (epidural) analgesia for major thoracic and abdominal procedures if
! ! ! ! ! ! ! ! ! !
the client has risk for cardiac complications or prolonged ileus
! ! ! ! ! ! ! ! ! !
4. Multimodal therapy that could include opioids and nonopioid therapies,
! ! ! ! ! ! ! ! !
regional anesthetic techniques, and nonpharmacologic therapies
! ! ! ! ! !
5. Long-acting oral opioids, especially in the immediate postoperative period, for
! ! ! ! ! ! ! ! ! !
continuous around-the-clock relief
! ! ! !
⪛⪴⪴⪷⪱⪘ ⪞⪴⪸εΘΙ ΙμλΜι Ιππππ !!!!!! ιΤΜΜτλμτΧ⪛⪴⪴ ⪷⪱⪘⪞ ⪴⪸εΘΙΙ μλΜιΙ ππππ !!!!!! ιΤΜΜτλμτΧ
⪛⪴⪴⪷⪱⪘ ⪞⪴⪸εΘΙ ΙμλΜι Ιππππ !!!!!! ιΤΜΜτλμτΧ⪛⪴⪴ ⪷⪱⪘⪞ ⪴⪸εΘΙΙ μλΜιΙ ππππ !!!!!! ιΤΜΜτλμτΧ
⪛⪴⪴⪷⪱⪘ ⪞⪴⪸εΘΙ ΙμλΜι Ιππππ !!!!!! ιΤΜΜτλμτΧ⪛⪴⪴ ⪷⪱⪘⪞ ⪴⪸εΘΙΙ μλΜιΙ ππππ !!!!!! ιΤΜΜτλμτΧ
⪛⪴⪴⪷⪱⪘ ⪞⪴⪸εΘΙ ΙμλΜι Ιππππ !!!!!! ιΤΜΜτλμτΧ⪛⪴⪴ ⪷⪱⪘⪞ ⪴⪸εΘΙΙ μλΜιΙ ππππ !!!!!! ιΤΜΜτλμτΧ
⪛⪴⪴⪷⪱⪘ ⪞⪴⪸εΘΙ ΙμλΜι Ιππππ !!!!!! ιΤΜΜτλμτΧ⪛⪴⪴ ⪷⪱⪘⪞ ⪴⪸εΘΙΙ μλΜιΙ ππππ !!!!!! ιΤΜΜτλμτΧ
⪛⪴⪴⪷⪱⪘ ⪞⪴⪸εΘΙ ΙμλΜι Ιππππ !!!!!! ιΤΜΜτλμτΧ⪛⪴⪴ ⪷⪱⪘⪞ ⪴⪸εΘΙΙ μλΜιΙ ππππ !!!!!! ιΤΜΜτλμτΧ
, !!!!!!
⪛⪴⪴⪷⪱⪘ ⪞⪴⪸εΘΙ ΙμλΜι Ιππππ ιΤΜΜτλμτΧ⪛⪴⪴ ⪷⪱⪘⪞ ⪴⪸εΘΙΙ μλΜιΙ ππππ !!!!!! ιΤΜΜτλμτΧ
⪛⪴⪴⪷⪱⪘ ⪞⪴⪸εΘΙ ΙμλΜι Ιππππ !!!!!! ιΤΜΜτλμτΧ⪛⪴⪴ ⪷⪱⪘⪞ ⪴⪸εΘΙΙ μλΜιΙ ππππ !!!!!! ιΤΜΜτλμτΧ
⪛⪴⪴⪷⪱⪘ ⪞⪴⪸εΘΙ ΙμλΜι Ιππππ !!!!!! ιΤΜΜτλμτΧ⪛⪴⪴ ⪷⪱⪘⪞ ⪴⪸εΘΙΙ μλΜιΙ ππππ !!!!!! ιΤΜΜτλμτΧ
⪛⪴⪴⪷⪱⪘ ⪞⪴⪸εΘΙ ΙμλΜι Ιππππ !!!!!! ιΤΜΜτλμτΧ⪛⪴⪴ ⪷⪱⪘⪞ ⪴⪸εΘΙΙ μλΜιΙ ππππ !!!!!! ιΤΜΜτλμτΧ
⪛⪴⪴⪷⪱⪘ ⪞⪴⪸εΘΙ ΙμλΜι Ιππππ !!!!!! ιΤΜΜτλμτΧ⪛⪴⪴ ⪷⪱⪘⪞ ⪴⪸εΘΙΙ μλΜιΙ ππππ !!!!!! ιΤΜΜτλμτΧ
⪛⪴⪴⪷⪱⪘ ⪞⪴⪸εΘΙ ΙμλΜι Ιππππ !!!!!! ιΤΜΜτλμτΧ⪛⪴⪴ ⪷⪱⪘⪞ ⪴⪸εΘΙΙ μλΜιΙ ππππ !!!!!! ιΤΜΜτλμτΧ
6. Neuraxial administration of - correct answer ✔1. Acetaminophen and/or
! ! ! ! ! ! ! ! !
NSAIDS for management of postoperative pain in adults and children without
! ! ! ! ! ! ! ! ! ! !
contraindications
!
2. Surgical site-specific peripheral regional anesthetic techniques in adults and
! ! ! ! ! ! ! ! !
children for procedures
! ! ! !
3. Neuraxial (epidural) analgesia for major thoracic and abdominal procedures if
! ! ! ! ! ! ! ! ! !
the client has risk for cardiac complications or prolonged ileus
! ! ! ! ! ! ! ! ! !
4. Multimodal therapy that could include opioids and nonopioid therapies,
! ! ! ! ! ! ! ! !
regional anesthetic techniques, and nonpharmacologic therapies
! ! ! ! ! !
The home health nurse is interviewing an older client with a history of heart
! ! ! ! ! ! ! ! ! ! ! ! !
failure and rheumatoid arthritis. The client reports "feeling pretty good, except
! ! ! ! ! ! ! ! ! ! !
for the pain and stiffness in my joints when I first get out of bed." Which member
! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! !
of the health care team would be the most appropriate to aid in the client's
! ! ! ! ! ! ! ! ! ! ! ! ! ! !
report of pain?
! ! ! !
1. Health care provider to review the dosage and frequency of pain medication
! ! ! ! ! ! ! ! ! ! ! ! !
2. Physical therapist for evaluation of function and possible exercise therapy
! ! ! ! ! ! ! ! ! !
3. Social worker to locate community resources for complementary therapy
! ! ! ! ! ! ! ! !
⪛⪴⪴⪷⪱⪘ ⪞⪴⪸εΘΙ ΙμλΜι Ιππππ !!!!!! ιΤΜΜτλμτΧ⪛⪴⪴ ⪷⪱⪘⪞ ⪴⪸εΘΙΙ μλΜιΙ ππππ !!!!!! ιΤΜΜτλμτΧ
⪛⪴⪴⪷⪱⪘ ⪞⪴⪸εΘΙ ΙμλΜι Ιππππ !!!!!! ιΤΜΜτλμτΧ⪛⪴⪴ ⪷⪱⪘⪞ ⪴⪸εΘΙΙ μλΜιΙ ππππ !!!!!! ιΤΜΜτλμτΧ
⪛⪴⪴⪷⪱⪘ ⪞⪴⪸εΘΙ ΙμλΜι Ιππππ !!!!!! ιΤΜΜτλμτΧ⪛⪴⪴ ⪷⪱⪘⪞ ⪴⪸εΘΙΙ μλΜιΙ ππππ !!!!!! ιΤΜΜτλμτΧ
⪛⪴⪴⪷⪱⪘ ⪞⪴⪸εΘΙ ΙμλΜι Ιππππ !!!!!! ιΤΜΜτλμτΧ⪛⪴⪴ ⪷⪱⪘⪞ ⪴⪸εΘΙΙ μλΜιΙ ππππ !!!!!! ιΤΜΜτλμτΧ
⪛⪴⪴⪷⪱⪘ ⪞⪴⪸εΘΙ ΙμλΜι Ιππππ !!!!!! ιΤΜΜτλμτΧ⪛⪴⪴ ⪷⪱⪘⪞ ⪴⪸εΘΙΙ μλΜιΙ ππππ !!!!!! ιΤΜΜτλμτΧ
⪛⪴⪴⪷⪱⪘ ⪞⪴⪸εΘΙ ΙμλΜι Ιππππ !!!!!! ιΤΜΜτλμτΧ⪛⪴⪴ ⪷⪱⪘⪞ ⪴⪸εΘΙΙ μλΜιΙ ππππ !!!!!! ιΤΜΜτλμτΧ
