1. A patient with a deep partial thickness burn has been receiving hydromorphone through a patient-controlled analgesia (PCA) pump for 1 week. The nurse caring for the patient during the previous shift reports that the patient woke up frequently during the night reporting pain. Which action would the nurse take?
a. Administer a dose of morphine every 1 to 2 hours from the PCA machine while the patient is sleeping.
b. Consult with the health care provider about using a different treatment protocol to control the patient‘s pain.
c. Request that the health care provider order a bolus dose of morphine to be given when the patient awakens with pain.
d. Teach the patient to push the button every 10 minutes for an hour before going to sleep, even if the pain is minimal.

2. Apatient with chronic neck pain is seen in the clinic for follow-up. Which question would the nurse select as most useful for evaluating the pain management outcome?
a. “Has there been a change in pain location?”
b. “Can you describe the quality of your pain?”
c. “How would you rate your pain on a 0 to 10 scale?”
d. “Does pain keep you from activities that you enjoy?”