Nokea
You are caring for a client who has just returned from surgery and has received intravenous morphine minutes before leaving the recovery room. You need to assess the client's pain now and again at which of the following times?
- A. in 20 to 30 minutes
- B. in one hour
- C. in two hours
- D. in 3 to 4 hours
Correct Answer: A
Rationale: Post-morphine pain assessment at 20-30 minutes evaluates peak effect, critical post-surgery. Later checks miss this window. Nurses time this for efficacy.
You may also like to solve these questions
Mr. Gary said he doesn't feel well because of his disease. This is an example of?
- A. Health
- B. Illness
- C. Wellness
- D. Disability
Correct Answer: B
Rationale: Not feeling well due to disease is illness (B) altered state, per definition. Health (A) and wellness (C) imply well-being, disability (D) permanent loss. B fits disease impact, making it correct.
Roger has been seen agitated, shouting and running. As Nurse Aida approaches, he shouts and swear, calling Aida names. Nurse Aida told Roger 'That is an unacceptable behavior Roger, Stop and go to your room now.' The situation is most likely in what phase of NPR?
- A. Pre Orientation
- B. Orientation
- C. Working
- D. Termination
Correct Answer: C
Rationale: This scenario fits the Working phase (C). Roger's agitation and Aida's response setting boundaries suggest an established relationship where interventions address behaviors. Pre-Orientation (A) is pre-contact, Orientation (B) builds trust, not confrontation, and Termination (D) ends care. In Peplau's Working phase, the nurse actively helps the client manage issues, as Aida does here, making C the likely phase.
The nurse is caring for a client receiving oxygen therapy via a simple face mask. Which nursing intervention is important to prevent skin breakdown?
- A. Changing the position of the mask every 2 hours
- B. Applying a protective barrier cream to the client's face
- C. Padding the pressure points on the client's face with soft material
- D. Encouraging the client to remove the mask intermittently for facial skin care
Correct Answer: C
Rationale: Padding pressure points with soft material (C) prevents skin breakdown from a simple face mask by reducing friction and pressure on the face. Repositioning q2h (A) helps but isn't enough alone. Barrier cream (B) is for moisture, not pressure. Intermittent removal (D) disrupts therapy. Padding, per skin integrity standards, is proactive.
Mr. Gary's insurance paid for his hospital stay. This is an example of?
- A. Health care financing
- B. Cost-effectiveness
- C. Health policy
- D. Patient education
Correct Answer: A
Rationale: Insurance paying is health care financing (A) funding services, per definition. Cost-effectiveness (B) value, policy (C) rules, education (D) teaching not funding-specific. A fits Mr. Gary's care support, making it correct.
A framework for health assessment that evaluates the effects of stressors to the mind, body and environment in relation with the ability of the client to perform ADL.
- A. Functional health framework
- B. Head to toe framework
- C. Body system framework
- D. Cephalocaudal framework
Correct Answer: A
Rationale: Functional health framework (A) assesses stressors on mind, body, and environment re: ADLs, per Gordon's model. Head-to-toe (B), body system (C), and cephalocaudal (D) focus physical order, not function. A matches description, making it correct.