In providing care to a client with chronic pain, which of the following characteristics or client responses should the nurse expect?

The client may have adapted so successfully to the presence of chronic pain that measures for relief are unnecessary.

Opioid-based analgesics may have little if any effect on reducing the quality of chronic pain.

The actual intensity of chronic pain is difficult to assess because the client may complain constantly.

Heart rate, blood pressure, and pulse rate may be normal while the client is experiencing pain.

Answer and Explanation

The Correct Answer is D

A. While some clients with chronic pain may develop coping mechanisms, this does not mean that measures for relief are unnecessary. Pain management is still crucial for maintaining quality of life.
B. Opioid-based analgesics can be effective for some individuals with chronic pain, but their effectiveness can vary and they may not always be the best option due to potential side effects and the risk of dependence.
C. Chronic pain can be challenging to assess, but the perception and expression of pain are subjective and can vary greatly among individuals. Constant complaints of pain do not necessarily mean the pain intensity is difficult to assess; rather, it indicates the need for thorough pain evaluation.
D. Chronic pain often does not trigger the same physiological responses as acute pain. Therefore, vital signs such as heart rate, blood pressure, and pulse rate may remain normal even while the client is experiencing pain. This can make it more challenging to assess the presence and intensity of pain solely based on these parameters.

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Correct Answer is D

Explanation

A. Full thickness skin loss with visible bone describes a stage 4 pressure injury.
B. Full thickness skin loss with visible adipose tissue describes a stage 3 pressure injury.
C. Partial-thickness skin loss with red tissue in the wound bed describes a stage 2 pressure injury.
D. Intact skin with localized erythema (redness) that does not blanch when pressure is applied is characteristic of a stage 1 pressure injury.

A. Cover the bowel with a sterile saline dressing. B. Raise the patient up to a high Fowler's position. C. Call the RN. D. Turn the patient to the side of the evisceration.

Correct Answer is A

Explanation

A. Covering the bowel with a sterile saline dressing helps keep the bowel moist and prevents infection.
B. Raising the patient to a high Fowler's position can increase abdominal pressure and worsen the evisceration.
C. Calling the RN is important, but the immediate priority is to protect the protruding bowel.
D. Turning the patient to the side is not appropriate and does not address the immediate need to protect the bowel.

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In providing care to a client with chronic pain, which of the following characteristics or client responses should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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