A nurse is caring for a postoperative patient.
When helping to manage the patient’s pain, which of the following principles should the nurse apply? (Select all that apply)
Expect the patient to express his pain both verbally and nonverbally
Administer opioids with caution because they will eventually lead to addiction
Consider the patient’s individual expression of pain
Use a scale from 0 to 10 to monitor the severity of the patient’s pain
Correct Answer : A,C,D
Choice A rationale
Pain is a subjective experience and can be expressed both verbally and nonverbally. It is important for the nurse to be attentive to both types of expressions to effectively manage the patient’s pain.
Choice B rationale
While it is true that opioids should be used with caution due to the risk of addiction, this statement can be misleading. Opioids are often necessary for managing postoperative pain, and the risk of addiction is low when they are used appropriately and under medical supervision.
Choice C rationale
Considering the patient’s individual expression of pain is crucial in pain management. Pain is a subjective experience and can vary greatly between individuals. Tailoring pain management strategies to the individual patient can improve pain control.
Choice D rationale
Using a pain scale is a common and effective way to monitor the severity of a patient’s pain. It provides a quantifiable measure of pain that can be used to guide treatment decisions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
A high fiber diet is not typically recommended for a client diagnosed with acute gastroenteritis. High fiber foods can potentially exacerbate diarrhea and other symptoms.
Choice B rationale
While a low fat diet can be beneficial in many health conditions, it is not specifically recommended for a client diagnosed with acute gastroenteritis.
Choice C rationale
A low fiber diet is typically recommended for a client diagnosed with acute gastroenteritis. Low fiber foods are easier to digest and can help alleviate symptoms such as diarrhea.
Choice D rationale
A high carbohydrate diet is not typically recommended for a client diagnosed with acute gastroenteritis. High carbohydrate foods can potentially exacerbate diarrhea and other symptoms.
Correct Answer is C
Explanation
Choice A rationale
Condition A is not typically associated with a risk for vitamin deficiency. Vitamin deficiencies are usually caused by inadequate intake, poor absorption, or increased demand for vitamins.
Choice B rationale
Condition B is not typically associated with a risk for vitamin deficiency. Vitamin deficiencies are usually caused by inadequate intake, poor absorption, or increased demand for vitamins.
Choice C rationale
Condition C, also known as pernicious anemia, is associated with a risk for vitamin B12 deficiency. This condition impairs the body’s ability to absorb vitamin B12 from the gastrointestinal tract.
Choice D rationale
Condition D is not typically associated with a risk for vitamin deficiency. Vitamin deficiencies are usually caused by inadequate intake, poor absorption, or increased demand for vitamins
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