NUR109 M6.6: ATI Skills Modules: Pain Management
Question 1: A nurse is preparing to assess the pain level of a 4-year-old child. Which of the following pain assessment tools should the nurse use?NUR109 M6.6: ATI Skills
Answer 1: The nurse should use the “FACES” pain assessment tool when evaluating the pain level in a young child. It uses facial expressions to help the child convey their pain intensity.NUR109 M6.6: ATI Skills
Question 2: A nurse is speaking with a client who reports experiencing frequent, severe migraines and asks, “Can you tell me about biofeedback?” Which of the following responses should the nurse make?NUR109 M6.6: ATI Skills
Answer 2: The nurse should respond by saying, “Biofeedback measures skin tension and uses learned techniques to relieve pain.” This explanation provides a clear and concise description of biofeedback’s purpose and method.
Question 3: A nurse is caring for two clients who are 2 hr postoperative following the same procedure. Which of the following factors should the nurse expect to be similar for both clients?
Answer 3: The nurse should expect that both clients will have prescriptions containing guidelines for pain medication administration that are similar. Postoperative pain management protocols are typically standardized for patients who have undergone the same procedure.NUR109 M6.6: ATI Skills
Question 4: A nurse is planning to administer a dose of morphine sulfate IV for a client who is postoperative. Which of the following pain management protocols should the nurse use when caring for this client?NUR109 M6.6: ATI Skills
Answer 4: The nurse should have an opioid antagonist available during the administration of morphine sulfate IV. This is a crucial safety measure in case of an adverse reaction, such as respiratory depression.
Question 5: A nurse is caring for a client prescribed IV morphine via PCA with a demand of 1 mg every 15 mins and a 4mg/hr lockout. The client reports unbearable pain after attempting six demand doses within the last hour. After assessing the client’s pain, which of the following actions should the nurse take?NUR109 M6.6: ATI Skills
Answer 5: The nurse should check the IV site and PCA pump for proper functioning, as the client’s unrelieved pain may be related to issues with the administration system. It’s essential to ensure that the equipment is working correctly.
Question 6: A nurse is caring for a client who was admitted to the emergency department for severe pain following a fall from a ladder. The client reports taking an opioid prescription for chronic pain. Which of the following provider prescriptions for initial pain relief should the nurse question?
Answer 6: The nurse should question the provider prescription for “Naloxone” as initial pain relief. Naloxone is an opioid antagonist used to reverse opioid overdose and should not be prescribed as initial pain relief.
Question 7: During a pain assessment, a nurse asks questions about the quality of an adult client’s pain. Which of the following statements by the client refers to pain quality?
Answer 7: The statement that refers to pain quality is, “My pain feels like I’m being stabbed by a knife.” This describes the nature or quality of the pain experienced by the client.NUR109 M6.6: ATI Skills
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