The nurse assesses a client as experiencing severe pain. Which ...

[jake]

The nurse assesses a client as experiencing severe pain. Which intervention would be the most applicable for the client at this time?
 
  1. Provide NSAID medication as prescribed.
  2. Coach the client with guided imagery.
  3. Suggest the client read or watch television until the pain subsides.
  4. Provide opioid analgesic as prescribed.

Question 2

The nurse is caring for an adolescent client who is experiencing postoperative pain. What interventions would be appropriate for the nurse identify to help this client?
 
  1. Talk with the client about pain.
  2. Provide privacy.
  3. Present choices for dealing with pain.
  4. Encourage distraction with music or television.
  5. Allay fears and anxiety.

[jjorrostieta]

Answer to Question 1

Correct Answer: 4
Rationale 1: The selection of pain relief measures should be aligned with the client's report of the severity of the pain. If the client reports mild pain, an analgesic such as acetaminophen might be indicated.
Rationale 2: Using a technique such as guided imagery is essentially telling the client to ignore the pain, which is a misalignment of the pain severity and the intervention selected.
Rationale 3: Using a technique such as watching television is essentially telling the client to ignore the pain, which is a misalignment of the pain severity and the intervention selected.
Rationale 4: The selection of pain relief measures should be aligned with the client's report of the severity of the pain. If a client reports severe pain, a more potent pain relief measure is indicated.

Answer to Question 2

Correct Answer: 1,2,3,4
Rationale 1: Nursing interventions to assist with pain management for an adolescent client include talking with the client about the pain.
Rationale 2: Nursing interventions to assist with pain management for an adolescent client include providing privacy.
Rationale 3: Nursing interventions to assist with pain management for an adolescent client include presenting choices for dealing with the pain.
Rationale 4: Nursing interventions to assist with pain management for an adolescent client include encouraging distraction with music or television.
Rationale 5: Allaying fears and anxiety would be a nursing intervention to assist with pain management for an adult.