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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.
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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.
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.
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.
A male patient reports to the home health nurse that he does not feel rested although he has slept 8 hours. For what should the nurse assess?
- A. Having vivid dreams
- B. Eating a heavy meal before going to bed
- C. Consuming an excessive amount of alcohol
- D. Taking an anxiolytic medication
Correct Answer: D
Rationale: Anxiolytic (antianxiety) medications interfere with REM sleep, which is when people achieve full rest.
The nurse is assessing pain reported by a Latino male patient. What is important for the nurse to take into consideration when observing objective data?
- A. Latino men are suspicious of female caregivers.
- B. Latino men have a cultural bias against use of narcotics.
- C. Latino men believe pain is necessary for cure.
- D. Latino men feel it is unmanly to admit to pain.
Correct Answer: D
Rationale: Many Latino men feel that to admit to being in pain is unmanly.