Author Question: A patient has a morphine sulfate patient controlled analgesia (PCA) to control postoperative pain. ... (Read 106 times)

savannahhooper · **on:** Jul 22, 2018

A patient has a morphine sulfate patient controlled analgesia (PCA) to control postoperative pain. When the nurse enters the room, the patient complains of pain. The nurse's first response is which of the following?

a. Stop the infusion.
b. Call the physician or health care provider immediately.
c. Ask the patient to describe the pain.
d. Speak to the patient in a calming tone to reduce anxiety.

Question 2

A student nurse is assessing the pain of a teenage patient with cancer. The student nurse ask the patient about precipitating factors, quality, relieving factors, where the pain is, the severity of pain, and the effect of the pain has on the patient.

What is the other indicator that the student nurse should make part of this pain assessment? a. Medications the patient is taking for pain
b. Timing of the pain
c. Side effects of the patient's chemotherapy
d. The patient's ability to take oral pain medication

DHRUVSHAH · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

C
Nurses need to assess the patient first. Next, assess the lines, catheter, and infusion pump. Notify the physician or health care provider or follow protocols should a problem exist. Speaking in a calm voice demonstrates caring behavior.

Answer to Question 2

B
The comprehensive assessment of pain aims to gather information about the cause of a person's pain and determine its effect on his or her ability to function.
Palliative or provocative factorsWhat makes your pain worse or better?
QualityHow do you describe your pain?
Relief measuresWhat do you take at home to gain pain relief?
Region (location)Show me where you hurt.
SeverityOn a scale of 0 to 10, with 10 being worst, how bad is your pain now?
Timing (onset, duration, and pattern)Is your pain constant, intermittent, or both?
U (effect of pain on patient)What are you not able to do because of your pain?