Certified Ambulatory Perianesthesia Nurse (CAPA) Practice Exam

When should effective pain management begin for any patient experiencing pain?

1. Initially in the PACU

2. During the preoperative assessment

3. With pain intensity scales for verbal patients only

4. 30 minutes prior to discharge from the hospital

The correct answer is: During the preoperative assessment

Effective pain management should begin during the preoperative assessment because this is a critical time to identify the patient's pain history, assess their current pain levels, and establish a plan for managing pain postoperatively. By addressing pain management early, healthcare providers can tailor interventions to meet the specific needs and preferences of the patient, which can significantly improve overall patient experience and outcomes. Initiating pain management during the preoperative phase allows for comprehensive education regarding the pain management options available, potential side effects, and the importance of reporting pain levels. This proactive approach also fosters a collaborative relationship between the patient and healthcare team, enabling patients to express any concerns or preferences they may have regarding pain relief. In contrast, starting pain management solely in the post-anesthesia care unit limits the opportunity for effective preemptive pain control and may contribute to heightened pain experiences. Using pain intensity scales exclusively for verbal patients does not support equitable pain management for all individuals, and delaying management until 30 minutes before discharge can lead to inadequate pain control before the patient leaves the healthcare setting.