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Hesi rn comprehensive predictor exam 2023.Edited on March 2023 100% (score) Quaranteed. 1An oriented patient has recently had surgery. Which action is best for the nurse to take to assess this patient’s pain? a. Assess the patient’s body language. €23,03
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Hesi rn comprehensive predictor exam 2023.Edited on March 2023 100% (score) Quaranteed. 1An oriented patient has recently had surgery. Which action is best for the nurse to take to assess this patient’s pain? a. Assess the patient’s body language.
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Hesi rn comprehensive predictor exam 2023.Edited on March 2023 100% (score) Quaranteed.
1An oriented patient has recently had surgery. Which action is best for the nurse to take to assess this patient’s pain?
a. Assess the patient’s body language.
b. Ask the patient to rate the level...
Hesi rn comprehensive predictor
exam 2023.Edited on March 2023
100% (score) Quaranteed.
1An oriented patient has recently had surgery. Which
action is best for the nurse to take to assess this
patient’s pain?
a. Assess the patient’s body language.
b. Ask the patient to rate the level of pain.
c. Observe the cardiac monitor for increased heart rate.
d. Have the patient describe the effect of pain on the ability
to cope.
ANS: B
One of the most subjective and therefore most useful
characteristics for reporting pain is its severity.
Therefore, the best way to assess a patient’s pain is to
ask the patient to rate the pain. Nonverbal
communication, such as body language, is not as
effective in assessing pain, especially when the patient
is oriented. Heart rate sometimes increases when a
patient is in pain, but this is not a symptom that is
specific to pain. Pain sometimes affects a patient’s
ability to cope, but assessing the effect of pain on coping
assesses the patient’s ability to cope; it does not assess
the patient’s pain.
2.A nurse is caring for a patient who recently had abdominal
surgery and is experiencing severe pain. The patient’s blood
pressure is 110/60 mm Hg,
and heart rate is 60 beats/min. Additionally, the
patient does not appear to be in any distress. Which
,response by the nurse is most therapeutic?
“Your vitals do not show that you are having pain; can you
describe
a. your pain?”
b. “OK, I will go get you some narcotic pain relievers
immediately.”
c. “What would you like to try to alleviate your pain?”
d. “You do not look like you are in pain.”
ANS: C
Be sure the patient is a partner in making decisions
about the best approaches for managing pain. A patient 20
knows the most about his or her pain and is an important 5
partner in selecting successful pain therapies. The nurse
must believe that a patient is in pain whenever the
patient reports that he or she is in
,pain, even if the patient does not appear to be in pain.
The nurse must be careful to not judge the patient based
on vital signs or nonverbal communication and must not
assume that the patient is seeking narcotics. The patient
is a partner in pain management, so going to get
narcotics to treat the pain without consulting with the
patient first is not appropriate.
3.A nurse teaches the patient about the gate control
theory. Which statement made by a patient reflects a
correct understanding about the relationship
between the gate control theory of pain and the use of
meditation to relieve pain?
“Meditation controls pain by blocking pain impulses from
coming
a. through the gate.”
“Meditation alters the chemical composition of pain
neuroregulators,
b. which closes the gate.”
“Meditation will help me sleep through the pain because it
opens the
c. gate.”
d. “Meditation stops the occurrence of pain stimuli.”
ANS: A
According to this theory, gating mechanisms located
along the central nervous system regulate or block pain
impulses. Pain impulses pass through when a gate is
open and are blocked when a gate is closed.
Nonpharmacologic pain-relief measures, such as
meditation, work by closing the gates, which keeps
pain impulses from coming through.
Meditation does not open pain gates or stop pain from
occurring. Meditation also does not have an effect on
pain neuroregulators.
4.A nurse is planning care for an older-adult patient who is
, experiencing pain. Which statement made by the nurse
indicates the supervising nurse needs to
follow up?
a. “As adults age, their ability to perceive pain decreases.”
“Older patients may have low serum albumin in their
blood, causing
b. toxic effects of analgesic drugs.”
“Patients who have dementia probably experience pain,
and their pain
c. s not always well controlled.”
20
“It is safe to administer 5
opioids to older adults as
long as you start with
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