The nurse is caring for a client who does not speak English and is assessing the client's pain level. The nurse should consider using which scale to help the client communicate pain levels?
1. A pain questionnaire such as McGill
2. Numeric pain intensity scale
3. Descriptive pain intensity scale
4. Wong-Baker FACES scale
Question 2A client with chronic pain experiences panic when pain is perceived and the muscles become tight and tense. What approach should the nurse instruct the client to use to relax?
1. Taking medication before the pain begins
2. Utilizing a TENS unit
3. Beginning diaphragmatic breathing as soon as pain is perceived
4. Calling the physician
Question 3A client with chronic pain asks if there are interventions to reduce the pain other than drugs. What should the nurse instruct this client?
1. Take long walks for knee pain.
2. Watch TV or read a book when pain is perceived.
3. Notify the physician when the pain subsides.
4. Perform acupuncture on the pain site.
Question 4A client with terminal cancer pain is scheduled for a cordotomy. What should the nurse instruct the client about this procedure?
1. Removes the nerve that is causing the pain
2. Severs the dorsal roots and relieves pain in the head and neck
3. Destroys the sympathetic nerves that are transmitting the pain.
4. Interrupts pain transmission through an incision into the spinal cord tracts
Question 5A client who is on the second postoperative day has opioid pain medication changed from intravenous to the oral route. What should the nurse anticipate when caring for this client? (Select all that apply.)
1. Evaluate the client's ability to swallow.
2. The client can go to the cafeteria to eat.
3. The oral dose will be higher.
4. The client now can have visitors.
5. Pain level checks can be done less frequently.
Question 6A client with joint pain insists that the nurse assist with obtaining a prescription for narcotics for the pain. The client is highly anxious and tense. What should the nurse suggest to help this client's pain?
1. Relaxation and guided imagery to help with relaxation
2. A prescription for narcotics
3. Acetaminophen for the pain
4. An appointment with a psychiatrist
Question 7The nurse is conducting a teaching session about pain with older adults at a senior center. Which client statement indicates that further teaching is required?
1. I tend to accept chronic pain and underreport pain to the physician.
2. I don't report my pain because I do not want to be addicted.
3. I often take over-the-counter medications for pain.
4. As I get older, my perception of pain will decrease.
Question 8The nurse suspects that a client is experiencing pain caused by a mechanical process. Which stimuli are causing this client's pain? (Select all that apply.)
1. Spider bite
2. Sore throat
3. Steam burn
4. Kidney stones
5. Sprained ankle
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