When caring for a client who is experiencing continuous severe pain, the nurse should expect that the pain management plan would include:
1. Focusing on intramuscular administration of analgesics
2. Waiting for pain to become more intense before administering opioids
3. Administering opioids with nonopioid analgesics for severe pain experiences
4. Administering large doses of opioids initially to clients who have not taken the medications before
ANS: 3
To treat a client who is experiencing continuous severe pain, the nurse should expect the client to receive opioid and nonopioid analgesics for severe pain experiences. Intramuscular administration of analgesics is not expected because the injection itself is painful, and there may be inconsistent erratic absorption of the drug. The nurse should administer opioids before the client's pain be-comes intense. It is easier to maintain pain control than it is to get intense pain under control. Large doses of opioids are not given initially to clients who have not taken the medications be-fore because they may cause respiratory depression. The expectation is to begin with lower doses and titrate upward.
You might also like to view...
Which are characteristics of "Crix belly" syndrome? (Select all that apply.)
a. Elevated CBCs b. Elevated triglycerides c. Elevated cholesterol d. Fat accumulation around the abdomen and flank e. Elevated plasma glucose
A community pharmacist calls the clinic and reports that a patient has asked for pain medication refills early for the last 2 months. What action should be taken by the nurse?
1. Notify the health care provider that the patient has lost control of his or her consumption of medication. 2. Tell the pharmacist to refill the prescriptions early. 3. Ask the pharmacist if the patient has received medications early from any other provider. 4. Notify the health care provider of the patient's request.
A patient, diagnosed with cerebral edema, has an intracranial pressure of 50 mm Hg. Which of the following nursing diagnoses would be a priority for this patient?
1. risk for injury 2. pain 3. decreased intracranial adaptive capacity 4. sensory perceptual alterations
Which are adverse effects of quinine (Qualaquin)? (Select all that apply.)
a. Cinchonism b. Hemolysis in patients with G6PD deficiency c. Increased ventricular rate d. Nightmares e. Prolonged QT interval