Exhibits

The nurse is evaluating the effectiveness of pain interventions for Mrs. Thompson who is unconscious and at the end of life. Which of the following methods is the most appropriate for assessing pain management effectiveness in this client?

Requesting feedback from the patient's family about the patient's comfort.

Monitoring changes in vital signs such as blood pressure and heart rate.

Assessing the patient's responsiveness to verbal stimuli.

Observing for non-verbal cues such as facial expressions and body movements.

Answer and Explanation

The Correct Answer is D

A. Requesting feedback from the patient's family about the patient's comfort. While family members can provide insight, they cannot reliably assess pain in an unconscious client. Pain assessment should be based on objective clinical observations rather than second-hand reports.
B. Monitoring changes in vital signs such as blood pressure and heart rate. While pain can cause changes in vital signs, this method is not the most reliable in end-of-life care. Vital signs may fluctuate due to the body’s natural decline rather than pain alone.
C. Assessing the patient's responsiveness to verbal stimuli. Responsiveness to verbal stimuli helps assess consciousness, but it does not directly determine pain levels. An unconscious client may still experience discomfort, requiring alternative assessment methods.
D. Observing for non-verbal cues such as facial expressions and body movements. In unconscious or non-verbal clients, pain is best assessed through behavioral cues like grimacing, restlessness, moaning, muscle tension, or changes in breathing patterns. These signs help determine whether pain interventions are effective or need adjustment.

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Correct Answer is C

Explanation

A. Take the medication with an aspirin to increase effectiveness. Ibuprofen and aspirin are both NSAIDs, and taking them together increases the risk of gastrointestinal bleeding and ulcers. Ibuprofen can also reduce the antiplatelet effects of aspirin, potentially decreasing its cardiovascular benefits.
B. Sustained-release forms may be crushed for easier administration. Sustained-release formulations are designed to release the drug gradually over time. Crushing them can lead to rapid drug absorption, increasing the risk of toxicity and side effects.
C. Take the medication with food. Ibuprofen can cause gastrointestinal irritation, ulcers, and bleeding, especially with prolonged use. Taking it with food helps protect the stomach lining and reduces the risk of gastrointestinal side effects.
D. Taking the maximum dose will offer stroke prevention. Ibuprofen is not used for stroke prevention. High doses of NSAIDs may increase the risk of cardiovascular events, including heart attacks and strokes, rather than preventing them.

A. "This service provides my caregiver the opportunity to take time for themselves." B. "I will need to go to a skilled facility to receive these services." C. “This service assists with making me comfortable during my illness." D. "I will receive help with managing my meals with this service."

Correct Answer is C

Explanation

A. "This service provides my caregiver the opportunity to take time for themselves." While respite care offers temporary relief for caregivers, palliative care focuses primarily on symptom management and improving the quality of life for individuals with serious illnesses.
B. "I will need to go to a skilled facility to receive these services." Palliative care can be provided in various settings, including hospitals, outpatient clinics, nursing homes, and even the client’s home. It does not require admission to a skilled nursing facility.
C. "This service assists with making me comfortable during my illness." Palliative care aims to improve comfort by managing pain, symptoms, and emotional distress for individuals with chronic or terminal illnesses. It focuses on enhancing quality of life rather than curing the disease.
D. "I will receive help with managing my meals with this service." While palliative care teams may offer nutritional support as part of symptom management, their primary role is to address pain, dyspnea, nausea, and emotional distress rather than meal planning.

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Exhibits The nurse is evaluating the effectiveness of pain interventions for Mrs. Thompson who is unconscious and at the end of life. Which of the following methods is the most appropriate for assessing pain management effectiveness in this client?

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Exhibits

The nurse is evaluating the effectiveness of pain interventions for Mrs. Thompson who is unconscious and at the end of life. Which of the following methods is the most appropriate for assessing pain management effectiveness in this client?