Nokea
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.
You may also like to solve these questions
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.
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 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.
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 nurse is giving a backrub to a patient to relieve pain. What pain theory is the nurse using?
- A. Synergism
- B. Gate control
- C. Distraction
- D. Guided imagery
Correct Answer: B
Rationale: The pressure of a backrub will close the gate, according to the gate control theory of pain.