A nurse is caring for four clients receiving pain medication. After the hand-off report, which client should the nurse see first?
a. Client who is crying and agitated
b. Client with a heart rate of 104 beats/min
c. Client with a Pasero Scale score of 4
d. Client with a verbal pain report of 9
Question 2An older client who lives alone is being discharged on opioid analgesics. What action by the nurse is most important?
a. Discuss the need for home health care.
b. Give the client follow-up information.
c. Provide written discharge instructions.
d. Request a home safety assessment.
Question 3An emergency department (ED) manager wishes to start offering clients nonpharmacologic pain control methodologies as an adjunct to medication. Which strategy would be most successful with this client population?
a. Listening to music on a headset
b. Participating in biofeedback
c. Playing video games
d. Using guided imagery
Question 4A client has received an opioid analgesic for pain. The nurse assesses that the client has a Pasero Scale score of 3 and a respiratory rate of 7 shallow breaths/min. The client's oxygen saturation is 87. What action should the nurse perform first?
a. Apply oxygen at 4 L/min.
b. Attempt to arouse the client.
c. Give naloxone (Narcan).
d. Notify the Rapid Response Team.
Question 5An older adult has diabetic neuropathy and often reports unbearable foot pain. About which medication would the nurse plan to educate the client?
a. Desipramine (Norpramin)
b. Duloxetine (Cymbalta)
c. Morphine sulfate
d. Nortriptyline (Pamelor)
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