Lesson 7: Pain Management, Wound Healing and Perioperative Care

You have a patient who has chronic pain and is on Oxycodone 5 mg q6h PRN for pain.  They are being seen for a fall with a fracture today in the ER.  How many morphine milligram equivalents (MME) is this patient currently taking for their chronic pain?

According to the National Center for Complementary and Integrative Health, how many adults suffer from high-impact chronic pain?

You have a patient with Low-Back Pain, Gastric Ulcers, and CHF all of the following would be good treatment options Except

According to O’Brian, Marie DNP, ANP-C, PMGT-BC, CCRN &Sebach, Aaron PhD, DNP, MBA, AGACNP-BC, FNP-BC, NP-C, CLNC, CNE, CNEcl, SFHM Optimizing postoperative pain management in patients with chronic pain, American Nurse Journal: December 2021 – Volume 16, Number 12 p 7-13; What is the most important thing a nurse can do to help relieve postoperative pain in a patient with chronic pain?

According to O’Brian, Marie DNP, ANP-C, PMGT-BC, CCRN &Sebach, Aaron PhD, DNP, MBA, AGACNP-BC, FNP-BC, NP-C, CLNC, CNE, CNEcl, SFHM Optimizing postoperative pain management in patients with chronic pain, American Nurse Journal: December 2021 – Volume 16, Number 12 p 7-13; All of the following are risk factors for Substance Use Disorder (SUD) Except.

You have a chronic pain patient who presents to surgery and is sweating, nauseated, and can not stop yawning. What do you suspect is going on? Please refer to O’Brian, Marie DNP, ANP-C, PMGT-BC, CCRN &Sebach, Aaron PhD, DNP, MBA, AGACNP-BC, FNP-BC, NP-C, CLNC, CNE, CNEcl, SFHM Optimizing postoperative pain management in patients with chronic pain, American Nurse Journal: December 2021 – Volume 16, Number 12 p 7-13

A nurse is assessing a divelementaly disabled adult client who is in pain after a fall from a staircase. Which scale should the nurse use to assess the client’s pain?

 You have a 93 year old male that has a wound. Which of these assessments would allow for the best care according to Cox, Jill PhD, RN, APN-C, CWOCN Wound Care 101, Nursing: October 2019 – Volume 49 – Issue 10 – p 32-39 doi: 10.1097/01.NURSE.0000580632.58318.08:

What type of wound would this be defined as?

You have a patient with a skin tear. A flap of skin is still present and covering the wound. What type of tear is this?

Transparent film dressings are recommended.

Which wound dressing is most appropriate for a wound with heavy exudate?

When assessing a client’s wound, the nurse observes that the damaged tissue is being replaced with fibrous tissue. How should the nurse document this restoration of tissue integrity?

The nurse is caring for a client 6 hours post surgery. The nurse observes that the client voids urine frequently and in small amounts. The nurse knows that this most probably indicates what?

The nurse is caring for a client during the immediate postoperative period. What signs and symptoms indicate that the client may be in shock?

The nurse is caring for a client postoperatively. What nursing interventions help prevent venous stasis and other circulatory complications in a client who has undergone surgery?

The PACU nurse is about to administer pain medication to an older adult client who is recovering from surgery. What does this client’s age put them at increased risk for? Select all that apply.

The nurse has provided preoperative instructions to a client scheduled for surgery at an ambulatory care center. Which statement, made by the client, would indicate that further instruction is needed?

The nurse is providing community instruction on the impact of aging and surgical incisional considerations. Which instructional area(s) would be included in the presentation? Select all that
apply.

The nurse is caring for a client needing emergency surgery. Which preoperative teaching can be omitted when preparing a client for surgery?

“When caring for an elderly patient postoperatively, what are critical areas of concern related to their recovery?