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Med_Surg_Chapter_12

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Med-Surg Chapter 12: Pain Management Question A client arrives in the orthopedic clinic with complaints of twisting the right ankle while playing softball. The nurse collects data including complaints of pain and swelling in the right ankle. What intervention will the nurse provide that will de...

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  • April 13, 2022
  • 11
  • 2022/2023
  • Exam (elaborations)
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Med-Surg Chapter 12: Pain Management

Question
A client arrives in the orthopedic clinic with complaints of twisting the right ankle while playing softball. The
nurse collects data including complaints of pain and swelling in the right ankle. What intervention will the nurse
provide that will decrease vasodilation and reduce localized swelling?

• Ice bag

Question
A client being treated for rheumatoid arthritis has been prescribed a glucocorticosteroid. How should the nurse
best ensure this client's safety during treatment?

• Ensure the client knows to taper down the dose if it is discontinued by the care provider.

Question
A client comes to the outpatient clinic to receive cortisone injections in the neck for pain that has been occurring
consistently for 8 months. What type of pain is this client experiencing?

• Chronic pain

Question
A client has a long history of diabetes mellitus and developed diabetic neuropathy more than 25 years ago. The
client is without breakthrough pain at this point in time. How would this client's pain be classified?

• neuropathic and chronic

Question
A client has been prescribed a fentanyl patch for pain control. The nurse understands that this patch should be
replaced every

• 48–72 hours.

Question
A client has been using nonnarcotic analgesics daily over an extended period. Which of the following effects
should the nurse carefully monitor for in this client?

• Gastrointestinal bleeding




Question

, A client informs the nurse that he has been taking ibuprofen every 6 hours for 3 weeks to help alleviate the pa
of arthritis. The client has a history of a gastric ulcer and is taking a proton pump inhibitor for the treatment o
this disorder. What should the nurse instruct the client about the use of the ibuprofen?

• "It would be best to contact the physician prior to take any over-the-counter medications."

Question
A client is admitted with generalized abdominal pain, nausea, vomiting, and hypotension. The client has not
passed stool in over 1 week and has been in pain for the past 4 days. Which type of pain would you expect th
client to be experiencing?

• visceral

Question
A client is being taught to self-administer a narcotic analgesic by means of an intravenous pump system. Whic
of the following would help prevent accidental overdosage?

• Programming the dosage and time interval into the device

Question
A client is being treated in a substance abuse unit of a local hospital. The nurse understands that when this clie
has compulsive behavior to use a drug for its psychic effect, the client needs to be monitored for which effect

• Addiction

Question
A client is on a second round of radiation therapy for an inoperable tumor and asks the nurse for medication t
help with pain. The nurse suspects that the client’s pain is the result of nerve damage from the radiation. Whi
type of pain is the client likely experiencing?

• neuropathic pain

Question
A client is prescribed methadone 10 mg three times a day for neuralgia following chemotherapy treatment. Th
client reports that he is experiencing constipation and asks the nurse for information about preventing
constipation. The nurse recommends

• increasing the amount of bran and fresh fruits and vegetables




Question
A client is prescribed morphine for a possible ankle fracture. When the nurse brings in a second dose of the
medication, the client states, "This medicine made me sick." The nurse replies

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