Pain Management NCLEX Exam with accurate detailed answers

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Pain Management NCLEX Exam with accurate detailed
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answers


A client with chronic pain reports to you, the charge nurse, that the nurse have not been
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responding to requests for pain medication. What is your initial action?
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A. Check the MARs and nurses' notes for the past several days.
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B. Ask the nurse educator to give an in-service about pain management.
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C. Perform a complete pain assessment and history on the client.
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D. Have a conference with the nurses responsible for the care of this client. - ✔✔have a
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conference with the nurses responsible for the care of this client
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Family members are encouraging your client to "tough it out" rather than run the risk of
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becoming addicted to narcotics. The client is stoically abiding by the family's wishes.
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Priority nursing interventions for this client should target which dimension of pain?
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A. Sensory
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B. Affective
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C. Sociocultural
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D. Behavioral
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E. Cognitive - ✔✔sociocultural
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A client with diabetic neuropathy reports a burning, electrical-type in the lower extremities
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that is not responding to NSAIDs. You anticipate that the physician will order which
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adjuvant medication for this type of pain?|| || || || || || ||




A. Amitriptyline (Elavil)
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B. Corticosteroids
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C. Methylphenidate (Ritalin)
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D. Lorazepam (Ativan) - ✔✔amitriptyline (Elavil)
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Which client is most likely to receive opioids for extended periods of time?
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A. A client with fibromyalgia
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B. A client with phantom limb pain
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C. A client with progressive pancreatic cancer
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D. A client with trigeminal neuralgia - ✔✔A client with progressive pancreatic cancer
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As the charge nurse, you are reviewing the charts of clients who were assigned to a newly
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graduated RN. The RN has correctly charted dose and time of medication, but there is no
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documentation regarding non-pharmaceutical measures. What action should you take first? || || || || || || || || ||




A. Make a note in the nurse's file and continue to observe clinical performance
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B. Refer the new nurse to the in-service education department.
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C. Quiz the nurse about knowledge of pain management
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D. Give praise for the correct dose and time and discuss the deficits in charting. - ✔✔Give
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praise for the correct dose and time and discuss the deficits in charting
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In caring for a young child with pain, which assessment tool is the most useful?
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A. Simple description pain intensity scale
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B. 0-10 numeric pain scale
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C. Faces pain-rating scale
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D. McGill-Melzack pain questionnaire - ✔✔C. Faces pain-rating scale
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