The nurse is exploring pain assessment with a group of new nurses. Which statements are true regarding pain assessment and management? (Select all that apply, one, some, or all.)

The concept of equianalgesic uses morphine as a basis for dosage comparison for other medications.

The only way to assess pain in patients unable to verbalize because of mechanical ventilation is through observation of behavioral indicators.

Meperidine, a synthetic form of morphine, is much stronger and is given at lower doses at less frequent intervals.

The single most important assessment tool available to the nurse is the patient's self-report.

Transcutaneous electrical nerve stimulation and application of heat or cold therapy stimulate the nonpain sensory fibers.

Answer and Explanation

Correct Answer : A,B,D,E

A. Equianalgesic dosing compares other opioids to morphine to ensure that equivalent pain relief is achieved.
B. For patients unable to verbalize pain, behavioral indicators such as facial expressions or body movements are the best way to assess pain.
C. Meperidine is not stronger than morphine and has a higher risk of toxicity, especially when given at higher doses or frequent intervals.
D. The patient’s self-report is considered the most accurate and essential tool for assessing pain.
E. Transcutaneous electrical nerve stimulation and heat/cold therapy work by stimulating nonpain sensory fibers, which can help alleviate pain by overriding pain signals.

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Correct Answer is B

Explanation

A. While physical restraints may potentially cause harm, the intention in this case is to ensure safety, so it isn't directly categorized as harm.
B. Paternalism involves making decisions for the patient without their consent, believing it's for their own good, which is what the nurse is considering by using restraints for safety.
C. Deception is not involved in this situation, as the nurse is not misrepresenting the circumstances.
D. Advocacy would involve advocating for the patient's autonomy, which may not align with using restraints without the patient's consent.

A. Have the client deep breathe and hold B. Assist the client to ambulate on the nursing unit C. Encourage the client to watch television D. Apply ice to the incision site for 30 minutes

Correct Answer is A

Explanation

A. Deep breathing and holding can help relax the patient, reduce pain perception, and enhance the effects of opioid medications.
B. Ambulating may be appropriate but should be done carefully, as it could exacerbate pain or cause dizziness after opioid administration.
C. While distraction like watching TV can help manage pain, it is not as effective as active pain-relieving interventions like deep breathing.
D. Applying ice to the incision site can be helpful for pain management, but deep breathing is more directly beneficial for managing postoperative pain.

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The nurse is exploring pain assessment with a group of new nurses. Which statements are true regarding pain assessment and management? (Select all that apply, one, some, or all.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

The client experienced abdominal surgery the previous day and has just received an opioid medication for report of pain. The client is sitting in a chair next to the bed. An additional activity that the nurse uses to relieve pain is:

Correct Answer is A

Explanation

The nurse is assessing a client admitted to the ICU and receiving opioid analgesic intravenously. Which patient is MOST likely to be experiencing a life-threatening opioid side effect?

The nurse and the other members of the team are caring for a client in the ED who converted to ventricular fibrillation (VF). The client was defibrillated unsuccessfully and the client remains in VF. Which medication should the nurse be prepared to administer?

A patient is admitted with the diagnosis of a gunshot wound to the head due to a suicide attempt. While in the patient care unit, the plan of care should include which intervention?

A nurse is paying particular attention to the spiritual needs of a client today. The nurse identifies that spiritual beliefs can have a positive effect on general health of a client in which ways? Select all that apply.

The nurse in the ED is reviewing the EKG strip of a client who has prolonged vomiting. Which of the following abnormalities on the client's EKG should the nurse interpret as a sign of hypokalemia?

Which ethical principle is most important when soliciting informed consent from a patient?

A tracheostomy patient is experiencing regurgitation of tube feeding formula. What should be the nurse's first priority?

Provider Orders normal saline (NS) 0.9% 650 ml infuse over 6 hours. The drip factor is 10 gtt/mL. How many drops per minute (gtts/min) will be administered? NOTE DO NOT write the unit/s of measurement YOUR ANSWER SHOULD BE IN WHOLE NUMBER