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A patient has pain in the left arm secondary to coronary insufficiency. This is an example of what type of pain?
- A. Acute pain
- B. Chronic pain
- C. Referred pain
- D. Subacute pain
Correct Answer: C
Rationale: An example of referred pain is coronary insufficiency manifested by pain in the left arm, which is a distant location from the real source of discomfort.
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The nurse obtains information from a patient about the site severity and duration of the pain. What type of data is this considered?
- A. Patient data
- B. Objective data
- C. Focused data
- D. Subjective data
Correct Answer: D
Rationale: Information from the patient concerning site, severity, and duration of the pain is subjective data that only the patient knows.
The nurse is trying to establish an effective relationship with a patient in pain. What is the best statement for the nurse to make when beginning the assessment?
- A. I'll check to see if you can have anything.
- B. Let me give you a backrub and see if it helps.
- C. I believe you are in pain.
- D. When was your last medication for pain?
Correct Answer: C
Rationale: A nursing intervention to establish an effective relationship is to believe the patient. Although the other options are not wrong, they do not help establish an effective relationship.
The home health nurse is instructing the family of an older adult patient with arthritis about sleep promotion. What intervention can best promote sleep for the older adult patient?
- A. Giving nonsteroidal anti-inflammatory drugs (NSAIDs) in the mornings
- B. Administering diuretics in the mornings
- C. Encouraging daytime sleeping
- D. Avoiding the stimulation of backrubs or warm drinks before bedtime
Correct Answer: B
Rationale: Older adults sleep lightly. Give NSAIDs before bedtime for comfort. Diuretics should be given in the mornings to reduce having to wake up to go to the bathroom during the night. Daytime sleeping may negatively affect nighttime sleep. Nonpharmacologic interventions are helpful to induce sleep.
The nurse is trying to reassure a patient who is concerned about receiving addictive drugs. What percentage of patients become addicted to analgesics?
- A. Less than 0.1%
- B. Less than 1%
- C. Less than 5%
- D. Less than 6%
Correct Answer: B
Rationale: Research findings suggest that less than 1% of patients receiving analgesics become addicted.
When preparing a patient for sleep dimming the lights and decreasing the noise levels are examples of nursing interventions. What are these interventions designed to do?
- A. Mimic usual sleep patterns.
- B. Decrease environmental stimuli.
- C. Prepare the patient for sleep.
- D. Provide for more rest.
Correct Answer: B
Rationale: Environmental stimuli should be decreased when preparing the patient for sleep.