Remake of Pain Case Study by

Write a priority nursing diagnosis (using the PES format) based on the scenario.

cgorham — 2024-05-28 18:20:56 UTC

Write a goal for the patient based on your nursing diagnosis.

cgorham — 2024-05-28 18:20:56 UTC

Mrs. Lewis’ son comes to visit her. The son pulls Monty aside and says, “I don’t want you to give Mother any pain medication. She’ll become addicted.” Addiction is a state of adaptation in which exposure to a drug induces changes that result in a diminution of one or more effects of the drug over time.

A. True

B. False

cgorham — 2024-05-28 18:20:56 UTC

Monty asks Mrs. Lewis where she feels pain, and she states, “Right where they cut me open. It’s a dull, throbbing pain right in my gut.” Monty knows that this type of pain is neuropathic pain.

A. True

B. False

cgorham — 2024-05-28 18:20:56 UTC

Monty sees that oxycodone/acetaminophen (Percocet), an opioid, is ordered for Mrs. Lewis’ pain. Which of Mrs. Lewis’ vital signs causes him to reconsider administering the Percocet?

A. Blood pressure 152/82 mm Hg

B. Temperature 98.7° F

C. Pulse 88 beats/min and regular

D. Respirations 18 breaths/min and shallow

cgorham — 2024-05-28 18:20:56 UTC

Mrs. Lewis rings the call light and asks for pain medication. Monty enters the room and, in an attempt to better understand Mrs. Lewis’ pain, he asks about the characteristics of the pain. Which of the following factors should Monty assess regarding her pain? (Select all that apply.)

A. Onset

B. Duration

C. Strength

D. Location

E. Intensity