The practical nurse (PN) is reviewing instructions about use of postoperative analgesia with a client before surgery. The PN should remind the client to ask for pain medication at which time?
When the pain interferes with activities of daily living.
As soon as the client begins to feel pain.
When the client can no longer move comfortably.
Once the pain gets to a moderate level.
The Correct Answer is B
A. When the pain interferes with activities of daily living: Waiting until pain affects daily functioning may cause unnecessary suffering and make pain harder to control. Postoperative pain management aims to address discomfort early before it escalates to a level that impairs normal activity.
B. As soon as the client begins to feel pain: Asking for pain medication at the onset of pain allows for more effective management. Treating pain early prevents the development of severe pain, enhances comfort, and often requires lower doses of medication compared to managing severe pain later.
C. When the client can no longer move comfortably: Delaying pain management until mobility is significantly impaired increases the risk of complications such as immobility, poor wound healing, and longer hospital stays. Early intervention is crucial for better outcomes.
D. Once the pain gets to a moderate level: Allowing pain to reach a moderate intensity before requesting medication can make it more difficult to control. It is better to preemptively manage pain to prevent escalation, leading to faster recovery and improved participation in rehabilitation activities.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D","E"]
Explanation
A. Effects of sleep loss: Assessing how sleep loss affects daytime functioning helps determine the severity of the insomnia and guides appropriate interventions for improving sleep quality.
B. Bedtime rituals: Understanding the client’s bedtime habits can reveal behaviors that may either promote or interfere with sleep, allowing for targeted recommendations to enhance sleep hygiene.
C. Alcohol consumption: Alcohol can disrupt sleep cycles and contribute to insomnia, even if it initially seems to induce sleep. Evaluating alcohol use helps identify modifiable factors affecting sleep quality.
D. Sleep expectations: Unrealistic sleep expectations, such as expecting to fall asleep immediately or sleep for excessive hours, can contribute to anxiety around sleep. Clarifying expectations can help adjust behaviors and improve outcomes.
E. Current life events: Stressful life events are a common cause of insomnia. Exploring recent stressors provides important context for developing an effective and individualized care plan to address sleep disturbances.
Correct Answer is B
Explanation
A. Rectus abdominis: The rectus abdominis is a muscle in the abdomen, not the thigh. It is not used for intramuscular injections, as it does not provide the necessary mass or safe anatomical location for such injections.
B. Rectus femoris: The rectus femoris is located in the mid anterior thigh and is a common site for intramuscular injections, especially when other sites are not ideal. It provides easy access, sufficient muscle mass, and fewer major nerves or blood vessels.
C. Gluteus medius: The gluteus medius is located in the upper outer quadrant of the buttock, commonly used for dorsogluteal or ventrogluteal injections, not for injections into the anterior thigh.
D. Gluteus maximus: The gluteus maximus forms the bulk of the buttocks and is used for dorsogluteal injections. It is not located in the anterior thigh and is associated with greater risk of hitting major nerves like the sciatic nerve.
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