When caring for a patient in pain, the most important principle that the nurse must recognize is that:

the person experiencing the pain is the authority about the pain.

administering analgesics for pain will eventually lead to addiction.

behavioral signs are always congruent with statements about pain.

the extent of pain is directly related to the amount of tissue damage.

Answer and Explanation

The Correct Answer is A

A. The person experiencing the pain is the authority about the pain: This is the most important principle to recognize when caring for a patient in pain. Pain is a subjective experience, and the individual experiencing it is the best authority on their pain. Nurses should listen to and respect the patient's descriptions and assessments of their pain, as they are the ones experiencing it firsthand. This principle underscores the importance of patient-centered care and empowers patients to participate in decisions about pain management.

B. Administering analgesics for pain will eventually lead to addiction: While concerns about addiction are important to consider when administering analgesics, this statement is not the most important principle to recognize when caring for a patient in pain. Fear of addiction should not overshadow the patient's right to adequate pain relief. Nurses should prioritize effective pain management while also considering factors such as the patient's history of substance use and monitoring for signs of misuse or addiction.

C. Behavioral signs are always congruent with statements about pain: While behavioral signs can provide valuable information about a patient's pain experience, they may not always be congruent with verbal statements about pain. Some patients may exhibit stoic behaviors despite experiencing significant pain, while others may express distress more visibly. Nurses should consider both verbal and non-verbal cues when assessing pain and tailor interventions accordingly.

D. The extent of pain is directly related to the amount of tissue damage: While pain often accompanies tissue damage or injury, the extent of pain experienced by an individual is influenced by various factors beyond just tissue damage. Pain perception is subjective and can be influenced by factors such as psychological, emotional, cultural, and social factors. Therefore, pain intensity may not always directly correlate with the amount of tissue damage present.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is ["A","C","E"]

Explanation

A. Support both the client and the family: Nurses have an obligation to support both the client and their family when confronted with an ethical dilemma. This support may involve providing information, facilitating communication, and ensuring that the client's and family's concerns are addressed appropriately.

B. Inform the family and client of nurse's personal beliefs: While nurses may have personal beliefs, it is not ethically appropriate to impose these beliefs on clients or their families. Nurses should maintain professional boundaries and provide care that respects the client's autonomy and values without imposing their own beliefs.

C. Carry out the hospital's policies: Nurses are expected to adhere to the policies and procedures of the healthcare facility where they work. However, if a policy conflicts with ethical principles or legal obligations, nurses should advocate for changes to the policy or escalate the issue through appropriate channels.

D. Refer the issue to the physician since this is not a nurse's responsibility: Nurses have a professional responsibility to address ethical issues within their scope of practice. While collaboration with other healthcare team members, including physicians, is important, nurses should not automatically defer ethical issues to physicians without attempting to address them within their own capacity.

E. Maximize the client's well-being: One of the primary obligations of nurses in ethical dilemmas is to maximize the client's well-being. This includes advocating for the client's rights, providing compassionate care, and promoting the client's best interests while respecting their autonomy and preferences.

A. Diarrhea B. Urinary output C. Profuse sweating D. Vomiting E. Increased respiratory effort

Correct Answer is ["B","E"]

Explanation

A. Diarrhea: Diarrhea results in fluid loss from the body and is considered an insensible fluid loss rather than sensible fluid loss. Sensible fluid loss refers to measurable fluid losses such as urine output and sweating.

B. Urinary output: Urinary output represents sensible fluid loss as it is measurable and reflects the volume of fluid excreted by the kidneys. Monitoring urinary output is essential for assessing fluid balance in clients.

C. Profuse sweating: Profuse sweating results in sensible fluid loss as it is measurable and can lead to significant fluid depletion if not adequately replaced. Sweating is the body's mechanism for thermoregulation, and excessive sweating, such as during strenuous exercise or in hot environments, can result in notable fluid loss.

D. Vomiting: Vomiting results in fluid loss from the body and is considered an insensible fluid loss rather than sensible fluid loss. While vomiting leads to the expulsion of gastric contents and fluids, the volume of fluid loss is not easily measurable compared to urine output or sweating.

E. Increased respiratory effort: Increased respiratory effort, such as during heavy breathing or respiratory distress, can result in sensible fluid loss through exhalation. This loss occurs as water vapor is expelled from the lungs during respiration. Monitoring respiratory rate and effort can provide insights into fluid balance in clients, particularly in conditions such as respiratory infections or heart failure.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

When caring for a patient in pain, the most important principle that the nurse must recognize is that:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following is/are nurses' obligation(s) when confronted with an ethical dilemma? (SELECT ALL THAT APPLY)

Correct Answer is ["A","C","E"]

Explanation

The nurse understands that examples of sensible fluid loss in a client are: (SELECT ALL THAT APPLY)

Correct Answer is ["B","E"]

Explanation

What is the best way for the nurse to document the assessment of a client's foot on the Admission Database?

The physician has ordered replacement fluids for a client who has a fluid volume deficit with a diagnosis of gastroenteritis. The nurse would expect the use of which type of fluids initially upon admission?

A nurse realizes that a wrong dose of medication has been administered to the client. The supervisor is immediately informed. Ethically, this behavior is best described as being:

Which of the following is most appropriate when the nurse assesses the intensity of the client's pain?

A nurse is providing instructions to a client receiving a diuretic that causes potassium loss. Which foods rich in potassium should the nurse recommend? (SELECT ALL THAT APPLY)

The nurse is performing an admission assessment on a client who has chronic pain. Which statement made by the client causes the most concern?

A nurse is caring for a client being treated for a fluid volume excess. Which clinical finding validates the client's fluid status?

The nurse is teaching a client who will be collecting a stool sample for a hemoccult test. The nurse determines that teaching has been effective when the client states: