RNRS 117- Concept Of Comfort Pearson
(Exam I) With Complete Solutions
A patient rates abdominal pain as being an 8/10 and states that it frequently
occurs after eating a heavy meal.
Which observation should the nurse identify as best validating the patient's
complaint?
Guarding of the abdomen
Facial grimacing
Abnormal gait
Posturing - ANSWER Guarding of the abdomen
A patient with chronic pain spends time with family and friends several times a
week.
Which outcome should the nurse expect when assessing this patient?
Minimization of sleep disruption
Enhanced psychosocial well-being
Identification of the source of the discomfort
Improved cognitive function - ANSWER Enhanced psychosocial well-being
A patient reports experiencing back pain "for years."
Which intervention should the nurse select to most directly support this patient's
psychological well-being?
Teaching focused breathing techniques
Reducing environmental distractions
Encouraging a positive attitude
Teaching muscle-relaxation techniques - ANSWER Encouraging a positive
attitude
A patient is waiting for the results of genetic testing that was done to help
identify health problems.
Which pain disorder should the nurse recall that has been associated with a
mutation of the SCN9A gene?
, Psychogenic pain disorder
Neuropathic pain
Sympathetically mediated pain
Fibromyalgia - ANSWER Fibromyalgia
A hospitalized patient reports not getting enough rest because of being woken
up for procedures and activities.
Which action should the nurse take to best address this situation?
Assessing the patient's normal circadian rhythm
Offering the patient a sedative or hypnotic
Encouraging the patient to cat nap when possible
Reducing excess noise during specified quiet hours - ANSWER Assessing the
patient's normal circadian rhythm
The nurse is teaching a patient about risks related to the use of nonsteroidal
anti-inflammatory drugs (NSAIDs) for pain relief.
Which risk related to NSAID use should the nurse include in the teaching?
Hepatotoxicity
Gastric distress
Kidney toxicity
Constipation - ANSWER Gastric distress
A patient with chronic pain will be using acetaminophen (Tylenol) for pain relief
when discharged.
Which information found in the patient's history should the nurse identify as
increasing the risk for hepatotoxicity from the use of this medication?
Concurrent anticoagulant therapy
Use of temazepam for sleep
Chronic ingestion of alcohol
Concurrent use of morphine at times - ANSWER Chronic ingestion of alcohol
The nurse is caring for several patients who have the diagnosis Comfort,
Impaired.
Which patient statement should the nurse identify as describing discomfort
related to fibromyalgia?
"I have suffered a progressive loss of muscle tone."
"I feel like I am having more difficulty breathing."
"It seems like any activity increases my heart rate."
"I have continual tenderness in my neck, spine, shoulders, and hips." - ANSWER
"I have continual tenderness in my neck, spine, shoulders, and hips."
(Exam I) With Complete Solutions
A patient rates abdominal pain as being an 8/10 and states that it frequently
occurs after eating a heavy meal.
Which observation should the nurse identify as best validating the patient's
complaint?
Guarding of the abdomen
Facial grimacing
Abnormal gait
Posturing - ANSWER Guarding of the abdomen
A patient with chronic pain spends time with family and friends several times a
week.
Which outcome should the nurse expect when assessing this patient?
Minimization of sleep disruption
Enhanced psychosocial well-being
Identification of the source of the discomfort
Improved cognitive function - ANSWER Enhanced psychosocial well-being
A patient reports experiencing back pain "for years."
Which intervention should the nurse select to most directly support this patient's
psychological well-being?
Teaching focused breathing techniques
Reducing environmental distractions
Encouraging a positive attitude
Teaching muscle-relaxation techniques - ANSWER Encouraging a positive
attitude
A patient is waiting for the results of genetic testing that was done to help
identify health problems.
Which pain disorder should the nurse recall that has been associated with a
mutation of the SCN9A gene?
, Psychogenic pain disorder
Neuropathic pain
Sympathetically mediated pain
Fibromyalgia - ANSWER Fibromyalgia
A hospitalized patient reports not getting enough rest because of being woken
up for procedures and activities.
Which action should the nurse take to best address this situation?
Assessing the patient's normal circadian rhythm
Offering the patient a sedative or hypnotic
Encouraging the patient to cat nap when possible
Reducing excess noise during specified quiet hours - ANSWER Assessing the
patient's normal circadian rhythm
The nurse is teaching a patient about risks related to the use of nonsteroidal
anti-inflammatory drugs (NSAIDs) for pain relief.
Which risk related to NSAID use should the nurse include in the teaching?
Hepatotoxicity
Gastric distress
Kidney toxicity
Constipation - ANSWER Gastric distress
A patient with chronic pain will be using acetaminophen (Tylenol) for pain relief
when discharged.
Which information found in the patient's history should the nurse identify as
increasing the risk for hepatotoxicity from the use of this medication?
Concurrent anticoagulant therapy
Use of temazepam for sleep
Chronic ingestion of alcohol
Concurrent use of morphine at times - ANSWER Chronic ingestion of alcohol
The nurse is caring for several patients who have the diagnosis Comfort,
Impaired.
Which patient statement should the nurse identify as describing discomfort
related to fibromyalgia?
"I have suffered a progressive loss of muscle tone."
"I feel like I am having more difficulty breathing."
"It seems like any activity increases my heart rate."
"I have continual tenderness in my neck, spine, shoulders, and hips." - ANSWER
"I have continual tenderness in my neck, spine, shoulders, and hips."
