A patient is recovering from a leg fracture repair and complains of moderate pain. The nurse notes swelling and redness around the surgical site. Which action should the nurse prioritize in managing the patient’s pain? Multiple Choice: A) Applying a warm compress to the surgical site B) Elevating the affected leg C) Massaging the area around the surgical site D) Administering a higher dose of the prescribed analgesic E) Contacting the healthcare provider for further assessment
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Rationale: The presence of swelling and redness around the surgical site, along with increased pain, may indicate a potential complication such as infection or inadequate pain management. Contacting the healthcare provider is crucial to ensure prompt assessment and appropriate intervention, which may include adjusting the pain management plan or investigating the cause of the increased pain. Correct Answer: E) Contacting the healthcare provider for further assessment
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NCLEX Review: Pain Management Treatments
A postoperative patient reports severe incisional pain despite receiving prescribed analgesics. The nurse assesses the patient’s vital signs and observes restlessness and facial grimacing. Which action should the nurse prioritize in managing the patient’s pain? Multiple Choice: A) Administering a higher dose of the prescribed analgesic B) Offering distraction techniques, such as music or TV C) Re-positioning the patient to a more comfortable position D) Consulting with the healthcare provider for a different pain medication E) Explaining the pain’s expected duration to the patient
Rationale: Inadequate pain relief despite prescribed analgesics and evident signs of distress indicate the need for a reassessment of the pain management plan. Consulting with the healthcare provider can help determine if a different medication or an adjustment in dosage or route is necessary to achieve adequate pain control for the postoperative patient. Correct Answer: D) Consulting with the healthcare provider for a different pain medication
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@qbankproacademy 4000+ Free NCLEX QUESTIONS. Go to QBankProAcademy.com FREE Qbank questions for NCLEX RN, PN, HESI Exit, Med Surg, AANP, ANCC, and HesiA2. Practice questions, quizzes, and listen to the Free Podcast. In this video, we review a question on PAIN MANAGMENT Nursing Care. Free nursing NCLEX 60-DAY CHALLENGE https://qbankpro.thinkific.com/courses/qbankpro-academy At QbankproAcademy.com our mission is to provide free QBanks, videos, and the most up to date test prep information for nurses. If you find our website helpful, please tell other aspiring nurses, nursing students, and professors. Please link to our site from your blogs, videos, and college websites, or share us on your favorite social media sites. Thank you for your support! nclex Nurses Nursing aanp qbank ancc hesi medsurg qbank
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NCLEX Questions Critical Thinking: Pain Management Symptoms
A patient with chronic lower back pain expresses concerns about becoming dependent on pain medications. The patient states reluctance in taking prescribed opioids due to fear of addiction. What information should the nurse provide to address the patient’s concerns about pain medication? Multiple Choice: A) Reassure the patient that taking opioids as prescribed does not lead to addiction B) Educate the patient on the importance of opioid rotation to prevent tolerance C) Discuss non-pharmacological pain management strategies, such as physical therapy D) Advise the patient to take opioids only when the pain becomes unbearable E) Encourage the patient to seek alternative treatments like acupuncture or herbal remedies
Rationale: Addressing concerns about opioid addiction involves providing education on various pain management options. Non-pharmacological interventions, like physical therapy, not only complement pain medication but also empower the patient to actively participate in their pain management, reducing reliance on opioids. It’s essential to acknowledge the patient’s concerns while offering effective, evidence-based alternatives to solely relying on medications for pain relief. Correct Answer: C) Discuss non-pharmacological pain management strategies, such as physical therapy
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NCLEX Focus Exploring Pain Management: Causes and Diagnosis
A 45-year-old patient is recovering from abdominal surgery and complains of severe incisional pain. The nurse assesses the patient’s vital signs, noting increased heart rate and blood pressure. Which action should the nurse prioritize in managing the patient’s pain? Multiple Choice: A) Administering a higher dose of the prescribed analgesic B) Applying warm compresses to the incision site C) Initiating relaxation techniques, such as deep breathing exercises D) Re-positioning the patient to a more comfortable position E) Contacting the healthcare provider for further orders
Rationale: Elevated vital signs and severe pain may indicate inadequate pain management or potential complications. Contacting the healthcare provider is essential to reassess the patient’s condition and ensure appropriate pain relief measures, which might include adjusting the medication regimen or considering additional interventions. Correct Answer: E) Contacting the healthcare provider for further orders
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NCLEX Questions: Focus on Medications for Pain Management
A 70-year-old patient with chronic osteoarthritis experiences frequent joint pain. The nurse observes the patient favoring the affected joints and having difficulty with mobility. Which intervention should the nurse prioritize to promote comfort and mobility? Multiple Choice: A) Assisting the patient with application of topical analgesics B) Scheduling regular massage therapy sessions C) Encouraging the patient to use assistive devices, like a cane or walker D) Administering opioid pain medications as needed E) Educating the patient on the benefits of acupuncture for pain relief
Rationale: Assistive devices like canes or walkers can support mobility and reduce joint strain, enhancing comfort for a patient with osteoarthritis. While other interventions might offer pain relief, encouraging the use of assistive devices directly addresses the patient’s mobility issues, promoting comfort and independence. Correct Answer: C) Encouraging the patient to use assistive devices, like a cane or walker
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A postoperative patient is experiencing moderate pain and is prescribed an opioid analgesic. The nurse educates the patient about the medication’s potential side effects, including constipation and drowsiness. Which nursing intervention should the nurse prioritize to mitigate these side effects? Multiple Choice: A) Encouraging increased fluid intake and fiber-rich foods B) Administering an over-the-counter sleep aid at bedtime C) Limiting physical activity to prevent exacerbation of side effects D) Advising the patient to reduce intake of fruits and vegetables E) Recommending frequent napping throughout the day
Rationale: Constipation is a common side effect of opioid analgesics. Encouraging increased fluid intake and a diet rich in fiber can help prevent constipation, promoting regular bowel movements. Other options like sleep aids or reducing fruits and vegetables intake are not effective strategies for managing opioid-induced constipation. Correct Answer: A) Encouraging increased fluid intake and fiber-rich foods
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A 60-year-old patient with a history of chronic lower back pain is admitted to the hospital. The nurse assesses the patient and notes signs of discomfort, restlessness, and guarding of the lumbar area. Which intervention should the nurse prioritize to address the patient’s pain? Multiple Choice: A) Administering a benzodiazepine for relaxation B) Applying a heating pad to the lumbar area C) Assisting the patient with a gentle back massage D) Educating the patient on the benefits of acupuncture E) Providing prescribed non-opioid analgesics
Rationale: The patient’s symptoms align with chronic lower back pain, which typically necessitates multimodal pain management. Non-opioid analgesics are a recommended first-line treatment for chronic pain. While other interventions may offer some relief, administering prescribed non-opioid analgesics directly addresses the patient’s pain. Correct Answer: E) Providing prescribed non-opioid analgesics
A postoperative patient recovering from abdominal surgery reports severe incisional pain. The nurse notices increased respiratory rate and shallow breathing. Which action should the nurse prioritize in managing the patient’s pain? Multiple Choice: A) Encouraging the patient to perform deep breathing exercises B) Administering a higher dose of the prescribed analgesic C) Applying an ice pack to the incision site D) Providing distraction techniques, such as music therapy E) Assisting the patient to change positions frequently
Rationale: Shallow breathing can worsen postoperative pain by limiting lung expansion and increasing discomfort. Encouraging deep breathing exercises not only aids in pain management by reducing muscle tension but also helps prevent complications like atelectasis and pneumonia post-surgery. Correct Answer: A) Encouraging the patient to perform deep breathing exercises
Understanding Pain Management Care: NCLEX Delegation Questions
A patient in palliative care for end-stage cancer expresses fear of opioid addiction while experiencing severe pain. The nurse educates the patient about pain management options. What information should the nurse prioritize in responding to the patient’s concerns? Multiple Choice: A) Assuring the patient that opioid addiction is uncommon in palliative care settings B) Educating the patient on the benefits of opioid rotation to prevent tolerance C) Discussing the option of using non-pharmacological pain relief methods D) Advising the patient to take opioids only when the pain becomes unbearable E) Encouraging the patient to seek alternative treatments like herbal remedies
Rationale: Addressing concerns about opioid addiction involves discussing various pain management strategies. Non-pharmacological interventions offer a holistic approach and empower the patient to actively participate in pain management, reducing dependence on opioids. While the other options might have some validity, focusing on non-pharmacological methods aligns with the patient’s concerns and promotes a comprehensive approach to pain relief. Correct Answer: C) Discussing the option of using non-pharmacological pain relief methods
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Understanding Pain Management: NCLEX Priority Questions
A 68-year-old patient is admitted to the hospital with a diagnosis of osteoarthritis and reports severe knee pain. The nurse notes swelling and limited range of motion in the affected joint. Which intervention should the nurse prioritize for managing the patient’s pain? Multiple Choice: A) Administering a non-steroidal anti-inflammatory drug (NSAID) B) Applying cold therapy to the affected knee C) Performing gentle passive range of motion exercises D) Elevating the affected leg E) Providing distraction techniques, such as guided imagery
Rationale: Osteoarthritis commonly presents with joint pain and inflammation. NSAIDs are effective in managing pain and reducing inflammation associated with osteoarthritis, thereby alleviating the patient’s discomfort. Cold therapy, passive range of motion exercises, elevation, and distraction techniques can be beneficial, but NSAIDs are specifically indicated for addressing inflammation and pain in osteoarthritis. Correct Answer: A) Administering a non-steroidal anti-inflammatory drug (NSAID)
