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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.
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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.
Although denying pain a patient is irritable responds slowly and exhibits periods of tachycardia. What should the nurse assess for in this patient?
- A. Electrolyte imbalance
- B. Allergic response
- C. Sleep deprivation
- D. Constipation
Correct Answer: C
Rationale: With sleep deprivation, patients may experience a variety of physiologic and psychological symptoms.
What is the best approach for a nurse to use when planning pain relief measures?
- A. Use a variety of pain relief methods.
- B. Use only nonopioid analgesics.
- C. Use at least three alternating methods.
- D. Use only one method at a time.
Correct Answer: A
Rationale: A variety of methods applied simultaneously have an additive effect on pain control.
The nurse clarifies that the term peripheral analgesics describes the group of drugs also referred to as ___.
Correct Answer: NSAIDs
Rationale: Peripheral analgesics are also the group of drugs referred to as NSAIDs.
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.