Hesi rn comprehensive predictor Exam 2025. 100% (score) Quaranteed

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Hesi rn comprehensive predictor
Exam 2025.
100% (score) Quaranteed.
1An .oriented .patient .has .recently .had .surgery. .Which
.action .is .best .for .the .nurse .to .take .to .assess .this

patient’s .pain?
. a. .Assess .the .patient’s .body .language.

b. Ask .the .patient .to .rate .the .level .of .pain.
. c. .Observe .the .cardiac .monitor .for .increased .heart .rate.
d. . Have .the .patient .describe .the .effect .of .pain .on .the .ability
.to .cope.




ANS: .B


One .of .the .most .subjective .and .therefore .most .useful
.characteristics .for .reporting .pain .is .its .severity.

Therefore, .the .best .way .to .assess .a .patient’s .painis .to
.ask .the .patient .to .rate .the .pain. .Nonverbal

.communication, .such .as .body .language, .is .not .as

.effective .in .assessing .pain, .especially .when .the .patient

.is .oriented. .Heart .rate .sometimes .increases .when .a

.patient .is .in .pain, .but .this .is .not .a .symptom .that .is

.specific .to .pain. .Pain .sometimes .affects .a .patient’s

.ability .to .cope, .but .assessing .the .effect .of .pain .on .coping

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

.the .patient’s .pain.


2.A .nurse .is .caring .for .a .patient .who .recently .had
.abdominal .surgery .and .is .experiencing .severe .pain. .The

.patient’s .blood .pressure .is .110/60 .mm .Hg,


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

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




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



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


ANS: .C
.

Be .sure .the .patient .is .a .partner .in .making .decisions
about .the .best .approaches .for .managing .pain. .A .patient 20
.knows .the .most .about .his .or .her .pain .and .is .an .important .5

.partner .in .selecting .successful .pain .therapies. .The .nurse

.must .believe .that .a .patient .is .in .pain .whenever .the

patient .reports .that .he .or .she .is .in

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pain, .even .if .the .patient .does .not .appear .to .be .in .pain.
The .nurse .must .be .careful .to .not .judge .the .patient .based
on .vital .signs .or .nonverbal .communication .and .must .not
.assume .that .the .patient .is .seeking .narcotics.

.Thepatient .is .a .partner .in .pain .management, .so .going .to

.get .narcotics .to .treat .the .pain .without .consulting .with

.the .patient .first .is .not .appropriate.

3.A .nurse .teaches .the .patient .about .the .gate
.control .theory. .Which .statement .made .by .a .patient

.reflects .a .correct .understanding .about .the

.relationship




between .the .gate .control .theory .of .pain .and .the .use .of
.meditation .to .relievepain?

“Meditation .controls .pain .by .blocking .pain .impulses .from
.coming

a. through .the .gate.”
“Meditation .alters .the .chemical .composition .of .pain
.neuroregulators,

b. which .closes .the .gate.”
“Meditation .will .help .me .sleep .through .the .pain .because .it
.opens .the



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


ANS: .A
According .to .this .theory, .gating .mechanisms .located
.along .the .central .nervoussystem .regulate .or .block .pain

.impulses. .Pain .impulses .pass .through .when .a .gate .is

.open .and .are .blocked .when .a .gate .is .closed.


Nonpharmacologic .pain-relief .measures, .such .as
.meditation, .work .byclosing .the .gates, .which .keeps

.pain .impulses .from .coming .through.

Meditation .does .not .open .pain .gates .or .stop .pain .from
.occurring. .Meditationalso .does .not .have .an .effect .on

.pain .neuroregulators.


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

,