Pain Management Nursing Practice Exam

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In which scenario is IV morphine the most appropriate first-line pain management choice?

A 33-year-old intrapartum client needing labor pain relief.

In the context of labor pain relief, intravenous morphine is often considered a suitable option for managing severe pain. During labor, many women experience intense contractions, and effective pain management is crucial for both comfort and psychological well-being. Morphine, being a potent opioid analgesic, can provide rapid onset of relief, making it beneficial in an intrapartum setting where pain can fluctuate abruptly during contractions.

For the other scenarios, while morphine may play a role in managing pain, they often involve complexity or considerations that make other options potentially more appropriate. In the case of a severe headache post-head trauma, careful assessment is needed to rule out serious complications such as intracranial bleeding, and non-opioid analgesics may be preferred initially. Breakthrough pain in cancer patients could be better addressed with specific analgesic regimens tailored to the individual's needs, including the possibility of using different opioids. Lastly, for chronic pain following hip replacement surgery, oral analgesics or a different method of pain management involving multimodal therapy might be more effective and safer than administering morphine intravenously on a routine basis.

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A 24-year-old client reporting a severe headache after head trauma.

A 56-year-old client experiencing breakthrough bone pain from multiple myeloma.

A 73-year-old client with chronic pain after hip replacement surgery.

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