Question 1

A client has just been started on opioid analgesia for pain control. The nurse assesses the client's level of sedation using a sedation scale and notes that the client is awake and alert. The nurse would assign which rating?

Accepted Answer

Using a sedation scale, 1 indicates that the client is alert and awake. S is used to document that the client is sleeping but easy to arouse. 2 is used to denote that the client is slightly drowsy but easy to arouse. 3 is used to denote that the client is frequently drowsy, arousable but drifts off to sleep during a conversation.

Question 2

A client is receiving opioid analgesia for pain control. The nurse is assessing the client for possible respiratory depression. Which method would be most reliable for the nurse to use to identify impending respiratory depression?

Accepted Answer

End-tidal CO₂ is considered a highly reliable measure of the quality of ventilation and, unlike pulse oximetry, is an early indicator of impending respiratory depression. Although respiratory rate and lungs sounds help evaluate the client's respiratory status, they are not reliable indicators of impending respiratory depression.

Question 3

A client presents to the facility complaining of acute pain. When assessing the client, the nurse understands that unrelieved acute pain can result in which physiologic responses? Select all that apply.

Accepted Answer

Physiologic responses to unrelieved acute pain include increased secretion of antidiuretic hormone, gluconeogenesis, protein catabolism, increased secretion of cortisol, and increased peripheral vascular resistance.

Quiz 28: Pain Management

A client has just been started on opioid analgesia for pain control. The nurse assesses the client's level of sedation using a sedation scale and notes that the client is awake and alert. The nurse would assign which rating?

A client is receiving opioid analgesia for pain control. The nurse is assessing the client for possible respiratory depression. Which method would be most reliable for the nurse to use to identify impending respiratory depression?

A client presents to the facility complaining of acute pain. When assessing the client, the nurse understands that unrelieved acute pain can result in which physiologic responses? Select all that apply.