Nokea
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.
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What action should the nurse implement when assisting a postoperative patient with pain control and comfort?
- A. Pull the patient up in bed.
- B. Lift the patient up in bed.
- C. Tighten constricting bandages.
- D. Restrict fluid and dietary intake.
Correct Answer: B
Rationale: Pain control and comfort measures include loosening constricting bandages, lifting, not pulling the patient up in bed, and preventing constipation by encouraging appropriate fluid and dietary intake.
A young athlete asks the nurse why he felt little pain when he broke his leg during a game. Which of the following can have an effect on this patient's perception of pain?
- A. Hormones
- B. Enzymes
- C. Adrenaline
- D. Endorphins
Correct Answer: D
Rationale: Endorphins found in the pituitary gland and other areas of the central nervous system create the same effect as morphine, producing an analgesic effect.
Why should a nurse promptly administer a prescribed analgesic after a pain assessment?
- A. The health care provider has ordered it.
- B. It is an efficient use of time.
- C. Unrelieved pain can cause setbacks.
- D. It meets the goals of the nursing care plan.
Correct Answer: C
Rationale: Appropriate pain management can bring about quicker recoveries, shorter hospital stays, fewer readmissions, and can improve the quality of life.
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.
An American Indian patient requests that an egg yolk be placed in a saucer and put under his bed to absorb the pain. What should the nurse do?
- A. Explain that medication will relieve the pain better.
- B. Place the egg in a saucer under the bed.
- C. Ask the health care provider for permission.
- D. Warn that housekeeping staff will remove the egg.
Correct Answer: B
Rationale: The nurse should use methods of pain control that the patient believes will work.