HESI Case Study - Pain

The nurse would predict what physiological effects of the client's pain? (select all that apply) A: Tachycardia B: Hyperthermia C: decreased or slower movement D: increased blood pressure - ANSWER A: Tachycardia C: decreased or slower movement D: increased blood pressure After completing the pain assessment, the nurse develops a plan of care identifying pain and anxiety as priority problems. The nurse considers interventions to include in the plan of care. Before implementing any interventions, what action is the most important for the nurse to take? A: place a copy of the plan of care in the client's chart B: evaluate the client's response to the interventions C: review interventions in a care plan manual D: discuss the plan of care with the client - ANSWER D: discuss the plan of care with the client which nursing intervention(s) would the nurse choose to implement to determine the etiology of the client's anxiety? (select all that apply) A: refer client to psychologist B: continue to interview the client C: provide an anxiety screening tool for the client to utilize D: obtain client's medical history - ANSWER B: continue to interview the client C: provide an anxiety screening tool for the client to utilize D: obtain client's medical history which is the best goal for the nurse to include in the plan of care related to the problem statement of "acute pain related to strain on muscles with movement"? A: client reports pain of less than 1 on a 0-10 scale B: client will verbalize pain control methods C: client will learn alternative methods for pain control D: client will learn to live with long-term pain - ANSWER A: client reports pain of less than 1 on a 0-10 scale The nurse consults with the clinic director, a pain management physician, who recommends the use of NSAIDs and alternating heat and cold applications, as well as back exercises. The nurse provides client teaching about these treatments. The client tells the nurse that she does not know what an NSAID is. Which medication should the nurse suggest as a common NSAID? A: Diphenhydramine B: Alprazolam C: Calcium carbonate D: Ibuprofen - ANSWER D: Ibuprofen The client states that she has ASA at home she uses for fever that should help with the pain and inflammation