PN HESI PAIN QUESTIONS AND ANSWERS ALREADY PASSED

PN HESI PAIN QUESTIONS AND ANSWERS ALREADY PASSED Which information obtained in the client history is most likely to influence Wanda's perception of her pain? 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? What word best describes the pain you are experiencing? Which behavior exhibited by Wanda supports her subjective report of acute pain? Frequent guarding. To determine the etiology of Wanda's anxiety, what is the priority nursing intervention? 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"? Client's pain will be relieved. Before implementing any interventions, what action is most important for the PN to take? Discuss the plan of care with the client. What instruction should the PN provide? Tylenol does not have an antiinflammatory effect. What information should the PN include in responding to Wanda? All aspirin products should be avoided in children unless specifically prescribed. How should the PN respond? 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? 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? Reflex vasodilation occurs following the initial vasoconstricting effects of cold. What is the best response by the PN? Pain relief is actually provided by delivery of small electrical currents to the skin. Which instruction should the PN reinforce? 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? There is a high potential for abuse. What action should the PN implement? Review prescriptions for any scheduled drugs with all nurses with access to the medications to determine why the count is inaccurate. How many mL should the nurse give? 2 Since Wanda is fairly thin, which site is the best choice for the injection? Ventrogluteal. The PN will first place the palm of the hand on what anatomical spot to locate the injection site? The greater trochanter. Once the needle is inserted in the skin, what intervention should the PN perform? Pull back on the syringe plunger and observe for blood. To ensure that the exercise is most effective, what action should the PN implement? Include as many sensory images as possible in the experience. What instruction should the PN provide next? Tense the muscle fully. When is the best time to teach Wanda about use of the PCA? The day before the surgery is scheduled. What is the total dosage of morphine that Wanda has received in the last 4 hours? 18 What is the most likely reason for this change? She is receiving adequate pain control without the additional doses. What is the rationale for combining these two ingredients? The synergistic effect of the two medications improves pain control. How should the PN respond? You may need to continue the Colace because most opioid analgesics, including Vicodin, cause constipation. What is the priority nursing intervention? Arrange to continue the conversation in a more private location. The PN's response demonstrates what ethical principle? Veracity.