The client is being treated for severe pain with opioid ...

[RRMR]

The client is being treated for severe pain with opioid analgesics. The pain has neuropathic qualities. The nurse chooses a prn order for which type of analgesic to aid the client's pain management?
 
  1. Adjuvant analgesics
  2. Nonopioid analgesics
  3. Parenteral opioids
  4. Patient-controlled analgesics

Question 2

The client is experiencing pain after orthopedic surgery, and is prescribed opioid analgesic medication. The client complains to the nurse that the surgical joint is still uncomfortable, despite around-the-clock medication.
 
  What is the nurse's best response?
  1. You just had your medication; you will have to tolerate the pain for a little while.
  2. Let's try a cold pack on the area to help control the pain.
  3. I will call your provider to increase your dose of medication.
  4. I wonder if you are starting to get addicted to your medication.

[chreslie]

Answer to Question 1

Correct Answer: 1
Rationale 1: Adjuvant analgesics will help to address the neuropathic nature of the pain.
Rationale 2: Nonopioid analgesics will not address the neuropathic nature of the pain.
Rationale 3: Parenteral opioids will not address the neuropathic nature of the pain.
Rationale 4: Patient-controlled analgesics will not address the neuropathic nature of the pain.
Global Rationale: Adjuvant analgesics will help to address the neuropathic nature of the pain. Nonopioid analgesics, parenteral opioids, and patient-controlled analgesics will not address the neuropathic nature of the pain.

Answer to Question 2

Correct Answer: 2
Rationale 1: Telling the client to deal with the pain does not address the client's need.
Rationale 2: Offering nonpharmacologic intervention can serve as an adjunct to medication.
Rationale 3: Increasing medication without trying adjunctive therapy does not meet the client's immediate need for relief from discomfort.
Rationale 4: Few clients with acute pain become addicted to their pain medication.
Global Rationale: Offering nonpharmacologic intervention can serve as an adjunct to medication. Telling the client to deal with the pain does not address the client's need. Increasing medication without trying adjunctive therapy does not meet the client's immediate need for relief from discomfort. Few clients with acute pain become addicted to their pain medication.

[RRMR]

Both answers were spot on, thank you once again

[chreslie]

Great! Please up vote