Hesi rn comprehensive predictor exam 2023 edited on march 2023 100 score quaranteedM

1




Hesi rn comprehensive predictore c c c c




xam 2023.Edited on March 2023 c c c c




100% (score) Quaranteed. c c c




1An oriented patient has recently had surgery. Whicha
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ction is best for the nurseto take to assess this
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patient’s pain? c




c a. Assess the patient’s body language.
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b. Ask the patient to rate the level of pain.
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c c. Observe the cardiac monitor for increased heart rate.
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d. Have the patient describe the effect of pain on the abilityto
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cope. c




ANS: B c




One of the most subjective and therefore most usefulc
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haracteristics for reporting pain is its severity. c c c c c c


Therefore, the best way to assess a patient’s painis to as c c c c c c c c c c


k the patient to rate the pain. Nonverbal communication,
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such as body language, is not as effective in assessing p
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ain, especially when the patientis oriented. Heart rate so
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metimes increases when a patient is in pain, but this is n
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ot a symptom that is
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specific to pain. Pain sometimes affects a patient’s ability
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to cope, but assessing the effect of pain on copingassess
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es the patient’sability to cope; it does not assess the patie
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nt’s pain. c



2.A nurse is caring for a patient who recently had abdominals
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urgery and is experiencing severe pain. The patient’s bloodpr
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essure is 110/60 mm Hg, c c c c




and heart rate is 60 beats/min. Additionally, the patie
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nt does not appear tobe in any distress. Which
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, 2


response by the nurse is most therapeutic?
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“Your vitals do not show that you are having pain; can youdescrib
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e


a. your pain?”c



b. “OK, I will go get you some narcotic pain relievers
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immediately.”


c. “What would you like to try to alleviate your pain?”
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d. “You do not look like you are in pain.”
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c ANS: Cc


Be sure the patient is a partner in making decisions
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about the best approaches for managing pain. A patient
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20c
knows the most about his or her pain and is an important 5 pa
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rtner in selecting successful pain therapies. The nurse must
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believe that a patient is in pain whenever the
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patient reports that he or she is in
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, 3


pain, even if the patient does not appear to be in pain. The
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nurse must be careful to not judge the patient basedon vit
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al signs or nonverbal communication and must not assum
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e that the patient is seeking narcotics. Thepatientis a par
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tner in pain management, so going to get narcotics to trea
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t the pain without consulting with the patient first is not a
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ppropriate.
3.A nurse teaches the patient about the gate controlt
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heory. Which statement made by a patient reflects a cor
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rect understanding about the relationship
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between the gate control theory of pain and the use ofm
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editation to relievepain? c c



“Meditation controls pain by blocking pain impulses fromc c c c c c c c c


oming
a. through the gate.” c c



“Meditation alters the chemical composition of pain c c c c c c c


neuroregulators,
b. which closes the gate.” c c c



“Meditation will help me sleep through the pain because ito
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pens the c




c. gate.”
d. “Meditation stops the occurrence of pain stimuli.” c c c c c c




ANS: A c



According to this theory, gating mechanisms located alo
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ng the central nervoussystem regulate or block painimp
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ulses. Pain impulses pass through when a gate is open a
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nd are blocked when a gate is closed.
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Nonpharmacologic pain- c


relief measures, such as meditation, work byclosin
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g the gates, which keepspain impulses from coming
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cthrough.
Meditation does not open pain gates or stop pain fromo
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ccurring. Meditationalso does not have an effect on pai
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n neuroregulators.
c




4.A nurse is planning care for an older-adult patient who is
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, 4


experiencing pain. Which statement made by the nurseind
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icates the supervising nurse needs to
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follow up? c




a. “As adults age, their ability to perceive pain decreases.”“
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Older patients may have low serum albumin in their blood
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, causing
c



b. toxic effects of analgesic drugs.”
c c c c



“Patients who have dementia probably experience pain,
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and their pain
c c



c. s not always well controlled.”
c c c c




20
“It is safe to administer
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5
opioids to older adults asl c c c c c


ong as you start with
c c c c