A nurse is reinforcing teaching about pain control with a client who has acute pain following a subtotal gastric resection.
Which of the following client statements indicates an understanding of pain control?
"I will ask for less medication to avoid addiction.”.
"I will call for pain medication as my pain becomes intolerable.”.
"I will wait for you to evaluate my pain before asking for more.”.
"I will call for pain medication before the previous dose wears off"
The Correct Answer is D
The correct answer is D. "I will call for pain medication before the previous dose wears off."
Choice A rationale:
This statement indicates a misunderstanding of pain management. Avoiding medication to prevent addiction can lead to uncontrolled pain, which can hinder recovery and increase the risk of complications.
Choice B rationale:
While this statement shows the client is aware of their pain, waiting until it becomes intolerable can result in periods of severe discomfort and potential setbacks in recovery.
Choice C rationale:
Relying on a nurse to evaluate pain before requesting medication can delay pain relief, leading to unnecessary suffering and potential complications.
Choice D rationale:
This statement indicates an understanding of proactive pain management. By requesting medication before the previous dose wears off, the client helps maintain consistent pain control, which is crucial for recovery and preventing pain escalation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is A
Explanation
Choice A rationale:
The Neonatal Infant Pain Scale (NIPS) is commonly used to assess pain in newborns and infants. It evaluates multiple indicators of pain, including facial expression, crying, breathing patterns, and arms and legs' movements, to determine if a baby is in pain.
Choice B rationale:
The FACES pain rating scale for children is not typically used for infants, as it relies on a child's ability to point to or describe their pain using facial expressions.
Choice C rationale:
The Premature Infant Pain Profile (PIPP) Scale is used primarily for preterm infants and not typically for all newborns. It is more specific to certain populations.
Choice D rationale:
The FLACC Scale (Face, Legs, Activity, Cry, Consolability) is used for assessing pain in young children who may not be able to self-report. It's not specific to infants, and the NIPS is more appropriate for this population.
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