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

1




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

1An oriented patient has recently had surgery. Which action
xc xc xc xc xc xc xc xc xc




is best for the nurseto take to assess this
xc xc xc xc xc xc xc xc




patient’s pain? xc




xc a. Assess the patient’s body language.
xc xc xc xc xc




b. Ask the patient to rate the level of pain. xc xc xc xc xc xc xc xc




xc c. Observe the cardiac monitor for increased heart rate.
xc xc xc xc xc xc xc xc




d. Have the patient describe the effect of pain on the ability to c
x c xc xc xc xc xc xc xc xc xc xc xc xc




ope.



ANS: B xc




One of the most subjective and therefore most useful chara
xc xc xc xc xc xc xc xc xc




cteristics for reporting pain is its severity. xc xc xc xc xc xc




Therefore, the best way to assess a patient’s painis to ask t xc xc xc xc xc xc xc xc xc xc xc




he patient to rate the pain. Nonverbal communication, suc
xc xc xc xc xc xc xc xc




h as body language, is not as effective in assessing pain, es
xc xc xc xc xc xc xc xc xc xc xc




pecially when the patient is oriented. Heart rate sometime xc xc xc xc xc xc xc xc




s increases when a patient is in pain, but this is not a sympt
xc xc xc xc xc xc xc xc xc xc xc xc xc




om that is specific to pain. Pain sometimes affects a patien
xc xc xc xc xc xc xc xc xc xc




t’s ability to cope, but assessing the effect of pain on coping
xc xc xc xc xc xc xc xc xc xc xc xc




assesses the patient’sability to cope; it does not assess th xc xc xc xc xc xc xc xc xc




e patient’s pain.
xc xc




2.A nurse is caring for a patient who recently had abdominal su
xc xc xc xc xc xc xc xc xc xc xc




rgery and is experiencing severe pain. The patient’s blood pres
xc xc xc xc xc xc xc xc xc




sure is 110/60 mm Hg, xc xc xc xc




and heart rate is 60 beats/min. Additionally, the patient
xc xc xc xc xc xc xc xc xc




does not appear tobe in any distress. Which
xc xc xc xc xc xc xc

, 2


response by the nurse is most therapeutic? xc xc xc xc xc xc




“Your vitals do not show that you are having pain; can you describe
xc xc xc xc xc xc xc xc xc xc xc xc




a. your pain?” xc




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




immediately.”



c. “What would you like to try to alleviate your pain?”
xc xc xc xc xc xc xc xc xc




d. “You do not look like you are in pain.”
xc xc xc xc xc xc xc xc




xc ANS: C xc




Be sure the patient is a partner in making decisions
xc xc xc xc xc xc xc xc xc




about the best approaches for managing pain. A patient
xc xc xc xc xc xc xc xc




20
knows the most about his or her pain and is an important 5 par
xc xc xc xc xc xc xc xc xc xc xc xc xc xc




tner in selecting successful pain therapies. The nurse must be
xc xc xc xc xc xc xc xc xc




lieve that a patient is in pain whenever the
xc xc xc xc xc xc xc xc




patient reports that he or she is inxc xc xc xc xc xc xc

, 3
pain, even if the patient does not appear to be in pain.
The nurse must be careful to not judge the patient based
xc xc xc xc xc xc xc xc xc xc xc



xc xc xc xc xc xc xc xc xc xc




on vital signs or nonverbal communication and must not as
xc xc xc xc xc xc xc xc xc




sume that the patient is seeking narcotics. Thepatient is a
xc xc xc xc xc xc xc xc xc xc




partner in pain management, so going to get narcotics to tr
xc xc xc xc xc xc xc xc xc xc




eat the pain without consulting with the patient first is not
xc xc xc xc xc xc xc xc xc xc xc




appropriate.
3.A nurse teaches the patient about the gate control th
xc xc xc xc xc xc xc xc xc




eory. Which statement made by a patient reflects a corr
xc xc xc xc xc xc xc xc xc




ect understanding about the relationship
xc xc xc xc




between the gate control theory of pain and the use of meditxc xc xc xc xc xc xc xc xc xc xc




ation to relievepain? xc xc




“Meditation controls pain byblocking pain impulses from coming xc xc xc x
c xc xc xc xc




a. through the gate.” xc xc




“Meditationaltersthe chemical composition of pain neuro x
c x
c xc xc xc x
c xc




regulators,
b. which closes the gate.” xc xc xc




“Meditation will help me sleep through the pain because it opens t xc xc xc xc xc xc xc xc xc xc xc




he

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




ANS: A x
c




According to this theory, gating mechanisms located alon xc xc xc xc xc xc xc




g the central nervoussystem regulate or block pain impulse
xc xc xc xc xc xc xc xc




s. Pain impulses pass through when a gate is open and are
xc xc xc xc xc xc xc xc xc xc xc xc




blocked when a gate is closed. xc xc xc xc xc




Nonpharmacologic pain- xc




relief measures, such as meditation, work byclosing the
xc xc xc xc xc xc xc xc




gates, which keeps pain impulses from coming through.
xc xc xc xc xc xc xc




Meditation does not open pain gates or stop pain from oc xc xc xc xc xc xc xc xc xc xc




curring. Meditationalso does not have an effect on pain
xc xc xc xc xc xc xc xc xc




neuroregulators.
4.Anurse is planning care for an older-adult patient who is
x
c xc xc xc xc xc xc xc xc xc

, 4


experiencing pain.Which statement made by the nurse indi xc x
c xc xc xc xc xc xc




cates the supervising nurse needs to
xc xc xc xc xc




follow up? xc




a. “As adults age, their ability to perceive pain decreases.” “O
xc xc xc xc xc xc xc xc xc




lder patients may have low serum albumin in their blood, c
xc xc xc xc xc xc xc xc xc xc




ausing
b. toxic effects of analgesic drugs.”
xc xc xc xc




“Patients who have dementia probably experience pain, andxc xc x
c xc xc xc xc xc




their pain xc




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




20
“It is safe to administer
xc xc xc xc

5
opioids to older adults as long xc xc xc xc xc xc




as you start with
xc xc xc