A nurse is caring for a client who is postoperative. When helping to manage the client's pain, which of the following principles should the nurse apply? (Select all that apply.).
Use a scale from 0 to 10 to monitor the severity of the client's pain.
Consider the client's individual expression of pain.
Expect the client to express his pain both verbally and nonverbally.
Administer opioids with caution because they will eventually lead to addiction.
To achieve fast-acting pain relief, administer analgesics.
Correct Answer : A,B,E
Choice A rationale:
Using a pain scale from 0 to 10 is a crucial principle in managing a client's postoperative pain. It allows for a standardized assessment of pain severity and helps healthcare providers determine the effectiveness of pain management interventions.
Choice B rationale:
Considering the client's individual expression of pain is essential in providing personalized care. People experience and express pain differently, so tailoring the approach to each client's unique needs is vital for effective pain management.
Choice C rationale:
Expecting the client to express pain both verbally and nonverbally is another important principle in pain management. Some clients may not be able to communicate verbally, so nurses should be attentive to nonverbal cues such as grimacing, restlessness, or changes in vital signs to assess pain.
Choice D rationale:
Administering opioids with caution is a general principle in pain management, but the statement that they will eventually lead to addiction is an oversimplification. While there is a risk of opioid addiction, it is not an absolute certainty, and the benefits of pain relief often outweigh the risks. Therefore, this statement is not entirely accurate.
Choice E rationale:
Administering analgesics for fast-acting pain relief is a valid principle, especially in the postoperative period when the client may be experiencing acute pain. Fast-acting analgesics help alleviate immediate discomfort.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Phantom pain is a type of pain that occurs after the loss of a body part, such as an amputation. It is often described as pain or discomfort in the missing limb. This pain is believed to result from the brain's attempt to adjust to the loss of sensory input from the missing body part.
Choice B rationale:
Nociceptive pain is not the correct choice in this context. Nociceptive pain is the result of damage or irritation to tissues and is not specific to the loss of a body part. It can occur in various situations, such as injuries or surgical procedures.
Choice C rationale:
Neuropathic pain is associated with nerve damage or dysfunction. While it can be present in cases of amputation, the specific type of pain occurring after the loss of a body part is termed "phantom pain.”.
Choice D rationale:
"Pain" is a vague and non-descriptive option. It doesn't specify any particular type of pain and doesn't provide a meaningful answer to the question.
Correct Answer is B
Explanation
Choice A rationale:
Constipation is not a common adverse effect of pain medication administered by the epidural route. Pain medication primarily affects the central nervous system and does not typically impact the gastrointestinal system in a way that would lead to constipation.
Choice B rationale:
Hypoventilation is the correct answer. When opioids or other potent pain medications are administered by the epidural route, they can depress the respiratory center in the brain, leading to hypoventilation (slow or inadequate breathing). This is a critical concern and the most important adverse effect to monitor because it can lead to respiratory compromise or even respiratory arrest.
Choice C rationale:
Nausea can be a side effect of some pain medications, but it is not the most important adverse effect to monitor in a patient receiving epidural pain medication. Nausea can often be managed with antiemetic medications.
Choice D rationale:
Headache is not a common adverse effect of epidural pain medication. The administration of pain medication into the epidural space is localized to the spinal area and does not typically lead to headaches.
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