IM injections of pain medication may be contraindicated for patients who:.
Have small, poorly developed muscles.
Have poor cognitive abilities.
Need short-term pain management.
Have multiple drug allergies.
The Correct Answer is A
Choice A rationale:
IM injections of pain medication may be contraindicated for patients who have small, poorly developed muscles. The rationale for this is that IM injections require adequate muscle mass to ensure proper absorption and distribution of the medication. If a patient has small, poorly developed muscles, the injection may not be as effective, and there's a risk of improper medication delivery, which can lead to reduced pain relief and potential complications.
Choice B rationale:
IM injections are not primarily contraindicated for patients based on their cognitive abilities. However, the patient's cognitive abilities may affect their ability to understand and follow instructions related to the injection process. It's essential for healthcare providers to ensure that the patient comprehends the procedure and can cooperate. Patients with cognitive impairments may require additional assistance or alternative methods of pain management, but it's not a direct contraindication to IM injections.
Choice C rationale:
Needing short-term pain management is not a contraindication for IM injections of pain medication. IM injections can be suitable for short-term pain relief, as they can provide relatively rapid and effective pain control. The choice of pain management method should depend on the specific circumstances and the patient's condition, but the duration of pain management needed is not a direct contraindication to IM injections.
Choice D rationale:
Having multiple drug allergies can be a concern when considering IM injections of pain medication, but it is not a direct contraindication. The healthcare provider should carefully assess the patient's allergies and select a medication that is safe and appropriate for the individual. In some cases, alternative routes of administration may be considered to avoid allergenic reactions. However, having multiple drug allergies alone does not necessarily contraindicate IM injections.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D","E"]
Explanation
Choice A rationale:
Culture can influence a person's perception and expression of pain. It's important to consider cultural factors when assessing and managing pain because beliefs and attitudes about pain can vary significantly among different cultural groups. This can affect how pain is experienced and communicated.
Choice B rationale:
Psychological factors, such as anxiety, depression, and coping mechanisms, play a significant role in the experience of pain. Assessing psychological factors is essential for a comprehensive understanding of the patient's pain experience and developing appropriate pain management strategies.
Choice C rationale:
Understanding the patient's history of pain is crucial for a focused pain assessment. Previous experiences with pain, including the cause, intensity, and effectiveness of previous pain management strategies, can provide valuable insights into the current pain situation.
Choice D rationale:
Assessing contributing factors, such as concurrent medical conditions, injuries, or environmental factors, is essential to determine the underlying causes of pain and develop an effective pain management plan.
Choice E rationale:
Verbal indicators are essential for assessing pain. Patients often describe their pain in words, and understanding their descriptions and expressions of pain is fundamental to evaluating its intensity, location, quality, and duration.
Correct Answer is D
Explanation
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.
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