A client has reported pain and is now experiencing moderate pain. What action should the nurse prioritize for pain management?
Consult with the pain management team to explore alternative therapies.
Delay the pain medication administration to assess if the pain worsens.
Encourage the client to self-manage the pain through relaxation techniques.
Administer prescribed pain medication as soon as possible to alleviate pain.
The Correct Answer is D
A. Consult with the pain management team to explore alternative therapies:
Consulting specialists is reasonable for complex or refractory pain, but it is not the immediate priority when a patient is in moderate pain and has prescribed analgesics available. Immediate relief measures should be taken first.
B. Delay the pain medication administration to assess if the pain worsens:
Delaying analgesia needlessly prolongs patient suffering and may allow pain to intensify, making it harder to treat. Timely pain management is a standard of care.
C. Encourage the client to self-manage the pain through relaxation techniques:
Nonpharmacologic interventions (relaxation, breathing, repositioning) can complement treatment but are adjuncts, not replacements, when pharmacologic therapy is indicated for moderate pain.
D. Administer prescribed pain medication as soon as possible to alleviate pain:
The nurse should prioritize timely administration of prescribed analgesics to relieve moderate pain, restore function, and prevent escalation. Prompt medication plus adjunctive measures is best practice for effective pain control.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Cloudy urine:
Cloudy urine is more commonly associated with infection, pyuria, or heavy sediment; it’s not a reliable sign of dehydration. Dehydration typically produces concentrated, clear but dark urine rather than cloudy urine.
B. Urine osmolality of 200 mOsm/kg:
An osmolality of ~200 mOsm/kg indicates relatively dilute urine. In dehydration the kidneys conserve water and urine osmolality increases (often >500–800 mOsm/kg) to concentrate urine.
C. Urine specific gravity of 1.015:
A specific gravity of 1.015 is within the near-normal to slightly concentrated range but is not strongly suggestive of significant dehydration. Dehydration usually produces a higher specific gravity (e.g., ≥1.020–1.030) reflecting concentrated urine.
D. Dark-colored urine:
Dark, concentrated urine is a classic sign of dehydration because reduced intravascular volume leads the kidneys to conserve water, producing urine that is darker in color and has higher specific gravity and osmolality.
Correct Answer is C
Explanation
A. Financial difficulties:
Financial problems are psychosocial or environmental stressors (emotional/psychological), not direct physiologic insults. They can indirectly cause physiologic stress responses but are classified as psychosocial.
B. Burn injury:
A burn is a direct physical or physiological insult to the body that triggers inflammatory, metabolic, and homeostatic stress responses (pain, fluid shifts, hypermetabolism, risk of infection), so it is a classic physiological stressor.
C. Academic pressure:
Academic pressure is a psychological or social stressor (performance-related), not a primary physiological insult.
D. Change in marital status:
Changes in marital status (divorce, marriage) are major life-event/psychosocial stressors that primarily affect emotional and social domains.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.
