A 29-year-old woman tells the nurse that she has “excruciating pain” in her back. Which would be an appropriate response by the nurse to the woman’s statement?
“That sounds terrible!” must be terrible. You probably pinched a nerve.”
“How does your family react to your pain?”
“I’ve had back pain myself, and it can be excruciating.”
“How would you say the pain affects your daily activities?”
The Correct Answer is D
Choice A reason: Saying “That must be terrible” and suggesting a pinched nerve is dismissive and assumes a cause without assessment. Exploring the pain’s impact gathers critical data, so this is incorrect for an appropriate response.
Choice B reason: Asking about family reactions shifts focus from the patient’s experience and is less relevant initially. Assessing how the pain affects daily activities provides functional insight, so this is not the best response for pain assessment.
Choice C reason: Sharing personal experience can seem empathetic, but it this risks bias and doesn’t assess the patient’s pain. Asking about daily activity impact is more patient-centered, so this is incorrect for professional response.
Choice D reason: Asking how pain affects daily activities encourages the patient to describe the pain’s severity and impact, aiding assessment and planning. This open-ended, patient-focused response is therapeutic, making it the correct choice for the nurse’s reply.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: A nodule is a solid, elevated lesion, typically greater than 1 cm in diameter, often extending deeper into the dermis or subcutaneous tissue. The lesion described is less than 1 cm, making nodule an incorrect term for this superficial, smaller skin finding.
Choice B reason: A wheal is a transient, elevated lesion caused by dermal edema, often associated with allergic reactions or urticaria. It is not solid and typically lacks the circumscribed nature of the described lesion, making wheal an inappropriate documentation term.
Choice C reason: A papule is a solid, elevated, circumscribed lesion less than 1 cm in diameter, often due to localized skin changes like inflammation or benign growths. This matches the described lesion’s characteristics, making papule the correct term for documentation.
Choice D reason: A pustule is an elevated lesion containing pus, often associated with infections like acne. The described lesion is solid, not fluid-filled, so pustule does not fit the clinical presentation, making it an incorrect choice.
Correct Answer is A
Explanation
Choice A reason: The dose is 25 mg/kg × 10 kg = 250 mg. With 500 mg tablets, 250 mg requires 250 ÷ 500 = 0.5 tablet. This precise calculation ensures the correct dose, minimizing the risk of under- or overdosing, making this the correct choice.
Choice B reason: A 0.75 tablet dose equals 375 mg (0.75 × 500 mg), exceeding the ordered 250 mg. This could lead to toxicity, as Amoxicillin overdosing may cause gastrointestinal or renal issues, making this an incorrect and potentially harmful choice.
Choice C reason: A 1.25 tablet dose equals 625 mg (1.25 × 500 mg), significantly more than the ordered 250 mg. This excessive dose risks severe side effects, including allergic reactions or organ stress, making this an unsafe and incorrect choice.
Choice D reason: A 0.25 tablet dose equals 125 mg (0.25 × 500 mg), less than the ordered 250 mg. This underdose could lead to ineffective treatment, increasing the risk of bacterial resistance, making this an incorrect choice for the prescribed dose.
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