Pain test

Which postoperative client is manifesting the MOST serious negative effect of in- adequate pain management? 1.Demonstrates continuous use of call bell related to unsatisfied needs and dis- comfort 2. Develops venous thromboembolism r/t immobility caused by pain and discom- 2 fort 3. Refuses to participate in physical ther- apy because of fear of pain caused by exercises depressed about loss of function and hopeless about getting relief from pain 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 reaction? 1. Check the medication administration records for the past several days. 2. Ask the nurse educator to provide 4 in-service training about pain manage- ment. 3. Perform a complete pain assessment on the client and take a pain history. 4. Have a conference with the staff nurs- es to assess their care of this client. Pain test According to recent guidelines from the American Pain Society I collaboration with the American Society of Anesthesi- ologist, what are the priority pain man- agement strategies that the nurse would expect to see in the pain management for post surgical clients? Select All that Apply 1. Acetaminophen and/or nonsteroidal anti-inflammatory drugs (NSAIDs) for management of postoperative pain in adults and children without contraindica￾tions 2. Surgical site-specific peripheral re- gional anesthetic techniques in adults and children for procedures 1, 2, 3, 4 3. Neuraxial (epidural) analgesia for ma￾jor thoracic and abdominal procedures if the client has risk for cardiac complica￾tions or prolonged ileus 4. Multimodal therapy that could include opioids and nonopioid therapies, region- al anesthetic techniques, and nonphar- macologic therapies 5. Long-acting oral opioids, especially in the immediate postoperative period, for continuous around-the-clock relief 6. Neuraxial administration of mag- nesium, benzodiazepines, neostigmine, tramadol, or ketamine is recommended for postoperative pain 4. The home health nurse is interview￾ing an older client with a history of mild 2 / 41 Pain test