med surg final exam evolve questions
Study online at https://quizlet.com/_cg42n3
The nurse is caring for a client who re-
ports pain. As an advocate for the client,
what will the nurse do first for this client?
a. Administer pain medication.
C
b. Assess the level of pain.
c. Accept the client's report of pain.
d. Call the health care provider for a med-
ication order.
A client being discharged after hip re-
placement says, "I am going to use hyp-
nosis instead of medication to manage
my pain. I believe in mind over body."
Which nursing response is appropriate?
a. "I will discuss cancelling your medica-
tion order with your health care provider." B
b. "That sounds like a great plan; can you
tell me more about it?"
c. "That sounds like a wonderful idea;
and I think it will definitely work!"
d. "Your plan will not work; people with
your type of pain need opioids."
The nurse is assessing a client for acute
or persistent pain. What nursing question
allows the nurse to obtain the most data
from the client?
D
a. "Did someone do this to you?"
b. "Does it feel like sharp pain?"
c. "Is the pain really that bad?"
d. "When does the pain occur?"
A client with extensive burn injuries is to
be weaned from long-term opioid use.
What type of opioid dependence does
the nurse expect this client to have?
C
A. Addiction
B. Tolerance
C. Physical dependence
D. Pseudoaddiction
, med surg final exam evolve questions
Study online at https://quizlet.com/_cg42n3
A client with cancer who is taking pain
medication states, "I am still having
pain." During the assessment, the client
does not exhibit any physical signs of
pain. What will the nurse do next?
A. Decrease the client's standard pain
C
medication dose.
B. Give the client a placebo and monitors
the outcome.
C. Administer the pain medication as re-
quested.
D. Withhold the pain medication.
A postoperative client reports, "I have
pain from a mild headache." Which PRN
medication will the nurse administer?
A. Acetaminophen A
B. Hydromorphone
C. Midazolam
D. Oxycodone
A client who had a hip replacement 2
days ago, reports having pain rated as a
7 on a pain scale of 0-10. What nursing
intervention is the highest priority?
A. Encouraging diversional activities
D
B. Incorporating activities of daily living
as soon as possible
C. Teaching key points of the relaxation
response
D. Using preemptive analgesia
A postoperative client is vomiting and
states, "I am having a lot of pain—a 7 on
a scale of 0-10." Which route of adminis-
tration will the nurse choose to adminis-
ter an analgesic to the client? A
A. Intravenous
B. Oral
C. Rectal
D. Transdermal
, med surg final exam evolve questions
Study online at https://quizlet.com/_cg42n3
A client who is using patient-controlled
analgesia (PCA) is asleep. The nurse
observes a family member pushing the
PCA button for the sleeping client. What
will the nurse say to the visitor?
a. "Please allow the client to push the
A
button when needed."
b. "Please don't touch any equipment in
the client's room."
c. "Thank you. I am sure the client appre-
ciated that."
d. "The client is asleep and is not in pain."
The charge nurse is working with a
new nurse. Which statement by the new
nurse requires additional teaching by the
charge nurse?
A. "I always assess older adults for pre-
sent pain."
B
B. "Older adults typically believe that ex-
pressing pain is acceptable."
C. "Older adults are at a very high risk for
undertreated pain."
D. "Older adults usually believe that pain
is irrelevant and is to be expected."
44-year-old client with osteoarthritis pain
tells the nurse, "I take two extra-strength
acetaminophen (500 mg) every 8 hours."
How does the nurse respond?
A. "Aspirin would be a better, more effec-
tive choice for your pain relief."
C
B. "More acetaminophen is needed to
provide effective pain relief for you."
C. "That is the appropriate dose of aceta-
minophen for your pain."
D. "You will need to have routine blood
draws to monitor clotting time."
The nurse is planning a dressing change
on a postoperative mastectomy client.
, med surg final exam evolve questions
Study online at https://quizlet.com/_cg42n3
The client is receiving acetaminophen
and oxycodone orally for pain every 4
hours and is due to receive them at 4:00
p.m. When will the nurse change the
dressing? C
A. 3:30 p.m.
B. 4:00 p.m.
C. 4:30 p.m.
D. 7:00 p.m.
The nurse is caring for a client who had a
fractured ankle repaired. Twenty minutes
after receiving 1.5 mg of hydromorphone
IV push, the client is slow to respond and
has constricted pupils and a respiratory
rate of 6 breaths/min. What is the priority
nursing action?
A. Call the care provider for a change in C
the medication order.
B. Change the order to every 6 hours
rather than every 4 hours.
C. Administer a dose of naloxone 0.4 mg
slow IV push.
D. Perform a cognitive assessment on
the client.
The family of a client with chronic cancer
pain says to the nurse, "Can you please
reduce Dad's pain medication so that we
can spend more quality time with him?"
How does the nurse respond?
a. "I will ask his oncologist about your
question." B
b. "Let's ask your father about your re-
quest."
c. "No, his pain relief is more important
than your concerns."
d. "Yes, this is a valuable way for all of
you to make needed adjustments."
Study online at https://quizlet.com/_cg42n3
The nurse is caring for a client who re-
ports pain. As an advocate for the client,
what will the nurse do first for this client?
a. Administer pain medication.
C
b. Assess the level of pain.
c. Accept the client's report of pain.
d. Call the health care provider for a med-
ication order.
A client being discharged after hip re-
placement says, "I am going to use hyp-
nosis instead of medication to manage
my pain. I believe in mind over body."
Which nursing response is appropriate?
a. "I will discuss cancelling your medica-
tion order with your health care provider." B
b. "That sounds like a great plan; can you
tell me more about it?"
c. "That sounds like a wonderful idea;
and I think it will definitely work!"
d. "Your plan will not work; people with
your type of pain need opioids."
The nurse is assessing a client for acute
or persistent pain. What nursing question
allows the nurse to obtain the most data
from the client?
D
a. "Did someone do this to you?"
b. "Does it feel like sharp pain?"
c. "Is the pain really that bad?"
d. "When does the pain occur?"
A client with extensive burn injuries is to
be weaned from long-term opioid use.
What type of opioid dependence does
the nurse expect this client to have?
C
A. Addiction
B. Tolerance
C. Physical dependence
D. Pseudoaddiction
, med surg final exam evolve questions
Study online at https://quizlet.com/_cg42n3
A client with cancer who is taking pain
medication states, "I am still having
pain." During the assessment, the client
does not exhibit any physical signs of
pain. What will the nurse do next?
A. Decrease the client's standard pain
C
medication dose.
B. Give the client a placebo and monitors
the outcome.
C. Administer the pain medication as re-
quested.
D. Withhold the pain medication.
A postoperative client reports, "I have
pain from a mild headache." Which PRN
medication will the nurse administer?
A. Acetaminophen A
B. Hydromorphone
C. Midazolam
D. Oxycodone
A client who had a hip replacement 2
days ago, reports having pain rated as a
7 on a pain scale of 0-10. What nursing
intervention is the highest priority?
A. Encouraging diversional activities
D
B. Incorporating activities of daily living
as soon as possible
C. Teaching key points of the relaxation
response
D. Using preemptive analgesia
A postoperative client is vomiting and
states, "I am having a lot of pain—a 7 on
a scale of 0-10." Which route of adminis-
tration will the nurse choose to adminis-
ter an analgesic to the client? A
A. Intravenous
B. Oral
C. Rectal
D. Transdermal
, med surg final exam evolve questions
Study online at https://quizlet.com/_cg42n3
A client who is using patient-controlled
analgesia (PCA) is asleep. The nurse
observes a family member pushing the
PCA button for the sleeping client. What
will the nurse say to the visitor?
a. "Please allow the client to push the
A
button when needed."
b. "Please don't touch any equipment in
the client's room."
c. "Thank you. I am sure the client appre-
ciated that."
d. "The client is asleep and is not in pain."
The charge nurse is working with a
new nurse. Which statement by the new
nurse requires additional teaching by the
charge nurse?
A. "I always assess older adults for pre-
sent pain."
B
B. "Older adults typically believe that ex-
pressing pain is acceptable."
C. "Older adults are at a very high risk for
undertreated pain."
D. "Older adults usually believe that pain
is irrelevant and is to be expected."
44-year-old client with osteoarthritis pain
tells the nurse, "I take two extra-strength
acetaminophen (500 mg) every 8 hours."
How does the nurse respond?
A. "Aspirin would be a better, more effec-
tive choice for your pain relief."
C
B. "More acetaminophen is needed to
provide effective pain relief for you."
C. "That is the appropriate dose of aceta-
minophen for your pain."
D. "You will need to have routine blood
draws to monitor clotting time."
The nurse is planning a dressing change
on a postoperative mastectomy client.
, med surg final exam evolve questions
Study online at https://quizlet.com/_cg42n3
The client is receiving acetaminophen
and oxycodone orally for pain every 4
hours and is due to receive them at 4:00
p.m. When will the nurse change the
dressing? C
A. 3:30 p.m.
B. 4:00 p.m.
C. 4:30 p.m.
D. 7:00 p.m.
The nurse is caring for a client who had a
fractured ankle repaired. Twenty minutes
after receiving 1.5 mg of hydromorphone
IV push, the client is slow to respond and
has constricted pupils and a respiratory
rate of 6 breaths/min. What is the priority
nursing action?
A. Call the care provider for a change in C
the medication order.
B. Change the order to every 6 hours
rather than every 4 hours.
C. Administer a dose of naloxone 0.4 mg
slow IV push.
D. Perform a cognitive assessment on
the client.
The family of a client with chronic cancer
pain says to the nurse, "Can you please
reduce Dad's pain medication so that we
can spend more quality time with him?"
How does the nurse respond?
a. "I will ask his oncologist about your
question." B
b. "Let's ask your father about your re-
quest."
c. "No, his pain relief is more important
than your concerns."
d. "Yes, this is a valuable way for all of
you to make needed adjustments."
