A nurse is caring for a client who is postoperative. When helping to manage the client's pain, which of the following principles should the nurse apply? (Select all that apply.).

Use a scale from 0 to 10 to monitor the severity of the client's pain.

Consider the client's individual expression of pain.

Expect the client to express his pain both verbally and nonverbally.

Administer opioids with caution because they will eventually lead to addiction.

To achieve fast-acting pain relief, administer analgesics.

Answer and Explanation

Correct Answer : A,B,E

Choice A rationale:
Using a pain scale from 0 to 10 is a crucial principle in managing a client's postoperative pain. It allows for a standardized assessment of pain severity and helps healthcare providers determine the effectiveness of pain management interventions.
Choice B rationale:
Considering the client's individual expression of pain is essential in providing personalized care. People experience and express pain differently, so tailoring the approach to each client's unique needs is vital for effective pain management.
Choice C rationale:
Expecting the client to express pain both verbally and nonverbally is another important principle in pain management. Some clients may not be able to communicate verbally, so nurses should be attentive to nonverbal cues such as grimacing, restlessness, or changes in vital signs to assess pain.
Choice D rationale:
Administering opioids with caution is a general principle in pain management, but the statement that they will eventually lead to addiction is an oversimplification. While there is a risk of opioid addiction, it is not an absolute certainty, and the benefits of pain relief often outweigh the risks. Therefore, this statement is not entirely accurate.
Choice E rationale:
Administering analgesics for fast-acting pain relief is a valid principle, especially in the postoperative period when the client may be experiencing acute pain. Fast-acting analgesics help alleviate immediate discomfort.

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Correct Answer is A

Explanation

Choice A rationale:

The nurse recommends that normal sleep and rest patterns can best be acquired by suggesting that the patient exercises in the mornings. Morning exercise can help regulate the circadian rhythm and improve sleep-wake patterns. It helps to reset the internal body clock, making it easier to fall asleep at night. However, exercise should not be too close to bedtime, as it may have a stimulating effect.

Choice B rationale:

Taking a nap during the day may provide a short-term boost in alertness but is not recommended as the primary method to acquire normal sleep and rest patterns. Daytime naps should be brief (20-30 minutes) and should not interfere with nighttime sleep. Excessive daytime napping can disrupt the regular sleep cycle.

Choice C rationale:

Drinking wine is not a recommended approach for acquiring normal sleep and rest patterns. Alcohol consumption, especially in the evening, can disrupt sleep cycles and negatively affect the quality of sleep. It may lead to frequent awakenings during the night and contribute to sleep disturbances.

Choice D rationale:

Smoking cigarettes is not a recommended approach for acquiring normal sleep and rest patterns. Nicotine is a stimulant that can interfere with sleep by increasing alertness and heart rate. Smoking can contribute to sleep difficulties and should be avoided, especially close to bedtime. .

A. using heavy pressure on the cold pack for greater effectiveness. B. leaving the pack in place for over 30 minutes at a time. C. preparing to apply heat instead if cold is not effective. D. placing a towel between the pack and the skin.

Correct Answer is D

Explanation

Choice A rationale:

Using heavy pressure on the cold pack for greater effectiveness is not the correct approach when applying a cold pack to an injured area. Applying excessive pressure can lead to tissue damage, frostbite, and can be uncomfortable for the patient. Cold packs should be applied with gentle, even pressure to avoid complications.

Choice B rationale:

Leaving the cold pack in place for over 30 minutes at a time is not recommended. Prolonged exposure to cold can also cause tissue damage, including frostbite. It is generally advised to limit cold pack applications to 20-30 minutes at a time to prevent complications.

Choice C rationale:

Preparing to apply heat instead if cold is not effective is not the appropriate action in this scenario. When a healthcare provider orders a cold pack application, it is essential to follow the prescribed treatment plan. Heat should only be considered if it is specifically ordered as an alternative treatment.

Choice D rationale:

Placing a towel between the pack and the skin is the correct approach to prevent patient injury when applying a cold pack. This helps to protect the skin from direct contact with the cold pack, reducing the risk of frostbite or cold-related injuries. It ensures a barrier between the cold pack and the patient's skin, providing a safe and comfortable application.

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A nurse is caring for a client who is postoperative. When helping to manage the client's pain, which of the following principles should the nurse apply? (Select all that apply.).

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse recommends that normal sleep and rest patterns can best be acquired by suggesting to the patient that they:.

Correct Answer is A

Explanation

A nurse caring for a patient who suffered a severe sprain and has an order for a cold pack application to the injured area would prevent patient injury by:.

Correct Answer is D

Explanation

A patient experiencing pain states that guided imagery has made the pain more manageable in the past.To assist this patient, the nurse should:.

A patient has fallen and injured her knee.It is not fractured, but there is considerable swelling and pain.She asks which over-the-counter analgesic would be best to take for her discomfort.The nurse tells her that one with NSAID properties would be best.Which would it be best to take?

The patient having difficulty sleeping lives right off the freeway in an apartment complex where many young people live.To try to alleviate the problem, the nurse counsels her to try:.

The patient with a recent abdominal incision has an abdominal binder applied. The nurse explains that this appliance helps reduce pain by:.

A nurse is caring for a client who is postoperative. When helping to manage the client's pain, which of the following principles should the nurse apply? (Select all that apply.).

The nurse takes into consideration that when the patient has an order for patient-controlled analgesia (PCA), the pump will be programmed by the:

A patient is receiving an ice massage for relief of muscle spasms in the neck.The patient complains that the ice is making the pain worse.Most helpful response from the nurse would be:.

A nurse is caring for a client who is using a patient-controlled analgesia (PCA) pump for postoperative pain management. The nurse enters the room to find the client asleep and his partner pressing the button to dispense a dose of analgesia. Which of the following responses should the nurse make?