A nurse is caring for an older adult client who has depression and reports having chronic pain in his lower back.

Which of the following actions should the nurse take?

Assess the location, intensity, quality and duration of the pain using a pain scale

Administer analgesic medications as prescribed and monitor for effectiveness and side effects.

Provide non-pharmacological interventions such as massage, heat or cold therapy, relaxation techniques or distraction.

All of the above.

Answer and Explanation

The Correct Answer is D

The correct answer is D.

All of the above.

The nurse should take all of the actions listed to provide effective pain management for the older adult client who has depression and chronic pain in his lower back.

• Choice A is correct because assessing the pain using a valid and reliable pain scale is essential for determining the severity and impact of pain, as well as monitoring the response to treatment.

• Choice B is correct because administering analgesic medications as prescribed can help reduce pain and improve function.

The nurse should also monitor for effectiveness and side effects, especially in older adults who may have altered drug metabolism, polypharmacy, and increased risk of adverse events.

• Choice C is correct because providing non-pharmacological interventions can enhance pain relief, reduce medication use, and address the biopsychosocial aspects of pain.

Massage, heat or cold therapy, relaxation techniques, and distraction are some examples of non-pharmacological interventions that can be used for chronic pain in older adults.

• Choice D is correct because it includes all of the above actions, which are part of a multimodal approach to pain management that is recommended by clinical guidelines.

4 7 A multimodal approach can improve pain outcomes, reduce side effects, and address the complex needs of older adults with chronic pain.

A. Assess the location, intensity, quality and duration of the pain using a pain scale B.

Administer analgesic medications as prescribed and monitor for effectiveness and side effects C.

Provide non-pharmacological interventions such as massage, heat or cold therapy, relaxation techniques or distraction D.

All of the above

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

The correct answer is A.

HRT can relieve hot flashes, vaginal dryness and mood swings, but it can also increase the risk of breast cancer, stroke and blood clots.This answer is based on the evidence from various studies that have shown the benefits and risks of HRT.

Choice B is wrong because HRT cannot prevent osteoporosis, heart disease and dementia, and it does not cause weight gain, acne and hair loss.These are common misconceptions about HRT that are not supported by scientific research.

Choice C is wrong because HRT does not have a significant effect on sexual function, skin elasticity and memory, and it does not lower the immune system, blood pressure and blood sugar.These are also myths about HRT that have no basis in reality.

Choice D is wrong because HRT can improve sleep quality, energy levels and mood, but it can also cause or worsen headaches, nausea and bloating.These are some of the possible side effects of HRT that vary depending on the type, dose and duration of the therapy.

Normal ranges for estrogen and progesterone levels depend on the stage of menopause, the type of HRT and the individual factors of each woman.

Generally, estrogen levels range from 10 to 50 pg/mL (picograms per milliliter) and progesterone levels range from 0.1 to 25 ng/mL (nanograms per milliliter) in postmenopausal women.

A. “I will use a walker until I can walk without pain.”. B. “I will avoid crossing my legs or bending my hip more than 90 degrees.”. C. “I will sleep on my back with a pillow between my legs.”. D. “I will apply ice to my hip if it becomes swollen or inflamed.”.

Correct Answer is A

Explanation

The correct answer is A.

“I will use a walker until I can walk without pain.” This statement indicates a need for further teaching because the client should use a walker or other assistive device until they have regained their balance, flexibility and strength, not just until the pain subsides.Using a walker too long or too little can affect the healing process and the stability of the new hip joint.

Choice B is correct because the client should avoid crossing their legs or bending their hip more than 90 degrees to prevent dislocating the new hip joint.

Choice C is correct because the client should sleep on their back with a pillow between their legs to keep the hip in a neutral position and prevent excessive internal or external rotation.

Choice D is correct because the client should apply ice to their hip if it becomes swollen or inflamed to reduce pain and inflammation.The client should also elevate their leg and notify their healthcare provider if they notice any signs of infection, such as fever, chills, redness, warmth or drainage from the incision site.

Normal ranges for hip replacement surgery recovery vary depending on the individual and the type of surgery, but some general guidelines are:.

• The client should be able to walk with a cane or crutches within 2 to 4 weeks after surgery.

• The client should be able to resume most daily activities within 6 to 12 weeks after surgery.

• The client should avoid high-impact activities, such as running, jumping or contact sports, for at least 6 months after surgery.

• The client should have regular follow-up visits with their healthcare provider and physical therapist to monitor their progress and adjust their treatment plan as needed.

View Question and Answer

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

A nurse is caring for an older adult client who has depression and reports having chronic pain in his lower back. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is teaching an older adult client who has menopause about hormone replacement therapy (HRT). The client asks about the benefits and risks of HRT. What should the nurse include in the teaching?

Correct Answer is A

Explanation

A nurse is providing discharge instructions to an older adult client who had a hip replacement surgery. Which of the following statements by the client indicates a need for further teaching?

Correct Answer is A

Explanation

A nurse is educating a client who is 60 years old about strategies to prevent orthostatic hypotension. Which of the following instructions should the nurse include? (Select all that apply.).

A nurse is reviewing the medication list of an older adult client who takes several medications for different health problems. The nurse recognizes that polypharmacy in older adults can increase the risk of which of the following?

The nurse is assessing an elderly patient’s skin turgor and notes that it is poor. The nurse understands that this finding may be due to which of the following reasons?

A nurse is providing education to a group of older adults about sexuality and aging. Which of the following information should the nurse include?

A nurse is planning care for an older adult client who has constipation due to decreased intestinal motility. Which of the following interventions should the nurse include in the plan?

A nurse is conducting a psychosocial assessment of an older adult client who has recently retired from work. Which of the following questions should the nurse ask? (Select all that apply.).

A nurse is assessing an older adult client who has sarcopenia. The nurse knows that this condition is characterized by which of the following?

A nurse is assessing the risk factors for sexually transmitted infections (STIs) in older adult clients. Which of the following factors should the nurse consider? (Select all that apply.).

A nurse is caring for an older adult client who has depression and reports having chronic pain in his lower back.

Which of the following actions should the nurse take?