Pain Management, Medication, and Sleep Flashcards

Flashcards based on lecture notes about pain management, medication, and sleep.

Performs a back massage using warmed lotion

A nursing intervention that demonstrates the application of the gate control theory of pain.

Assesses the patient's pain and reassesses pain after interventions

Complies with Joint Commission standards of pain management.

There is a greater chance of oversedation and opioid toxicity.

Greatest concern with patient-controlled analgesia (PCA) by proxy.

Aspirin

Medication the nurse anticipates the HCP will prescribe for a patient who has arthritis.

Urinary retention

A complication of epidural opioid treatment.

The patient has developed a physical tolerance.

What the nurse recognizes when a patient reports that the prescribed opioid dose does not seem to provide the same relief for his acute pain compared to 4 weeks ago.

"Has there been a recent increase in the dosage of your opioid medication?"

Question related to the patient's medication is most relevant to designing interventions for the patient's problem.

Rotating day to night shift

Is most likely to cause sleep-wake cycle disruption.

Low risk and few side effects

Greatest advantage of using nonpharmacologic pain management techniques as an adjunct to pain medication.

The patient has a cardiac pacemaker device.

Condition is most important to bring to the attention of the HCP for a patient who wants to try transcutaneous electric nerve stimulation.

A patient with a history of chronic back pain who is receiving an increased dose of morphine.

A patient receiving morphine is most likely to have problems with respiratory depression.

Ask about methods that have helped her sleep.

The nurse does first when entering a patient's room at 3:00 am and finds that the patient is awake and sitting up in a chair and the patient tells the nurse that she is not able to sleep.

Has a history of opioid abuse and has an acute exacerbation of chronic pain

Most likely candidate to be prescribed an analgesic that would be considered an abuse deterrent medication.

Short-acting

Type of opioid would be prescribed to manage episodes of acute breakthrough pain?

Patient in stage 1 sleep: vital signs are significantly lower than during waking hours

Unexpected finding on a patient needs follow-up assessment