NGN Pain Management Adaptive Quiz
Study online at https://quizlet.com/_ga3a53
1. Client presents to the urgent care Deep purple ecchymosis (bruising) 7 cm in diameter
center and reports injuring left ankle and 1+ edema noted along the outer aspect of the
while playing basketball 2 days ago. left ankle. Capillary refill on lower extremities is <2
Chief complaint: Pain in left ankle for seconds bilaterally, and skin is intact, warm, and dry.
2 days' duration. Pedal pulses are 2+ bilaterally. Client reports sharp
pain in the left ankle and foot whenever moving
foot or trying to walk. Client demonstrates guarded
movements of left ankle and is hesitant to put weight
on the left foot. Tenderness of ankle upon palpation
noted. Client rates ankle pain a 7 on 0-to-10 pain
scale. Client states no significant past medical history,
states no history of surgeries, and does not take any
routine medications. Client states ibuprofen 400 mg
was taken every 8 hours since the time of injury,
and pain was reduced to 5 on a 0- to-10 pain scale
when taking the ibuprofen. Client has no known drug
allergies.
2. The nurse is reviewing assessment Rationale:
data for a client in the urgent care
center to prepare the individualized
plan of care. Complete the diagram
by dragging from the choices area to
specify which condition the client is
most likely experiencing, two actions
the nurse should take to address that
condition, and two parameters the
nurse should monitor to assess the
client's progres
3. History and Physical Rationale:
The client is a healthy 21-year-old The nurse thoroughly assesses each client to gather
1/6
, NGN Pain Management Adaptive Quiz
Study online at https://quizlet.com/_ga3a53
male who weighs 165 lb (75 kg). He information about the cause of a person's pain and
came to the emergency department determine its effect on the client's ability to function.
because he woke up this morning The collected data facilitates identification of client
at 0300 with "excruciating" general- needs or problems related to pain. The client's age,
ized abdominal pain around his um- weight, and the fact he took ibuprofen with some
bilicus (belly button). The pain has relief are important pieces of data, but they do not
been progressively worsening over require the nurse to follow up. The client cues requir-
the past several hours. The current ing follow up are the palliative and provocative factors
time is 1500. He took ibuprofen 400 affecting pain (what makes pain better or worse),
mg by mouth at 1000, which initially quality of pain, increasing severity of pain, location
decreased the pain some. The client of pain, nausea, and vomiting.
states that the pain has now gotten
worse and is localized to his right low-
er quadrant (RLQ). The pain increas-
es with walking and movement. The
client states that he feels better when
lying down in the fetal position. He
said that he is nauseous and vomited
four times after breakfast this morn-
ing, and he has had nothing to eat or
drink since. A differential diagnosis of
appendicitis is being considered.
4. The client is a healthy 21-year-old Rationale:
male who weighs 165 lb (75 kg). He The nurse organizes the client's assessment data
came to the emergency department to determine actual and potential client problems.
because he woke up this morning Acute pain is of short duration and usually has an
at 0300 with "excruciating" general- identifiable cause, such as appendicitis. It is common
ized abdominal pain around his um- after surgery, acute injury, or disease. Unlike acute
bilicus (belly button). The pain has pain, chronic pain is of longer duration and is de-
been progressively worsening over scribed as pain lasting beyond the usual course of an
the past several hours. The current acute illness or the healing of an injury. Referred pain
2/6
Study online at https://quizlet.com/_ga3a53
1. Client presents to the urgent care Deep purple ecchymosis (bruising) 7 cm in diameter
center and reports injuring left ankle and 1+ edema noted along the outer aspect of the
while playing basketball 2 days ago. left ankle. Capillary refill on lower extremities is <2
Chief complaint: Pain in left ankle for seconds bilaterally, and skin is intact, warm, and dry.
2 days' duration. Pedal pulses are 2+ bilaterally. Client reports sharp
pain in the left ankle and foot whenever moving
foot or trying to walk. Client demonstrates guarded
movements of left ankle and is hesitant to put weight
on the left foot. Tenderness of ankle upon palpation
noted. Client rates ankle pain a 7 on 0-to-10 pain
scale. Client states no significant past medical history,
states no history of surgeries, and does not take any
routine medications. Client states ibuprofen 400 mg
was taken every 8 hours since the time of injury,
and pain was reduced to 5 on a 0- to-10 pain scale
when taking the ibuprofen. Client has no known drug
allergies.
2. The nurse is reviewing assessment Rationale:
data for a client in the urgent care
center to prepare the individualized
plan of care. Complete the diagram
by dragging from the choices area to
specify which condition the client is
most likely experiencing, two actions
the nurse should take to address that
condition, and two parameters the
nurse should monitor to assess the
client's progres
3. History and Physical Rationale:
The client is a healthy 21-year-old The nurse thoroughly assesses each client to gather
1/6
, NGN Pain Management Adaptive Quiz
Study online at https://quizlet.com/_ga3a53
male who weighs 165 lb (75 kg). He information about the cause of a person's pain and
came to the emergency department determine its effect on the client's ability to function.
because he woke up this morning The collected data facilitates identification of client
at 0300 with "excruciating" general- needs or problems related to pain. The client's age,
ized abdominal pain around his um- weight, and the fact he took ibuprofen with some
bilicus (belly button). The pain has relief are important pieces of data, but they do not
been progressively worsening over require the nurse to follow up. The client cues requir-
the past several hours. The current ing follow up are the palliative and provocative factors
time is 1500. He took ibuprofen 400 affecting pain (what makes pain better or worse),
mg by mouth at 1000, which initially quality of pain, increasing severity of pain, location
decreased the pain some. The client of pain, nausea, and vomiting.
states that the pain has now gotten
worse and is localized to his right low-
er quadrant (RLQ). The pain increas-
es with walking and movement. The
client states that he feels better when
lying down in the fetal position. He
said that he is nauseous and vomited
four times after breakfast this morn-
ing, and he has had nothing to eat or
drink since. A differential diagnosis of
appendicitis is being considered.
4. The client is a healthy 21-year-old Rationale:
male who weighs 165 lb (75 kg). He The nurse organizes the client's assessment data
came to the emergency department to determine actual and potential client problems.
because he woke up this morning Acute pain is of short duration and usually has an
at 0300 with "excruciating" general- identifiable cause, such as appendicitis. It is common
ized abdominal pain around his um- after surgery, acute injury, or disease. Unlike acute
bilicus (belly button). The pain has pain, chronic pain is of longer duration and is de-
been progressively worsening over scribed as pain lasting beyond the usual course of an
the past several hours. The current acute illness or the healing of an injury. Referred pain
2/6
