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Exam (elaborations)

RNSG 1261 HESI PR 1.Pain2.Fluid3.Skin4.HIV/HESI Patient Review: Fundamentals

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Pain – Natalie Harmon 1. Which information obtained by the nurse is most likely to influence Natalie’s perception of her pain? a. Natalie’s parents live in the same neighborhood and often help with the children b. Natalie’s 4-year-old enjoys being the “big brother” to his baby sister c. Natalie was a first grade teacher before having children but now stays home d. Natalie’s younger child is an infant who feeds every 3 hours 2. To assess the quality of Natalie’s pain, the nurse asks which question? a. “What actions do you take to relieve the pain?” b. “On a scale of 0 to 10, how would you rate your pain?” c. “What do you fear most about your pain?” d. “What word best describes the pain you are experiencing?” 3. Which behavior does Natalie exhibit, that the nurse documents as objective signs of acute pain? a. States pain level 5 out of 10 b. Difficulty concentrating c. Complains of shortness of breath d. Frequent grimacing 4. To determine the etiology of Natalie’s anxiety, what is the priority nursing intervention? a. Review the healthcare provider’s (HCP’s) notes b. Refer the client to the clinic social worker c. Recognize that pain causes anxiety d. Continue the interview with the client 5. Which is the best goal for the nurse to include in the plan of care related to the problem statement of “acute pain related to strain on muscles with movement?” a. Client will learn alternative methods for pain control b. Client reports pain of less than 1 on a 0 to 10 scale c. Client will verbalize pain control methods d. Client will learn to live with long-term pain 6. The nurse considers interventions to include in the plan of care. Before implementing any interventions, what action is most important for the nurse to take? a. Discuss the plan of care with the client b. Review interventions in a care plan manual c. Place a copy of the plan of care in the client’s chart d. Evaluate the client’s response to the interventions 7. Which medication should the nurse suggest as a common NSAID? a. Ibuprofen (Motrin) b. Alprazolam (Xanax) c. Diphenhydramine (Benadryl) d. Calcium carbonate (Tums) 8. What information should the nurse include in responding to Natalie? a. All aspirin products should be avoided in children unless specifically prescribed b. Aspir

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