Hesi rn comprehensive predictor exam 2023.Edited on March 2023 100% (score) Quaranteed

1




Hesi rn comprehensive predictore u u u u




xam 2023.Edited on March 2023 u u u u




100% (score) Quaranteed. u u u




1An oriented patient has recently had surgery. Whicha
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ction is best for the nurseto take to assess this
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patient’s pain? u




u a. Assess the patient’s body language.
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b. Ask the patient to rate the level of pain.
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u c. Observe the cardiac monitor for increased heart rate.
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d. Have the patient describe the effect of pain on the abilityt
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o cope. u




ANS: B u




One of the most subjective and therefore most usefulc
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haracteristics for reporting pain is its severity. u u u u u u


Therefore, the best way to assess a patient’s painis to as
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k the patient to rate the pain. Nonverbal communication,
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such as body language, is not as effective in assessing p
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ain, especially when the patientis oriented. Heart rate so
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metimes increases when a patient is in pain, but this is n
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ot a symptom that is
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specific to pain. Pain sometimes affects a patient’s ability
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to cope, but assessing the effect of pain on copingassess
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es the patient’sability to cope; it does not assess the patie
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nt’s pain. u



2.A nurse is caring for a patient who recently had abdominals
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urgery and is experiencing severe pain. The patient’s bloodpr
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essure is 110/60 mm Hg, u u u u




and heart rate is 60 beats/min. Additionally, the patie
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nt does not appear tobe in any distress. Which
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, 2


response by the nurse is most therapeutic?
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“Your vitals do not show that you are having pain; can youdescrib
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e


a. your pain?”u



b. “OK, I will go get you some narcotic pain relievers
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immediately.”


c. “What would you like to try to alleviate your pain?”
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d. “You do not look like you are in pain.”
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u ANS: Cu


Be sure the patient is a partner in making decisions
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about the best approaches for managing pain. A patient
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20u
knows the most about his or her pain and is an important 5 pa
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rtner in selecting successful pain therapies. The nurse must
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believe that a patient is in pain whenever the
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patient reports that he or she is in
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, 3


pain, even if the patient does not appear to be in pain. The
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nurse must be careful to not judge the patient basedon vit
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al signs or nonverbal communication and must not assum
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e that the patient is seeking narcotics. Thepatientis a par
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tner in pain management, so going to get narcotics to trea
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t the pain without consulting with the patient first is not a
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ppropriate.
3.A nurse teaches the patient about the gate controlt
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heory. Which statement made by a patient reflects a cor
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rect understanding about the relationship
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between the gate control theory of pain and the use ofm
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editation to relievepain? u u



“Meditation controls pain by blocking pain impulses fromc u u u u u u u u


oming
a. through the gate.” u u



“Meditation alters the chemical composition of pain u u u u u u u


neuroregulators,
b. which closes the gate.” u u u



“Meditation will help me sleep through the pain because ito
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pens the u




c. gate.”
d. “Meditation stops the occurrence of pain stimuli.” u u u u u u




ANS: A u



According to this theory, gating mechanisms located alo
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ng the central nervoussystem regulate or block painimp
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ulses. Pain impulses pass through when a gate is open a
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nd are blocked when a gate is closed.
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Nonpharmacologic pain- u


relief measures, such as meditation, work byclosin
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g the gates, which keepspain impulses from coming
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uthrough.
Meditation does not open pain gates or stop pain fromo
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ccurring. Meditationalso does not have an effect on pai
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n neuroregulators.
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4.A nurse is planning care for an older-adult patient who is
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, 4


experiencing pain. Which statement made by the nurseind
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icates the supervising nurse needs to
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follow up? u




a. “As adults age, their ability to perceive pain decreases.”“
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Older patients may have low serum albumin in their blood
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, causing
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b. toxic effects of analgesic drugs.”
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“Patients who have dementia probably experience pain,
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and their pain
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c. s not always well controlled.”
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20
“It is safe to administer
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5
opioids to older adults asl u u u u u


ong as you start with
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