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START

Who is the champion about

PAIN MANAGEMENT

GHS policy C-115- Pain, Agitation and Delirium Assessment and Management states:

Pain management is patient-centered

A

B

Pain management is a nursing-only function

C

Pain management is acheived only with medications

D

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GOODLUCK!

Co-morbidities do not affect pain management

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What is the nurse's role in patient pain management?

Prescribe medication

A

Give medication only if the patient can ask for it

B

Give pain medication only if you believe the pain is real

C

Monitor patient for adequate pain relief

D

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What is the goal of pain management?

To eliminate all pain

A

To make the patient stop complaining

B

Increase function without exceding limits of pain and discomfort

C

To increase hospital rating scores

D

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WRONG!

Which is INCORRECT about nurse responsibility in pain management?

Identify patient's perception of pain

A

Deciding which analgesic to administer based on pain scale

B

Document only that analgesic was given and nothing else

C

Evaluate effectiveness of analgesic

D

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WRONG!

Which pain scale uses faces to represent pain levels?

Wong-Baker

A

FLACC

B

NVPS (Nonverbal pain scale)

C

RASS

D

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When is the Non-verbal Pain Scale used?

Alert patients

A

Patients who are unable to speak (due to intubation, dementia, etc)

B

Only for toddlers

C

Sleeping patients

D

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Which of the following is FALSE?

Documentation of pain includes intensity and pain goals

A

Education on pain management only includes the patient

B

Patients will be assessed at least every 8 hours for pain

C

Non-pharmacologic interventions include music, position change and rhythmic breathing

D

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When is pain reassessed?

15-30 minutes for IV

A

30 minutes for PO

B

15 minutes for IM

C

60 minutes for subq

D

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What categories are included in the FLACC pain scale?

Face, Language, Activity, Cry, Crankiness

A

Frustration, Language, Agitation, Complaining, Crying

B

Frown, Legs, Agitation, Cry, Consolability

C

Face, Legs, Activity, Cry, Consolability

D

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WRONG!

Your severely demented, non-verbal patient has an order for Toradol 30mg IV q6h PRN pain scale 4-6 and Dilaudid 1mg q6h PRN pain scale 7-10. What is the appropriate medication to give?

Dilaudid for Wong-Baker scale of severe pain

A

Toradol for NVPS of moderate pain

B

Dilaudid for FLACC scale of severe pain

C

Toradol for NVPS of severe pain

D

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YOU WIN!

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WELL DONE!

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