NURSING 202 FINAL EXAM REVIEW QUESTIONS AND ANSWERS, GRAD| LATEST UPDATES 2024/25 APPROVED| ED A+
NURSING 202 FINAL EXAM REVIEW QUESTIONS AND ANSWERS, GRADED A+ 1. A client experiencing pain from an amputated limb tells the nurse that the pain is constant and the pain medication is not effective. What would be appropriate for the nurse to say or do in this situation? a. Remind the client that the limb is gone and can't be causing pain. b. Call the healthcare provider to report the ongoing pain. c. Do nothing. In time the pain will diminish on its own. d. Help the client to a sitting position and offer magazines. - -Call the healthcare provider to report the ongoing pain. Pain is whatever the person says it is—existing whenever the person says it does. It is highly subjective and cannot be shared with others. The best course of action would be for the nurse to contact the healthcare provider to report the client's ongoing pain. The other options would not be supportive of the client and the pain experience. A client asks the nurse for pain medication. The nurse is slow to respond and doesn't provide the medication for over an hour. This nurse is demonstrating: a. compassion to the client in pain b. anger toward the patient in pain c. poor time management skills d. denial that the patient is truly in pain - -denial that the patient is truly in pain Nurses have their own attitudes and expectations about pain and may place a higher value on silent suffering or self-control in response to pain. Nurses may deny or downplay the pain they observe in others. The nurse is not demonstrating compassion or anger. There is no information in the question that addresses the nurse's time management skills. However, if the nurse is unable to administer the pain medication in a timely manner due to the acuity of the patient assignment, the nurse should ask a colleague for assistance. A client asks the nurse, "Is my weight considered a health risk?" According to the height-weight table, the client is 10 pounds overweight. How should the nurse respond to this client? a. "Yes, and you should diet to lose those 10 pounds as soon as possible." b. "No, 10 pounds is nothing to be concerned about." c. "Yes, this weight puts you at risk for developing heart disease." d. "Let's measure your waist size and use the calipers before determining that." - -"Let's measure your waist size and use the calipers before determining that." Use of a height-weight table is no longer a standard to assess body weight. Differences in body composition go largely unaccounted for, so the nurse must remember to assess each person for individual differences. Centrally located abdominal fat deposits are considered to be an independent risk factor for cardiovascular disease in adults. Measure of skin-fold thickness is believed to be predictive of overall body fat composition. Making recommendations about weight loss needs is premature without more information. A client comes into the clinic complaining of severe lower back pain that began after a round of golf a few days ago. The nurse realizes that this client is experiencing: a. pain during the transduction phase of the pain process b. pain during the transmission phase of the pain process c. pain during the perception phase of the pain process d. pain during the modulation phase of the pain process - -pain during the transduction phase of the pain process The receptors that transmit pain sensation are called nociceptors. During the transduction phase, noxious stimuli, such as a muscle spasm, trigger a release of biochemical mediators that sensitize nociceptors. The transmission phase of pain involves transmitting the pain response from the peripheral nerve to the thalamus and sensory cortex. The perception phase is when the client becomes aware of the pain. The modulation phase occurs when substances such as endogenous opioids, serotonin, and norepineph
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