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NUR 201 - Craven Ch. 6 Questions With Complete Solutions
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NUR 201 - Craven Ch. 6 Questions With Complete Solutions
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NUR 201 - Craven Ch. 6 Questions With Complete SolutionsA 12-year-old boy has reported to the emergency department
after having fallen off his bicycle and sustained what appear to
be minor injuries. The nurse is assessing him for pain. Which of
the following objective findings would most tend to indicate
pain? Correct Answers Nodding up and down in response to
questions
A carpenter has been admitted to the hospital after suffering a
heart attack. He explains to the nurse that he felt chest pains for
the past 3 days while working, but did not want to go to the
doctor because he was afraid that the other workers would tease
him about it. The nurse recognizes that which of the following
was most likely a barrier to pain assessment in this client?
Correct Answers A belief that acknowledging pain is a sign of
weakness
A client complains of aching all over her body. The client's
health record indicates that she is otherwise healthy, with her
baseline vital signs all well within normal limits. The nurse is
assessing her for pain. Which of the following objective findings
would most tend to indicate pain? Correct Answers Heart rate
of 110 beats per minute
A client complains of pain in several areas of the body. How
should the nurse assess this client's pain? Correct Answers
Have the client rate each location separately.
,A client describes pain in the soles of both feet as constantly
burning. Which type of pain should the nurse suspect this client
is experiencing? Correct Answers neuropathic
A client enters the emergency department moaning and
complaining of severe pain in his lower back. Which of the
following clinical manifestations should the nurse expect to see
in this client as a physiologic response to pain? Select all that
apply. Correct Answers Perspiration
Increased heart rate
Sleeplessness
A client experiences pain regardless of the type or amount of
medication provided. How should the nurse classify this client's
pain? Correct Answers Intractable
A client has questioned why the nurse asked him how his family
members usually treat their pain. Which response, by the nurse,
would be the most appropriate? Correct Answers "It helps me
to determine how the family understands and perceives pain."
A client injures his thumb by accidently slamming the car door
shut on it. He arrives at the emergency department in intense
pain. Which of the following processes is associated with the
transduction process of this pain? Correct Answers Tissue
injury leading to inflammation
A client is diagnosed with chronic non-malignant pain. The
nurse understands that this client has experienced this pain for at
least how many months? Correct Answers 6
,A client is experiencing acute pain and has asked the nurse for
medication. The client rates the pain as an 8 on a scale of 0 to
10. During assessment, a physiological response from the client
that the nurse can expect is: Correct Answers Diaphoresis
A client is reporting pain and informs the nurse that it has
become unbearable. The first thing the nurse should do is what?
Correct Answers Assess the site and intensity of the pain.
A client is reporting pain and rates it as 7 on a scale of 1 to 10.
When the nurse asks him to describe the pain, he states, "It feels
like a knife is stabbing or cutting me." The nurse knows that this
type of pain is conducted by which fibers? Correct Answers A-
delta fibers
A client just underwent a left below-the-knee amputation
(BKA). The client now reports pain in the missing left foot.
What type of pain is the client describing? Correct Answers
Phantom
A client on a medical-surgical unit reports pain of 10 on a scale
of 0 to 10 and wants more pain medication. The nurse does not
think the pain is as bad as the client says. The physician left
orders for prn morphine for breakthrough pain. What is the
priority nursing action? Correct Answers Give the prn
morphine
A client presents to the ED with pain in the upper right quadrant
that worsens after eating. The client describes the pain as sharp,
stabbing, and at times very intense. This is a description of
which type of pain? Correct Answers Acute
, A client presents to the emergency department after falling off a
ladder and reports pain in the right shoulder. He says that he has
not taken anything for the pain yet. The nurse recognizes this as
what type of pain? Correct Answers Acute
A client presents to the Emergency Department after falling off
a ladder and reports pain in the right shoulder. The nurse
recognizes this as what type of pain? Correct Answers Acute
A client presents to the health care clinic with reports of a 2-day
history of sore throat, ear pressure, fever, and stiff neck. The
client states she has taken Tylenol and lozenges without relief.
Which nursing diagnosis can be confirmed by this data? Correct
Answers Acute pain related to sore throat
A client presents to the health care clinic with reports of two-day
history of sore throat pain, ear pressure, fever, and stiff neck.
The client states they have taken Tylenol and lozenges without
relief. Which nursing diagnosis can be confirmed by this data?
Correct Answers Acute Pain related to sore throat
A client rates his pain as "9" on a scale of 1 to 10. The nurse
would expect to assess which of the following? Correct
Answers Increased serum glucose
A client recently recovering from shingles states that he suffers
from pain and burning along his back and sides where the
lesions are dried and crusted and requests pain medication. What
is the nurse's best response? Correct Answers "Rate your pain
on a 0-10 scale; 0 being no pain and 10 the worst."
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