Hesi rn comprehensive predictor e h h h h
xam 2023.Edited on March 2023 h h h h
100% (score) Quaranteed. h h h
1An oriented patient has recently had surgery. Whicha
h h h h h h h h
ction is best for the nurseto take to assess this
h h h h h h h h h
patient’s pain? h
h a. Assess the patient’s body language.
h h h h h
b. Ask the patient to rate the level of pain.
h h h h h h h h h
h c. Observe the cardiac monitor for increased heart rate.
h h h h h h h h
d. Have the patient describe the effect of pain on the abilityto
h h h h h h h h h h h h
cope. h
ANS: B h
One of the most subjective and therefore most usefulc
h h h h h h h h h
haracteristics for reporting pain is its severity. h h h h h h
Therefore, the best way to assess a patient’s painis to as h h h h h h h h h h
k the patient to rate the pain. Nonverbal communication,
h h h h h h h h
hsuch as body language, is not as effective in assessing p
h h h h h h h h h h
ain, especially when the patientis oriented. Heart rate so
h h h h h h h h h
metimes increases when a patient is in pain, but this is n
h h h h h h h h h h h
ot a symptom that is
h h h h
specific to pain. Pain sometimes affects a patient’s ability
h h h h h h h h h
to cope, but assessing the effect of pain on copingassesse
h h h h h h h h h h
s the patient’sability to cope; it does not assess the patien
h h h h h h h h h h
t’s pain. h
2.A nurse is caring for a patient who recently had abdominals
h h h h h h h h h h h
urgery and is experiencing severe pain. The patient’s bloodpr
h h h h h h h h h
essure is 110/60 mm Hg, h h h h
and heart rate is 60 beats/min. Additionally, the patien
h h h h h h h h
t does not appear tobe in any distress. Which
h h h h h h h h h
, response by the nurse is most therapeutic?
h h h h h h
“Your vitals do not show that you are having pain; can youde
h h h h h h h h h h h h
scribe
a. your pain?”h
b. “OK, I will go get you some narcotic pain relievers
h h h h h h h h h
immediately.”
c. “What would you like to try to alleviate your pain?”
h h h h h h h h h
d. “You do not look like you are in pain.”
h h h h h h h h
h ANS: Ch
Be sure the patient is a partner in making decisions
h h h h h h h h h
about the best approaches for managing pain. A patient
h h h h h h h h
20h
knows the most about his or her pain and is an important 5 pa
h h h h h h h h h h h h h
rtner in selecting successful pain therapies. The nurse must
h h h h h h h h h
believe that a patient is in pain whenever the
h h h h h h h h
patient reports that he or she is in
h h h h h h h
,pain, even if the patient does not appear to be in pain. The
h h h h h h h h h h h h h
nurse must be careful to not judge the patient basedon vit
h h h h h h h h h h h
al signs or nonverbal communication and must not assum
h h h h h h h h
e that the patient is seeking narcotics. Thepatientis a part
h h h h h h h h h h
ner in pain management, so going to get narcotics to treat
h h h h h h h h h h
the pain without consulting with the patient first is not ap
h h h h h h h h h h h
propriate.
3.A nurse teaches the patient about the gate controlt
h h h h h h h h h
heory. Which statementmade by a patient reflects ac
h h h h h h h h h
orrect understanding about the relationship
h h h h
between the gate control theory of pain and the use ofm
h h h h h h h h h h h
editation to relievepain? h h
“Meditation controls pain by blocking pain impulses fromc h h h h h h h h
oming
a. through the gate.” h h
“Meditation alters the chemical composition of pain h h h h h h h
neuroregulators,
b. which closes the gate.” h h h
“Meditation will help me sleep through the pain because ito
h h h h h h h h h h
pens the h
c. gate.”
d. “Meditation stops the occurrence of pain stimuli.” h h h h h h
ANS: A h
According to this theory, gating mechanisms located alo
h h h h h h h
ng the central nervoussystem regulate or block painimp
h h h h h h h h
ulses. Pain impulses pass through when a gate is open a
h h h h h h h h h h
nd are blocked when a gate is closed.
h h h h h h h
Nonpharmacologic pain- h
relief measures, such as meditation, work byclosing
h h h h h h h
hthe gates, which keepspain impulses from coming t
h h h h h h h h
hrough.
Meditation does not open pain gates or stop pain fromo
h h h h h h h h h h
ccurring. Meditationalso does not have an effect on pai
h h h h h h h h
n neuroregulators.
h
4.A nurse is planning care for an older-adult patient who is
h h h h h h h h h h
, experiencing pain.Which statement made by the nursei
h h h h h h h h
ndicates the supervising nurse needs to
h h h h h
follow up? h
a. “As adults age, their ability to perceive pain decreases.”“
h h h h h h h h h
Older patients may have low serum albumin in their blood
h h h h h h h h h
, causing
h
b. toxic effects of analgesic drugs.”
h h h h
“Patients who have dementia probably experience pain,
h h h h h h h
and their pain
h h
c. s not always well controlled.”
h h h h
20
“It is safe to administer
h h h h
5
opioids to older adults aslo h h h h h
ng as you start with
h h h h
xam 2023.Edited on March 2023 h h h h
100% (score) Quaranteed. h h h
1An oriented patient has recently had surgery. Whicha
h h h h h h h h
ction is best for the nurseto take to assess this
h h h h h h h h h
patient’s pain? h
h a. Assess the patient’s body language.
h h h h h
b. Ask the patient to rate the level of pain.
h h h h h h h h h
h c. Observe the cardiac monitor for increased heart rate.
h h h h h h h h
d. Have the patient describe the effect of pain on the abilityto
h h h h h h h h h h h h
cope. h
ANS: B h
One of the most subjective and therefore most usefulc
h h h h h h h h h
haracteristics for reporting pain is its severity. h h h h h h
Therefore, the best way to assess a patient’s painis to as h h h h h h h h h h
k the patient to rate the pain. Nonverbal communication,
h h h h h h h h
hsuch as body language, is not as effective in assessing p
h h h h h h h h h h
ain, especially when the patientis oriented. Heart rate so
h h h h h h h h h
metimes increases when a patient is in pain, but this is n
h h h h h h h h h h h
ot a symptom that is
h h h h
specific to pain. Pain sometimes affects a patient’s ability
h h h h h h h h h
to cope, but assessing the effect of pain on copingassesse
h h h h h h h h h h
s the patient’sability to cope; it does not assess the patien
h h h h h h h h h h
t’s pain. h
2.A nurse is caring for a patient who recently had abdominals
h h h h h h h h h h h
urgery and is experiencing severe pain. The patient’s bloodpr
h h h h h h h h h
essure is 110/60 mm Hg, h h h h
and heart rate is 60 beats/min. Additionally, the patien
h h h h h h h h
t does not appear tobe in any distress. Which
h h h h h h h h h
, response by the nurse is most therapeutic?
h h h h h h
“Your vitals do not show that you are having pain; can youde
h h h h h h h h h h h h
scribe
a. your pain?”h
b. “OK, I will go get you some narcotic pain relievers
h h h h h h h h h
immediately.”
c. “What would you like to try to alleviate your pain?”
h h h h h h h h h
d. “You do not look like you are in pain.”
h h h h h h h h
h ANS: Ch
Be sure the patient is a partner in making decisions
h h h h h h h h h
about the best approaches for managing pain. A patient
h h h h h h h h
20h
knows the most about his or her pain and is an important 5 pa
h h h h h h h h h h h h h
rtner in selecting successful pain therapies. The nurse must
h h h h h h h h h
believe that a patient is in pain whenever the
h h h h h h h h
patient reports that he or she is in
h h h h h h h
,pain, even if the patient does not appear to be in pain. The
h h h h h h h h h h h h h
nurse must be careful to not judge the patient basedon vit
h h h h h h h h h h h
al signs or nonverbal communication and must not assum
h h h h h h h h
e that the patient is seeking narcotics. Thepatientis a part
h h h h h h h h h h
ner in pain management, so going to get narcotics to treat
h h h h h h h h h h
the pain without consulting with the patient first is not ap
h h h h h h h h h h h
propriate.
3.A nurse teaches the patient about the gate controlt
h h h h h h h h h
heory. Which statementmade by a patient reflects ac
h h h h h h h h h
orrect understanding about the relationship
h h h h
between the gate control theory of pain and the use ofm
h h h h h h h h h h h
editation to relievepain? h h
“Meditation controls pain by blocking pain impulses fromc h h h h h h h h
oming
a. through the gate.” h h
“Meditation alters the chemical composition of pain h h h h h h h
neuroregulators,
b. which closes the gate.” h h h
“Meditation will help me sleep through the pain because ito
h h h h h h h h h h
pens the h
c. gate.”
d. “Meditation stops the occurrence of pain stimuli.” h h h h h h
ANS: A h
According to this theory, gating mechanisms located alo
h h h h h h h
ng the central nervoussystem regulate or block painimp
h h h h h h h h
ulses. Pain impulses pass through when a gate is open a
h h h h h h h h h h
nd are blocked when a gate is closed.
h h h h h h h
Nonpharmacologic pain- h
relief measures, such as meditation, work byclosing
h h h h h h h
hthe gates, which keepspain impulses from coming t
h h h h h h h h
hrough.
Meditation does not open pain gates or stop pain fromo
h h h h h h h h h h
ccurring. Meditationalso does not have an effect on pai
h h h h h h h h
n neuroregulators.
h
4.A nurse is planning care for an older-adult patient who is
h h h h h h h h h h
, experiencing pain.Which statement made by the nursei
h h h h h h h h
ndicates the supervising nurse needs to
h h h h h
follow up? h
a. “As adults age, their ability to perceive pain decreases.”“
h h h h h h h h h
Older patients may have low serum albumin in their blood
h h h h h h h h h
, causing
h
b. toxic effects of analgesic drugs.”
h h h h
“Patients who have dementia probably experience pain,
h h h h h h h
and their pain
h h
c. s not always well controlled.”
h h h h
20
“It is safe to administer
h h h h
5
opioids to older adults aslo h h h h h
ng as you start with
h h h h
