RNSG 1430 Thermoregulation, comfort, mobility
questions with verified answers
A 2 inch wide belt with or without handles, that is fastened around a patients
waist used to ensure stability when assisting patients to stand, ambulate or to
transfer from bed to chair. Ans✓✓✓ Gait belt
A client comes to the outpatient clinic to receive cortisone injections in the neck
for pain that has been occurring consistently for 8 months. What type of pain is
this client experiencing? Ans✓✓✓ Chronic pain
Explanation:
The characteristics of chronic pain, discomfort that lasts longer than 6 months,
are almost totally opposite from those of acute pain. Referred pain is a term used
to describe discomfort that is perceived in a general area of the body but not in
the exact site where an organ is anatomically located. An example of neuropathic
pain is phantom limb pain or phantom limb sensation, in which individuals with
an amputated arm or leg perceive that the limb still exists and that sensation such
as burning, itching, and deep pain are located in tissues that have been surgically
removed. Acute pain is a discomfort that has a short duration (from a few seconds
to less than 6 months). It is associated with tissue trauma, including surgery, or
some other recent identifiable etiology.
A client fell from a ladder and broke his ankle and is being seen in the emergency
department for severe ankle pain with swelling and limited range of motion.
What type of pain does the nurse recognize the client is experiencing? Ans✓✓✓
Acute pain
Explanation:
Acute pain is pain that is elicited by injury to body tissues and activation of
nociceptive stimuli at the site of local tissue damage. It is generally of short
,duration and tends to resolve when the underlying pathologic process has
resolved. Acute pain's purpose is to serve as a warning system. It alerts a person
to the existence of actual or impending tissue damage and prompts a search for
medical help.
A client in the operating room goes into malignant hyperthermia due to an
abnormal reaction to the anesthetic. The nurse knows that the area of the brain
that regulates body temperature is what? Ans✓✓✓ Hypothalamus
A method of pain management that allows hospitalized patients with severe pain
to safely self-administer opioid medications using a programmed pump according
to their level of discomfort. Ans✓✓✓ Patient-Controlled Analgesia (PCA)
A middle-aged client is complaining of acute joint pain to a nurse who is assessing
the client's pain in a clinic. Which of the following questions related to pain
assessment should the nurse ask the client? Ans✓✓✓ "Does your pain level
change after taking medications?"
Explanation:
The nurse should ask direct and specific questions about the nature of the pain
and whether it changes with medication, as this helps the nurse to quickly gather
objective data about the client's pain. The nurse should avoid asking irrelevant
and closed-ended questions, such as whether the client's diet includes red meat
and poultry products or whether the client has thought about the effects of his
condition on the rest of his family. These types of questions do not add any value
to pain assessment but could make the client feel more depressed and
uncomfortable.
A nurse assessing a postoperative patient who received a neuromuscular blocking
(NMJ) agent during the procedure notes extreme muscle rigidity, pyrexia, and
, acidosis. What family history predisposed the patient to this event? Ans✓✓✓
Malignant hyperthermia
A nurse has an order to take the core temperature of a client. At which site would
a core body temperature be measured? Ans✓✓✓ Rectal
A nurse is caring for a 5-hour-old newborn. The primary care provider has asked
the nurse to maintain the newborns temperature between 97.7 degrees
Fahrenheit and 99.5 degrees Fahrenheit (36.5-37.5 degrees celcius). Which
nursing intervention would be the BEST approach to maintaining the temperature
within the recommended range? Ans✓✓✓ Place the newborn skin-to-skin
(kangaroo care) with the mother.
A nurse is performing discharge teaching for an elderly client diagnosed with
osteoporosis. Which statement about home safety should the nurse include?
Ans✓✓✓ "Most falls among the elderly occur in the home. These clients should
remove throw rugs and install bathroom grab bars."
Falls in the home cause most injuries among the elderly. Elderly clients should
take measures to decrease the clutter that can contribute to falls, such as
removing objects such as throw rugs from the floor. Elderly clients should also
install grab bars in the shower and next to the toilet. The threat of fire makes
burglar bars on every window impractical.
A nurse is repositioning a patient who has physical limitations due to recent back
surgery. How often would the nurse turn the patient in bed? Ans✓✓✓ Every 2
hours
questions with verified answers
A 2 inch wide belt with or without handles, that is fastened around a patients
waist used to ensure stability when assisting patients to stand, ambulate or to
transfer from bed to chair. Ans✓✓✓ Gait belt
A client comes to the outpatient clinic to receive cortisone injections in the neck
for pain that has been occurring consistently for 8 months. What type of pain is
this client experiencing? Ans✓✓✓ Chronic pain
Explanation:
The characteristics of chronic pain, discomfort that lasts longer than 6 months,
are almost totally opposite from those of acute pain. Referred pain is a term used
to describe discomfort that is perceived in a general area of the body but not in
the exact site where an organ is anatomically located. An example of neuropathic
pain is phantom limb pain or phantom limb sensation, in which individuals with
an amputated arm or leg perceive that the limb still exists and that sensation such
as burning, itching, and deep pain are located in tissues that have been surgically
removed. Acute pain is a discomfort that has a short duration (from a few seconds
to less than 6 months). It is associated with tissue trauma, including surgery, or
some other recent identifiable etiology.
A client fell from a ladder and broke his ankle and is being seen in the emergency
department for severe ankle pain with swelling and limited range of motion.
What type of pain does the nurse recognize the client is experiencing? Ans✓✓✓
Acute pain
Explanation:
Acute pain is pain that is elicited by injury to body tissues and activation of
nociceptive stimuli at the site of local tissue damage. It is generally of short
,duration and tends to resolve when the underlying pathologic process has
resolved. Acute pain's purpose is to serve as a warning system. It alerts a person
to the existence of actual or impending tissue damage and prompts a search for
medical help.
A client in the operating room goes into malignant hyperthermia due to an
abnormal reaction to the anesthetic. The nurse knows that the area of the brain
that regulates body temperature is what? Ans✓✓✓ Hypothalamus
A method of pain management that allows hospitalized patients with severe pain
to safely self-administer opioid medications using a programmed pump according
to their level of discomfort. Ans✓✓✓ Patient-Controlled Analgesia (PCA)
A middle-aged client is complaining of acute joint pain to a nurse who is assessing
the client's pain in a clinic. Which of the following questions related to pain
assessment should the nurse ask the client? Ans✓✓✓ "Does your pain level
change after taking medications?"
Explanation:
The nurse should ask direct and specific questions about the nature of the pain
and whether it changes with medication, as this helps the nurse to quickly gather
objective data about the client's pain. The nurse should avoid asking irrelevant
and closed-ended questions, such as whether the client's diet includes red meat
and poultry products or whether the client has thought about the effects of his
condition on the rest of his family. These types of questions do not add any value
to pain assessment but could make the client feel more depressed and
uncomfortable.
A nurse assessing a postoperative patient who received a neuromuscular blocking
(NMJ) agent during the procedure notes extreme muscle rigidity, pyrexia, and
, acidosis. What family history predisposed the patient to this event? Ans✓✓✓
Malignant hyperthermia
A nurse has an order to take the core temperature of a client. At which site would
a core body temperature be measured? Ans✓✓✓ Rectal
A nurse is caring for a 5-hour-old newborn. The primary care provider has asked
the nurse to maintain the newborns temperature between 97.7 degrees
Fahrenheit and 99.5 degrees Fahrenheit (36.5-37.5 degrees celcius). Which
nursing intervention would be the BEST approach to maintaining the temperature
within the recommended range? Ans✓✓✓ Place the newborn skin-to-skin
(kangaroo care) with the mother.
A nurse is performing discharge teaching for an elderly client diagnosed with
osteoporosis. Which statement about home safety should the nurse include?
Ans✓✓✓ "Most falls among the elderly occur in the home. These clients should
remove throw rugs and install bathroom grab bars."
Falls in the home cause most injuries among the elderly. Elderly clients should
take measures to decrease the clutter that can contribute to falls, such as
removing objects such as throw rugs from the floor. Elderly clients should also
install grab bars in the shower and next to the toilet. The threat of fire makes
burglar bars on every window impractical.
A nurse is repositioning a patient who has physical limitations due to recent back
surgery. How often would the nurse turn the patient in bed? Ans✓✓✓ Every 2
hours
