189. A client reports severe pain 2 days after surgery.

Which initial action

should the
nurse take after assessing the character of the pain?
1. Encourage rest.
2. Obtain the vital signs.
3. Administer the prn analgesic.
4. Document the client’s pain response.
190. A peripheral nerve or dorsal column stimulator is implanted to allay a
client’s
intractable pain. What discharge instructions should the nurse give the client
after
surgery?
1. Tub baths should be avoided.
2. Analgesics will no longer be necessary.
3. The transmitter must be worn externally.
4. The transmitter will interfere with electronic devices.
191. After abdominal surgery a client reports pain. What action should the
nurse take
first?
1. Reposition the client.
2. Obtain the client’s vital signs.
3. Administer the prescribed analgesic.
4. Determine the characteristics of the pain.
192. A client who had abdominal surgery is receiving patient-controlled
analgesia (PCA)
intravenously to manage pain. The pump is programmed to deliver a basal
dose and
bolus doses that can be accessed by the client with a lock-out time frame of
10 minutes.
The nurse assesses use of the pump during the last hour and identifies that the
client
attempted to self-administer the analgesic 10 times. Further assessment
reveals that the
client is still experiencing pain. What should the nurse do first?
1. Monitor the client’s pain level for another hour.
2. Determine the integrity of the intravenous delivery system.
3. Reprogram the pump to deliver a bolus dose every 8 minutes.
4. Arrange for the client to be evaluated by the health care provider.
193. A client with an inflamed sciatic nerve is to have a conventional
transcutaneous
electrical nerve stimulation (TENS) device applied to the painful nerve
pathway. When
operating the TENS unit, which nursing action is appropriate?
1. Maintain the settings programmed by the health care provider.
2. Turn the machine on several times a day for ten to twenty minutes.
3. Adjust the dial on the unit until the client states the pain is relieved.
4. Apply the color-coded electrodes on the client where they are most
comfortable.
194. A nurse is caring for a client who had an insertion of radium for cancer
of the cervix.
For what radium reaction should the nurse assess the client?
1. Pain
2. Nausea
3. Excoriation
4. Restlessness
195. Radium inserted in the vagina of a client is now being removed. What
safety