HESI test bank questions from fundamentals book

A patient has recently had surgery. Which action is best for the nurse to take to assess this patient's pain? a. Assess the patient's body language. b. Ask the patient to rate the level of pain. c. Observe the cardiac monitor for increased heart rate. d. Have the patient describe the effect of pain on the ability to cope. -b. Ask the patient to rate the level of pain. A nurse is caring for a patient who recently had abdominal surgery and is experiencing severe pain. The patient's blood pressure is 110/60 mm Hg, and heart rate is 60 beats/min. Additionally, the patient does not appear to be in any physical distress. Which response by the nurse is most therapeutic? a. ―Your vitals do not show that you are having pain; can you describe your pain?‖ b. ―OK, I will go get you some narcotic pain relievers immediately.‖ c. ―What would you like to try to alleviate your pain?‖ d. ―Y ou do not look like you are in pain.‖ -c. ―What would you like to try to alleviate your pain?‖ A nurse teaches the patient about the gate control theory. Which statement made by a patient reflects a correct understanding about the relationship between the gate control theory of pain and the use of meditation to relieve pain? a. ―Meditation controls pain by blocking pain impulses from coming through the gate.‖ b. ―Meditation alters the chemical composition of pain neuroregulators, which closes the gate.‖ c. ―Meditation will help me sleep through the pain because it opens the gate.‖ d. ―Meditation stops the occurrence of pain stimuli.‖ -a. ―Meditation controls pain by blocking pain impulses from coming through the gate.‖ A nurse is planning care for an older-adult patient who is experiencing pain. Which statement made by the nurse indicates the supervising nurse needs to follow up? a. ―As adults age, their ability to perceive pain decreases.‖ b. ―Older patients may have low serum albumin in their blood, causing toxic effects of analgesic drugs.‖ c. ―Patients who have dementia probably experience pain, and their pain is not always well controlled.‖ d. ―It is safe to administer opioids to older adults as long as you start with small doses and frequently assess the patient's response to the medication.‖ -a. ―As adults age, their ability to perceive pain decreases.‖ The nurse is caring for two patients; both are having a hysterectomy. The first patient is having the hysterectomy after a complicated birth. The second patient has uterine cancer. What will most likely influence the experience of pain for these two patients? a. Meaning of pain b. Neurological factors c. Competency of the surgeon d. Postoperative support personnel -a. Meaning of pain The nurse is preparing pain medications. To which patient does the nurse anticipate administering an opioid fentanyl patch? a. A 15-year-old adolescent with a fractured femur b. A 30-year-old adult with cellulitis c. A 50-year-old patient with prostate cancer