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NURSING 108 CORRECT EXAM 2 QUESTIONS AND ANSWERS SURE A.pdf

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NURSING 108 CORRECT EXAM 2 QUESTIONS AND
ANSWERS SURE A+
✔✔A 45-year-old male patient with no previous medical history is six hours
postoperative from abdominal surgery. The patient has been prescribed opioid
analgesics for pain. The patient currently rates his pain level at 7 of 10. Which goals and
outcomes related to pain are appropriate for the patient?

1. Patient will report a pain level of less than 3 of 10 within five postoperative days.
2. Patient will discontinue the use of opioid analgesics prior to release from the hospital.
3. Patient will maintain a pain level of less than 3 of 10 for the remainder of
hospitalization.
4. Patient will report a pain level of less than 3 of 10 within 45 minutes of receiving pain
medication.
5. Patient will meet with a pain specialist to outline a plan for decreasing an analgesic
dosage within the next two weeks. - ✔✔-Patient will report a pain level of less than 3 of
10 within five postoperative days.
-Patient will report a pain level of less than 3 of 10 within 45 minutes of receiving pain
medication.
-Patient will meet with a pain specialist to outline a plan for decreasing an analgesic
dosage within the next two weeks.

✔✔A 95 year-old older adult female was admitted to the hospital with a hip fracture. She
has a medical history of hypertension and advanced dementia. She does not respond
appropriately and is disoriented. Which is the most appropriate approach to assess this
patient's pain?

1. Ask if her hip hurts.
2. Encourage the patient to rate pain on a scale of 0 to 10.
3. Tell her to point to the face on the Wong-Baker scale that best describes her pain.
4. Closely monitor the patient's vital signs, as well as level of agitation, irritation, and
restlessness. - ✔✔-Closely monitor the patient's vital signs, as well as level of agitation,
irritation, and restlessness.

, ✔✔A pediatric patient was admitted to the emergency department (ED) with a broken
arm after falling off the jungle gym. Which pain assessment tool would be the most
appropriate to use when assessing this patient's pain?

1. Verbal Descriptor
2. Wong-Baker Scale
3. Neonatal Infant Pain Scale
4. Activity Tolerance Scale - ✔✔-Wong-Baker Scale

✔✔A 45-year-old male patient complains of upper abdominal pain. Which pain
assessment tool would be most appropriate to use when evaluating his condition?

1. Activity Tolerance Scale
2. Wong-Baker Scale
3. Neonatal Infant Pain Scale
4. Verbal Descriptor - ✔✔-Verbal Descriptor

✔✔A 53-year-old male is admitted with a chief complaint of abdominal pain. A CT scan
reveals acute pancreatitis. The patient's blood pressure is 185/98 and his pulse rate is
143. What type of pain is the patient most likely experiencing?

1. Acute pain
2. Chronic pain
3. Radiating pain
4. Intermittent pain - ✔✔-Acute pain

✔✔A 36-year-old female who was in a motor vehicle accident presents to the ER with a
primary complaint of facial pain after her airbag was triggered by the crash. Her blood
pressure and pulse rate are elevated, and she is moaning in pain and holding her nose.
She rates her pain 10 out of 10 and is asking for pain medication. Which is an
appropriate nursing diagnosis for the patient?

1. Ineffective Coping related to severe pain as evidenced by elevated pulse and request
for pain medication.
2. Anxiety related to fear of increasing pain levels as evidenced by pain with movement
and request for pain medication.
3. Acute Pain related to long bone fracture as evidenced by pain with movement,
reported pain of 10 of 10, and increased blood pressure.
4. Chronic Pain related to inflammatory process as evidenced by pain with movement,
reported pain of 10 of 10, and increased blood pressure. - ✔✔- Acute Pain related to
long bone fracture as evidenced by pain with movement, reported pain of 10 of 10, and
increased blood pressure.

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