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HIM EXAM 4 | 175 QUESTIONS | WITH 100% PASSED SOLUTIONS, GRADED A+
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HIM EXAM 4 | 175 QUESTIONS | WITH 100% PASSED SOLUTIONS, GRADED A+
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HIM EXAM 4 | 175 QUESTIONS | WITH 100%PASSED SOLUTIONS, GRADED A+
A student asks the nurse what is the best way to assess a clients pain. Which
response by the nurse is best? Answer - clients self report
A new nurse reports to the precepting nurse that a client requested pain
medication, and when the nurse brought it, the client was sound asleep. The
nurse states the client cannot possibly sleep with the severe pain the client
described. What response by the experienced nurse is best? Answer - being
able to sleep doesn't mean pain does not exist
The nurse in the surgery clinic is discussing an upcoming surgical procedure
with a client. What information provided by the nurse is most appropriate for
the clients long-term outcome? Answer - Discuss acceptable pain control after
your operation with the surgeon.
A nurse is assessing pain on a confused older client who has difficulty with
verbal expression. What pain assessment tool would the nurse choose for this
assessment? Answer - FACES Pain Scale-Revised
The nurse is assessing a clients pain and has elicited information on the
location, quality, intensity, effect on functioning, aggravating and relieving
factors, and onset and duration. What question by the nurse would be best to
ask the client for completing a comprehensive pain assessment? Answer - what
pain rating would be acceptable for you?
A nurse is assessing pain in an older adult. What action by the nurse is best?
Answer - Sit down, ask one question at a time, and allow the client to answer.
,The nurse receives a hand-off report. One client is described as a drug seeker
who is obsessed with even tiny changes in physical condition and is on the light
constantly asking for more pain medication. When assessing this clients pain,
what statement or question by the nurse is most appropriate? Answer - Help
me understand how pain is affecting you right now.
A nurse on the medical-surgical unit has received a hand-off report. Which
client should the nurse see first? Answer - Client with new-onset abdominal
pain, rated as an 8 on a 0-to-10 scale
A nurse uses the Checklist of Nonverbal Pain Indicators to assess pain in a
nonverbal client with advanced dementia. The client scores a zero. What action
by the nurse is best? Answer - Assess physiologic indicators and vital signs.
A student nurse asks why several clients are getting more than one type of pain
medication instead of very high doses of one medication. What response by
the registered nurse is best? Answer - Pain is so complex it takes different
approaches to control it.
A client who had surgery has extreme postoperative pain that is worsened
when trying to participate in physical therapy. What intervention for pain
management does the nurse include in the clients care plan? Answer - Round-
the-clock analgesia with PRN analgesics
A nurse on the postoperative inpatient unit receives a hand-off report on four
clients using patient- controlled analgesia (PCA) pumps. Which client should
the nurse see first? Answer - Client with a respiratory rate of 8 breaths/min
A registered nurse (RN) and nursing student are caring for a client who is
receiving pain medication via patient-controlled analgesia (PCA). What action
,by the student requires the RN to intervene? Answer - presses the clients
button when the patient cannot reach it
A client is put on twice-daily acetaminophen (Tylenol) for osteoarthritis. What
finding in the clients health history would lead the nurse to consult with the
provider over the choice of medication? Answer - drinking 3-5 beers a day
A nurse is preparing to give a client ketorolac (Toradol) intravenously for pain.
Which assessment findings would lead the nurse to consult with the provider?
Answer - urine output of 20ml/2 hours
A hospitalized client uses a transdermal fentanyl (Duragesic) patch for chronic
pain. What action by the nurse is most important for client safety? Answer -
Remove the old patch when applying the new one.
A hospitalized client has a history of depression for which sertraline (Zoloft) is
prescribed. The client also has a morphine allergy and a history of alcoholism.
After surgery, several opioid analgesics are prescribed. Which one would the
nurse choose? Answer - Hydromorphone (Dilaudid)
A client has received an opioid analgesic for pain. The nurse assesses that the
client has a Pasero Scale score of 3 and a respiratory rate of 7 shallow
breaths/min. The clients oxygen saturation is 87%. What action should the
nurse perform first? Answer - Attempt to arouse the client.
An older adult has diabetic neuropathy and often reports unbearable foot pain.
About which medication would the nurse plan to educate the client? Answer -
Duloxetine (Cymbalta)
An emergency department (ED) manager wishes to start offering clients
nonpharmacologic pain control methodologies as an adjunct to medication.
, Which strategy would be most successful with this client population? Answer -
listening to music on a headset
An older client who lives alone is being discharged on opioid analgesics. What
action by the nurse is most important? Answer - request a home safety
assessment
A nurse is caring for four clients receiving pain medication. After the hand-off
report, which client should the nurse see first? Answer - Client with a Pasero
Scale score of 4
A nurse is caring for a client on an epidural patient-controlled analgesia (PCA)
pump. What action by the nurse is most important to ensure client safety?
Answer - Have another nurse double-check the pump settings.
A postoperative client is reluctant to participate in physical therapy. What
action by the nurse is best? Answer - Ask the client about pain goals and if they
are being met.
A client is being discharged from the hospital after surgery on hydrocodone and
acetaminophen (Lorcet). What discharge instruction is most important for this
client? Answer - Check any over-the-counter medications for acetaminophen.
A faculty member explains to students the process by which pain is perceived
by the client. Which processes does the faculty member include in the
discussion? (Select all that apply.) Answer - modulation
sensory perception
transaction
transmission
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