A nurse is applying a cold compress for a client who has pain and minor swelling in a sutured laceration on the forearm. Which of the following assessments should the nurse use to determine whether the treatment is effective?

Asking the client to rate the pain

Having the client perform range-of-motion of the affected arm

Monitoring the client's pulse rate

Inspecting the site for reduced swelling

Answer and Explanation

The Correct Answer is A

A. Asking the client to rate the pain: Pain rating provides a subjective measure of the intervention’s effectiveness in reducing discomfort.

B. Having the client perform range-of-motion of the affected arm: This assessment is not specific to determining the effectiveness of cold therapy; it is more related to mobility or rehabilitation.

C. Monitoring the client's pulse rate: While pain can affect pulse rate, this is an indirect and nonspecific measure of pain or swelling reduction.

D. Inspecting the site for reduced swelling: Swelling reduction can be an indicator of decreased inflammation, but it does not provide a direct assessment of the client’s pain levels.

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Correct Answer is D

Explanation

A. "Cultural competence means that healthcare providers must follow a standardized approach to care that applies to all clients, regardless of their cultural background." Cultural competence requires an individualized approach tailored to the client's cultural values, beliefs, and practices, not a standardized method.

B. "Cultural competence requires that nurses adopt the cultural practices of their clients to provide the best care." Nurses should respect and incorporate cultural practices into care when possible, but they are not required to adopt these practices themselves.

C. "Cultural competence is only necessary when caring for clients from cultures that are significantly different from one's own." Cultural competence is essential for all clients, as cultural beliefs can influence health perceptions, even in those with similar backgrounds.

D. "Cultural competence involves understanding and respecting diverse cultural backgrounds and incorporating this understanding into client care to improve outcomes and client satisfaction." This accurately reflects the essence of cultural competence in nursing practice.

A. "You should avoid using the PCA system if you feel that the pain is manageable without medication. B. "The PCA system is designed with safety features to prevent you from receiving too much medication. C. "The PCA system is programmed to deliver a specific dose of medication each time you press the button." D. "You will be able to administer pain medication to yourself by pressing the PCA button whenever you need it." E. “Family members should press the PCA button for you if you are unable to do so yourself."

Correct Answer is ["B","C","D"]

Explanation

A. "You should avoid using the PCA system if you feel that the pain is manageable without medication." This is misleading as the PCA system is intended for effective pain control; clients are encouraged to use it before pain becomes severe.

B. "The PCA system is designed with safety features to prevent you from receiving too much medication." This reassures clients about the system's safety features, such as lockout mechanisms that prevent overdose.

C. "The PCA system is programmed to deliver a specific dose of medication each time you press the button." This explains how the device is pre-programmed by healthcare providers to deliver a safe, therapeutic dose.

D. "You will be able to administer pain medication to yourself by pressing the PCA button whenever you need it." This empowers the client to take control of their pain management within the limits set by the PCA system.

E. "Family members should press the PCA button for you if you are unable to do so yourself." This is unsafe. Only the client should press the PCA button to avoid overmedication or dosing errors.

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A nurse is applying a cold compress for a client who has pain and minor swelling in a sutured laceration on the forearm. Which of the following assessments should the nurse use to determine whether the treatment is effective?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nursing student is preparing a presentation on cultural competence for a group of fellow nursing students. Which of the following statements should the student include in their explanation to best describe cultural competence in nursing?

Correct Answer is D

Explanation

A nurse is providing preoperative teaching to a client about pain management using a patient-controlled analgesia (PCA) system. Which of the following three statements should the nurse include in the teaching? (Select all that apply.)

Correct Answer is ["B","C","D"]

Explanation

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