Which six factors should the nurse consider when choosing a time frame for reassessing the patient’s pain level after implementing pain management?
Agency policy
Type of intervention
Pain severity
If family members are present in the patient’s room
The patient’s psychosocial condition
Risks for adverse effects
Workload of the nurse
The patient’s physical condition
Correct Answer : B,C,E,F,H
Choice A: Agency policy
While agency policy provides guidelines for reassessment intervals, it is not the primary factor in determining the specific time frame for reassessing a patient’s pain level. Policies serve as a general framework, but individual patient needs and clinical judgment should guide the reassessment timing.
Choice B: Type of intervention
This is a correct answer. The type of pain management intervention used significantly influences the reassessment time frame. For example, after administering intravenous pain medication, reassessment should occur sooner compared to oral medications due to the faster onset of action. Different interventions have varying durations of effectiveness, necessitating tailored reassessment intervals.
Choice C: Pain severity
This is another correct answer. The severity of the patient’s pain is a crucial factor in determining reassessment timing. Patients experiencing severe pain may require more frequent reassessments to ensure that pain management strategies are effective and to make timely adjustments if needed.
Choice D: If family members are present in the patient’s room
The presence of family members in the patient’s room is not a primary factor in determining the reassessment time frame. While family members can provide valuable support and information, the focus should remain on the patient’s clinical needs and the effectiveness of pain management interventions.
Choice E: The patient’s psychosocial condition
This is a correct answer. The patient’s psychosocial condition, including their emotional and mental state, can impact their perception of pain and response to pain management. Patients with anxiety, depression, or other psychosocial issues may require more frequent reassessments to address both physical and emotional aspects of pain.
Choice F: Risks for adverse effects
This is also a correct answer. The potential for adverse effects from pain management interventions necessitates careful monitoring and timely reassessment. For instance, opioids carry risks of respiratory depression and sedation, requiring close observation and frequent reassessment to ensure patient safety.
Choice G: Workload of the nurse
While the nurse’s workload can influence the practical aspects of care delivery, it should not dictate the reassessment time frame. Patient needs and clinical priorities should guide reassessment intervals, with workload management being a secondary consideration.
Choice H: The patient’s physical condition
This is the final correct answer. The patient’s overall physical condition, including comorbidities and current health status, affects their response to pain management and the need for reassessment. Patients with complex medical conditions may require more frequent monitoring to ensure effective pain control and to promptly address any complications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","E"]
Explanation
Choice A: Monitor for signs and symptoms of infection
Monitoring for signs and symptoms of infection is a fundamental strategy in infection prevention. Early detection of infections allows for timely intervention, which can prevent the spread of pathogens and reduce the severity of the infection. Common signs and symptoms include fever, redness, swelling, pain, and discharge. Regular monitoring helps healthcare providers identify infections early and take appropriate actions, such as isolating the patient or starting treatment.
Choice B: Provide all patients with bottled water
Providing all patients with bottled water is not a standard infection prevention strategy. While ensuring access to clean drinking water is important, it is not specifically aimed at preventing infections. In healthcare settings, tap water is usually safe to drink if it meets regulatory standards. Bottled water may be provided in certain situations, such as during an outbreak of waterborne pathogens, but it is not a routine infection prevention measure.
Choice C: Provide education on infection prevention
Providing education on infection prevention is crucial for both healthcare providers and patients. Education helps individuals understand how infections spread and what measures they can take to prevent them. This includes proper hand hygiene, respiratory etiquette, and the importance of vaccinations. Educating patients and staff can significantly reduce the incidence of healthcare-associated infections by promoting adherence to infection control practices.
Choice D: Request an antibiotic order for a febrile patient
Requesting an antibiotic order for a febrile patient is not an infection prevention strategy but rather a treatment approach. Antibiotics are used to treat bacterial infections, not to prevent them. Overuse of antibiotics can lead to antibiotic resistance, making it crucial to use them judiciously and only when necessary. Infection prevention focuses on measures to prevent the occurrence of infections rather than treating them once they occur.
Choice E: Create a clean, safe environment
Creating a clean, safe environment is essential for infection prevention in healthcare settings. This involves regular cleaning and disinfection of surfaces, proper waste disposal, and maintaining hygiene standards. A clean environment reduces the risk of healthcare-associated infections by minimizing the presence of pathogens. Effective cleaning protocols and environmental controls are critical components of infection prevention strategies.
Correct Answer is B
Explanation
Choice A: Masking before interviewing a patient about health history
Masking is generally used when there is a risk of exposure to respiratory droplets, such as when a patient has a known or suspected respiratory infection. However, it is not typically required for a standard health history interview unless there is a specific risk of exposure to infectious agents.
Choice B: Gloving before wiping pink sputum off the bedrail
This is the correct answer. Standard precautions include the use of personal protective equipment (PPE) such as gloves when there is a potential for contact with blood, body fluids, secretions, excretions, or contaminated items. Wiping pink sputum off the bedrail involves contact with potentially infectious material, making gloves necessary to prevent the spread of infection.
Choice C: Applying goggles before helping a patient to ambulate in the hall
Goggles or face shields are used when there is a risk of splashes or sprays of blood, body fluids, secretions, or excretions. Helping a patient to ambulate in the hall does not typically involve such risks, so goggles are not usually required in this scenario.
Choice D: Gowning prior to delivering a food tray to a patient
Gowns are used to protect skin and clothing from contamination when there is a risk of exposure to infectious material. Delivering a food tray to a patient does not generally pose such a risk, so gowning is not necessary for this task under standard precautions.
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