PN HESI PAIN (with complete solution)

Which information obtained in the client history is most likely to influence Wanda's perception of her pain? correct answers Wanda's younger child is an infant who feeds every 3 hours. To assess the quality of Wanda's pain, the practical nurse (PN) asks which question? correct answers What word best describes the pain you are experiencing? Which behavior exhibited by Wanda supports her subjective report of acute pain? correct answers Frequent guarding. To determine the etiology of Wanda's anxiety, what is the priority nursing intervention? correct answers Continue the interview with the client. What is the best goal for the PN to include in the plan of care related to the problem statement of "Acute pain related to strain on muscles with movement"? correct answers Client's pain will be relieved. Before implementing any interventions, what action is most important for the PN to take? correct answers Discuss the plan of care with the client. What instruction should the PN provide? correct answers Tylenol does not have an antiinflammatory effect. What information should the PN include in responding to Wanda? correct answers All aspirin products should be avoided in children unless specifically prescribed. How should the PN respond? correct answers The dry heat provided by the heating pad will help relieve the pain by promoting muscle relaxation. Which instruction is most important for the PN to provide? correct answers Excessive exposure to cold can damage the skin. How should the PN explain the mechanism that causes the skin to become reddened from prolonged exposure to cold? correct answers Reflex vasodilation occurs following the initial vasoconstricting effects of cold. What is the best response by the PN? correct answers Pain relief is actually provided by delivery of small electrical currents to the skin. Which instruction should the PN reinforce? correct answers Be sure to use conducting gel or conductor pads when applying the electrodes to the skin. What characteristic of scheduled drugs results in the need for these specific protocols? correct answers There is a high potential for abuse.