NUR 105 Final Exam|| QUESTIONS AND CORRECT
DETAILED ANSWERS||VERIFIED EXAM!!! (VERIFIED
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A nurse is explaining to a caregiver the value of
nonpharmacologic methods of pain management. Which
statement best describes the proper rationale for using
nonpharmacologic methods to help manage pain? -
ANSWER-Use of nonpharmacologic methods can
diminish the emotional component of pain.
Nonpharmacologic methods of pain management can
diminish the emotional components of pain, strengthen
coping abilities, give clients a sense of control, contribute
to pain relief, decrease fatigue, and promote sleep.
Although it is true that nonpharmacologic methods do not
require a health care provider's prescription, it is not the
best rationale for their use. Many nonpharmacologic
methods are more expensive than pain medications,
especially if nursing staff are needed to implement the
methods. Nonpharmacologic interventions lessen the
emotional impact of pain but may not diminish the
sensation of pain. A combined approach is often most
effective.
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The nurse is presenting an educational inservice about
comfort and asks the participants to provide examples of
effective comfort measures. Which responses by
participants indicate a correct understanding of the
concept? Select all that apply. - ANSWER-- "Straightening
wrinkled bed linens",
- "Administering prescribed analgesic medications",
- "Holding a client's hand during an invasive procedure or
during times of emotional stress",
- "Assisting a client with hygiene needs",
- "Keeping the client's environment free from unpleasant
odors"
The nurse is implementing environmental changes to
promote a client's comfort and pain management. Which is
an example of this type of intervention? - ANSWER-
Closing the client's room door to reduce unnecessary
noises
A noisy environment, even talking, can be a source of
stimuli that causes discomfort; therefore, closing the
client's room door is a way to adjust the environment to
make it quieter. Assisting the client to change positions or
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smoothing out wrinkles in the bed linen is implementation
of a physical adjustment techniques to promote comfort.
Offering the client a book or music is using a technique of
distraction to help the client not focus on the discomfort.
The nurse is assisting a client to use progressive muscle
relaxation techniques. Place in order, from first to last, the
action the nurse will implement. Use all options. -
ANSWER-1)Explain procedure and rationale to client.
2)Assist client to a comfortable position.
3)Ask client to focus on a specific muscle group.
4)Instruct client to tighten that muscle group and hold it
tight for 5 seconds.
5)Instruct client to totally relax a specific muscle group and
concentrate of the sensation.
The nurse should first explain the procedure and the
rationale for the exercise to client, then assist the client to
a comfortable position. Next the nurse should ask the
client to focus on a specific muscle group (starting high
such as with the jaw and moving down the body). Once
the client is focused on a specific muscle group, the nurse
will instruct client to tighten that muscle group, hold it tight
for 5 to 7 seconds, and then totally relax the muscles and
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concentrate on the sensation of full relaxation. The nurse
would continue to have the client focus, tighten, and relax
each muscle group until the whole body has been
covered.
A nurse is massaging the back of client to relieve pain. In
addition to pain relief, the nurse understands that
massage has which additional benefits for the client?
Select all that apply. - ANSWER-- Promotes general
relaxation,
- Increases circulation,
- Improves sleep quality,
- Reduces anxiety
Giving a back massage provides an opportunity for the
nurse to observe the skin for signs of breakdown. It also
promotes general relaxation; improves circulation;
decreases pain, symptom distress, and anxiety; improves
sleep quality; and provides a means of communicating
with the client through the use of touch. Massage does not
reduce blood sugar level or fight infection.
In which client would a back massage be contraindicated?
- ANSWER-Client who has a fractured rib