MATERNITY OB HESI EXIT 8 LATEST VERSIONS (v1-v8) ALL VERSIONS COMPLETE WITH 500+ QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) ALREADY GRADED A+.pdf

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Hesi rn comprehensive predictor e n n n n




xam 2023.Edited on March 2023 n n n n




100% (score) Quaranteed. n n n




1An oriented patient has recently had surgery. Which actio
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n is best for the nurseto take to assess this
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patient’s pain? n




n 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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n c. Observe the cardiac monitor for increased heart rate.
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d. Have the patient describe the effect of pain on the ability to
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cope.n




ANS: B n




One of the most subjective and therefore most useful char
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acteristics for reporting pain is its severity. n n n n n n


Therefore, the best way to assess a patient’s painis to ask n n n n n n n n n n


the patient to rate the pain. Nonverbal communication, su
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ch as body language, is not as effective in assessing pain,
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especially when the patient is oriented. Heart rate someti n n n n n n n n


mes increases when a patient is in pain, but this is not a sy
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mptom that is specific to pain. Pain sometimes affects a p
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atient’s ability to cope, but assessing the effect of pain on
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coping assesses the patient’sability to cope; it does not a
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ssess the patient’s pain. n n n



2.A nurse is caring for a patient who recently had abdominal s
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urgery and is experiencing severe pain. The patient’s blood pr
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essure is 110/60 mm Hg, n n n n




and heart rate is 60 beats/min. Additionally, the patient
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does not appear tobe in any distress. Which
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response by the nurse is most therapeutic?
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“Your vitals do not show that you are having pain; can you descri
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be

a. your pain?” n



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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n ANS: C n


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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20
nknows 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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pain, even if the patient does not appear to be in pain.
The nurse must be careful to not judge the patient based
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on vital signs or nonverbal communication and must not a
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ssume that the patient is seeking narcotics. Thepatient is
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a partner in pain management, so going to get narcotics to
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treat the pain without consulting with the patient first is n
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ot appropriate.
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3.A nurse teaches the patient about the gate control t
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heory. Which statement made by a patient reflects a c
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orrect understanding about the relationship
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between the gate control theory of pain and the use of med
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itation to relievepain? n n


“Meditation controls pain by blocking pain impulses from coming n n n n n n n n



a. through the gate.” n n



“Meditation alters the chemical composition of pain neu n n n n n n n


roregulators,
b. which closes the gate.” n n n



“Meditation will help me sleep through the pain because it opens n n n n n n n n n n n


the

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




ANS: A n



According to this theory, gating mechanisms located alonn n n n n n n


g the central nervoussystem regulate or block pain impuls
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es. Pain impulses pass through when a gate is open and ar
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e blocked when a gate is closed.
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Nonpharmacologic pain- n


relief measures, such as meditation, work byclosing th
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e gates, which keeps pain impulses from coming throug
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h.
Meditation does not open pain gates or stop pain from o n n n n n n n n n n


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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experiencing pain. Which statement made by the nurse indi
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cates the supervising nurse needs to
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follow up? n




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, an
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d 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 as lon n n n n n


g as you start with
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