Author Question: Pain and symptom control are crucial to the delivery of quality end-of-life care. For which signs of ... (Read 23 times)

kodithompson · **on:** Jul 8, 2018

Pain and symptom control are crucial to the delivery of quality end-of-life care. For which signs of pain should the nurse carefully assess? (Select all that apply.)

A) Grimacing or strained facial expression
B) Slow heartbeat
C) Diaphoresis
D) Moaning or groaning at rest or movement
E) Taking sips of water from a cup

Question 2

The nurse cares for a client who has a laceration on her arm and reports moderate aching, throbbing pain from the injury. Which medication should the nurse expect to be ordered first for this client?

A) Acetaminophen
B) Ibuprofen
C) Opioids
D) Anticonvulsants

dominiqueenicolee · **Reply #1 on:** Jul 8, 2018

Answer to Question 1

Ans: A, C, D
Feedback:
The nurse should carefully observe the client for the following signs: moaning or groaning at rest or with movement; failure to eat, drink, or respond to the presence of others; grimacing or strained facial expression; guarding or not moving parts of the body; resisting care or noncooperation with therapeutic interventions; and rapid heartbeat, diaphoresis, or change in vital signs.

Answer to Question 2

Ans: A
Feedback:
Nociceptive pain usually resolves when the injury heals, and initial treatment involves nonopioid pain relievers. Acetaminophen is usually the first choice, followed by nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen; then physicians choose opioids. Difficult to relieve with routine pain medications, neuropathic pain may be deep and severe. At times, anticonvulsants, antidepressants, and opioids are used for pain relief.