All questions are shown, but the results will only be given after you’ve finished the quiz. You are given 1 minute per question, a total of 10 minutes in this quiz.
Intraspinal
Patient-controlled analgesia (PCA)
Intravenous (IV)
Sublingual
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Make a note in the nurse’s file and continue to observe clinical performance
Refer the new nurse to the in-service education department.
Quiz the nurse about knowledge of pain management
Give praise for the correct dose and time and discuss the deficits in charting.
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A client with fibromyalgia
A client with phantom limb pain
A client with progressive pancreatic cancer
A client with trigeminal neuralgia
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Sensory
Affective
Sociocultural
Behavioral
Cognitive
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Treatment is based on client goals.
A multidisciplinary approach is needed.
The client must be believed about perceptions of own pain.
Drug side effects must be prevented and managed.
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Administer smallest dose that provides relief with the fewest side effects.
Titrate upward until the client is pain free.
Titrate downwards to prevent toxicity.
Ensure that the drug is adequate to meet the client’s subjective needs.
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Therapeutic touch
Use of heat and cold applications
Meditation
Transcutaneous electrical nerve stimulation (TENS)
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Amitriptyline (Elavil)
Corticosteroids
Methylphenidate (Ritalin)
Lorazepam (Ativan)
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Check the MARs and nurses’ notes for the past several days.
Ask the nurse educator to give an in-service about pain management.
Perform a complete pain assessment and history on the client.
Have a conference with the nurses responsible for the care of this client.
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