Nokea
A patient tearfully declares the use of relaxation techniques does not work for her. What is the best action for the nurse to implement?
- A. Give up on the idea.
- B. Encourage the patient to try again.
- C. Assure the patient that not everyone is successful.
- D. Give the patient a sedative.
Correct Answer: B
Rationale: Some alternative approaches to pain control require practice. Encouragement to try again is appropriate.
You may also like to solve these questions
The nurse explains that transcutaneous electric nerve stimulation provides a continuous mild electric current to the skin. How does the TENS unit act to reduce pain?
- A. Distracts the patient.
- B. Blocks endorphin production.
- C. Warms the skin.
- D. Blocks pain impulses.
Correct Answer: D
Rationale: TENS works by blocking pain impulses.
Which documentation sample is the most helpful to share assessment findings and pain relief interventions?
- A. 1600: Patient reports chest pain. Medicated with morphine sulfate.
- B. 1600: Patient reports sharp chest pain. Morphine sulfate given IM.
- C. 1600: Patient reports sharp pain in left chest radiating to neck. Morphine sulfate 5 mg administered IM in right deltoid.
- D. 1600: Patient requested medication for pain in left chest. Morphine sulfate 10 mg PO given.
Correct Answer: C
Rationale: The nurse should record subjective information relative to the pain, as well as the intervention and administration route.
The nurse should administer an analgesic to an unconscious patient after observing which signs?
- A. Increased heart rate from 82 to 94
- B. Decreased systolic blood pressure
- C. Increased muscle tension
- D. Perspiration on upper lip
- E. Facial grimacing
Correct Answer: A,C,D,E
Rationale: Pain indicators in the unconscious patient might include increased heart rate, blood pressure, and muscle tension; diaphoresis; and grimacing.
A patient is receiving an opioid narcotic. What common side effect should the nurse be aware of when assessing this patient?
- A. Addiction
- B. Vomiting
- C. Constipation
- D. Diarrhea
Correct Answer: C
Rationale: Constipation is the most common opioid narcotic side effect for which patients do not develop a tolerance.
What action should the nurse take when evaluating the effectiveness of new or revised therapies for pain relief?
- A. Observe the patient performing activities of daily living.
- B. Observe the patient's facial expressions.
- C. Frequently assess subjective data.
- D. Perform evaluation of outcome goals.
Correct Answer: D
Rationale: Continuous evaluation allows the nurse to determine if new or revised therapies are required.