The nurse caring for a client diagnosed with pancreatic cancer understands that the key to effective pain management is: (SELECT ALL THAT APPLY)

pain control options should be appropriate to the setting.

delivery of pain relief interventions should be timely and logical.

asking about pain once a shift.

belief that pain is what the client reports it is.

most effective when provided by a team approach.

Answer and Explanation

Correct Answer : A,B,D,E

A. Pain control options should be appropriate to the setting because different environments (e.g., home vs. hospital) may require different approaches to pain management, ensuring that the interventions align with the patient's needs and the context.
B. Timely and logical delivery of pain relief interventions is critical for effective pain management. Delays in treatment can lead to unnecessary suffering and complicate the overall management of the patient's condition.
C. Asking about pain only once a shift is insufficient for effective pain management. Pain can fluctuate frequently, especially in a client with cancer, so regular assessment is essential to address pain promptly.
D. Believing that pain is what the client reports it to be is fundamental to effective pain management. Pain is subjective, and clients' experiences and expressions of pain should be taken seriously to guide appropriate interventions.
E. A team approach is often the most effective for pain management, as it allows for a comprehensive plan that integrates multiple perspectives and disciplines, including nursing, medical, and possibly palliative care professionals, ensuring a holistic approach to managing pain.

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Correct Answer is B

Explanation

A. Increasing fiber intake is generally beneficial for digestive health but alone may not address the client's specific concern regarding colon cancer risk, making this advice too narrow.
B. Discussing family history and early screening options with a primary care provider is crucial, as it can lead to earlier detection and intervention, especially given the family history of colon cancer.
C. The CEA blood test is not routinely used for cancer screening; it is primarily used to monitor treatment response or recurrence, not for predicting the development of cancer.
D. Waiting until the age of 60 to be concerned about colon cancer is not advisable, especially with a family history; proactive discussions about screening should begin earlier based on risk factors.

A. Administer a narcotic analgesic every two hours. B. Encourage a low-fat diet the first post-op day. C. Encourage the use of the incentive spirometer. D. Ambulate the client in the hall the first post-op evening.

Correct Answer is C

Explanation

A. While administering a narcotic analgesic may be necessary for pain management, it does not address the immediate post-operative needs related to respiratory function and mobility.
B. Encouraging a low-fat diet is important after a cholecystectomy, but this can be addressed after ensuring the client's respiratory function and mobilization are stable.
C. Encouraging the use of the incentive spirometer is the priority intervention as it promotes lung expansion, reduces the risk of atelectasis, and improves oxygenation, which is crucial in the post-operative period.
D. While ambulating the client is important for recovery and preventing complications such as deep vein thrombosis, it should follow ensuring that the patient is able to effectively use the incentive spirometer to maintain respiratory function first.

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The nurse caring for a client diagnosed with pancreatic cancer understands that the key to effective pain management is: (SELECT ALL THAT APPLY)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A middle-aged client tells the nurse that his father died of colon cancer. The client is concerned about developing this disease as well. Which of the following would the nurse include in the recommendations for this client?

Correct Answer is B

Explanation

The nurse is caring for a client post-operatively following an open (incisional) cholecystectomy. Which would be the priority nursing intervention for this client?

Correct Answer is C

Explanation

The nurse receives report at 0700 on a client who has 600 mL of IV fluid left in the bag. The IV is running at 100 mL per hour. At what time should the nurse expect to change the bag (military time)?

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