Hesi rn comprehensive predictor exam 2023.Edited on March 2023

Hesi rn comprehensive predictor exam 2023.Edited on March 2023 100% (score) Quaranteed. 1An oriented patient has recently had surgery. Which action is best for the nurseto take to assess this patient’s pain? a. Assess the patient’s body language. b. Ask the patient to rate the level of pain. c. Observe the cardiac monitor for increased heart rate. d. Have the patient describe the effect of pain on the ability to cope. ANS: B One of the most subjective and therefore most useful characteristics for reporting pain is its severity. Therefore, the best way to assess a patient’s painis to ask the patient to rate the pain. Nonverbal communication, such as body language, is not as effective in assessing pain, especially when the patient is oriented. Heart rate sometimes increases when a patient is in pain, but this is not a symptom that is specific to pain. Pain sometimes affects a patient’s ability to cope, but assessing the effect of pain on coping assesses the patient’sability to cope; it does not assess the patient’s pain. 2.A nurse is caring for a patient who recently had abdominal surgery and is experiencing severe pain. The patient’s blood pressure is 110/60 mm Hg, and heart rate is 60 beats/min. Additionally, the patient does not appear tobe in any distress. Which response by the nurse is most therapeutic? “Your vitals do not show that you are having pain; can you describe a. your pain?” b. “OK, I will go get you some narcotic pain relievers immediately.” c. “What would you like to try to alleviate your pain?” d. “You do not look like you are in pain.” ANS: C Be sure the patient is a partner in making decisions about the best approaches for managing pain. A patient 20 knows the most about his or her pain and is an important 5 partner in selecting successful pain therapies. The nurse must believe that a patient is in pain whenever the patient reports that he or she is in