A client has an order for a narcotic analgesic every 3 to 4 hours ...

[rlane42]

A client has an order for a narcotic analgesic every 3 to 4 hours and he received his last dose 3 hours earlier. Which action is most appropriate for the nurse to take in response to the client's request for pain medication on his first postoperative day?
 
  A) Provide the client with pain medication.
  B) Tell the client that the pain cannot be severe.
  C) Document and ask the client to wait 1 hour.
  D) Contact the physician for a change in medication.

Question 2

A client with peripheral neuropathy states, Sometimes I get the worst pain from just a bedsheet brushing over my foot. What is the nurse's most appropriate action?
 
  A) Document a nursing diagnosis of Pain (chronic) related to neuropathy
  B) Document the client's allodynia.
  C) Assess the passive range of motion of the client's foot.
  D) Assess for further signs of hyperalgesia.

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Answer to Question 1

Ans: A
Feedback:
Inadequate or poor pain assessment is a leading factor in poor pain control, because the health care professional may not know a client has pain. The nurse must provide the next dose of pain medication.

Answer to Question 2

Ans: B
Feedback:
Allodynia is a pain sensation produced by an innocuous stimulus such as light touch. This differs from hyperalgesia, which is an exaggerated response to mildly noxious stimuli. The client is describing episodes of acute, not chronic, pain. Passive ROM is likely to cause pain.

[rlane42]

TYSM

[cassie_ragen]

Excellent