Hesi rn comprehensive predictor exam 2023.Edited on March 2023 100% (score) Quaranteed.

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Hesi rn comprehensive predictor
exam 2023.Edited on March 2023
100% (score) Quaranteed


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1An oriented patient has recently had surgery. Which act
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ion is best for the nurseto take to assess this
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patient’s pain? WQ




WQ 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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WQ c. Observe the cardiac monitor for increased heart rate.
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d. Have the patient describe the effect of pain on the abilit
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y to cope. WQ WQ




ANS: B WQ




One of the most subjective and therefore most useful ch
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aracteristics for reporting pain is its severity. WQ WQ WQ WQ WQ WQ




Therefore, the best way to assess a patient’s painis toWQ WQ WQ WQ WQ WQ WQ WQ WQ WQ




ask the patient to rate the pain. Nonverbal communicati
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on, such as body language, is not as effective in assess
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ing pain, especially when the patient is oriented. Heart
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rate sometimes increases when a patient is in pain, but
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Qthis is not a symptom that is specific to pain. Pain som
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etimes affects a patient’s ability to cope, but assessing t
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he effect of pain on coping assesses the patient’sability
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to cope; it does not assess the patient’s pain.
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2.A nurse is caring for a patient who recently had abdomina
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l surgery and is experiencing severe pain. The patient’s blo
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od pressure is 110/60 mm Hg,
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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 you des
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cribe


a. your pain?” WQ




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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ANS: C
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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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20
knows the most about his or her pain and is an important
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5 partner in selecting successful pain therapies. The nurse
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must 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 nurse must be careful to not judge the patient based
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on vital signs or nonverbal communication and must not
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assume that the patient is seeking narcotics. Thepatien
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t is a partner in pain management, so going to get narc
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otics to treat the pain without consulting with the patie
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nt first is not appropriate.
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3.A nurse teaches the patient about the gate contro
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l theory. Which statement made by a patient reflects
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a correct understanding about the relationship
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between the gate control theory of pain and the use of m
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editation to relievepain? WQ WQ




“Meditation controls pain by blocking pain impulses from comin WQ WQ WQ WQ WQ WQ WQ WQ




g
a. through the gate.” WQ WQ




“Meditation alters the chemical composition of pain ne WQ WQ WQ WQ WQ WQ WQ




uroregulators,
b. which closes the gate.” WQ WQ WQ




“Meditation will help me sleep through the pain because it ope WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ




ns the WQ




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




ANS: A WQ




According to this theory, gating mechanisms located al
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ong the central nervoussystem regulate or block pain im
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pulses. Pain impulses pass through when a gate is open
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and are blocked when a gate is closed.
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Nonpharmacologic pain- WQ




relief measures, such as meditation, work byclosing t
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he gates, which keeps pain impulses from coming thr
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ough.
Meditation does not open pain gates or stop pain from WQ WQ WQ WQ WQ WQ WQ WQ WQ




occurring. Meditationalso does not have an effect on
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pain neuroregulators.
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4.A nurse is planning care for an older-adult patient who is
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,