EAQ #4 Pain and Nutrition

Which pain scale is used to measure the intensity of pain in preschoolers?

FACES scale

Which role does vitamin C have in wound healing?

Vitamin C is required for collagen production by fibroblasts.

The nurse is teaching a childbirth preparation class regarding the discomforts of labor. Which condition has the greatest influence on the perception of pain for a woman in labor?

Tension of the client

The nurse applies a cold pack to relieve musculoskeletal pain. Which rationale explains the analgesic properties of cold therapy?

Causing local vasoconstriction, preventing edema and muscle spasms

Which point would the nurse include in a teaching plan to help manage pain during dressing changes if a client has burns over 18% of body surface?

Deep breathing exercises

After abdominal surgery, a client reports pain. Which action would the nurse take first?

Determine the characteristics of the pain.

According to the nursing process, which would the nurse do after administering pain medication to a postoperative client?

Determine whether the pain medicine relieved the client's pain.

After surgery, a child experiences intense pain and an analgesic is prescribed. Which would the nurse consider when administering the analgesic?

Even though children do not like medicine, analgesics will make them more comfortable.

A school-age child is mostly at home after school and gets engrossed in video games. Once a week, the child engages in swimming activity. The child's family also often orders fast food from restaurants. Which statement would the nurse provide to the parents about the child?

The child is at risk for childhood obesity.

A high-protein diet is recommended for a client recovering from a fracture. Which is the rationale for a high-protein diet for this client?

It promotes cell growth and bone union.

Which would the nurse consider the most significant influence on a client's perception of pain when interpreting findings from a pain assessment?

Previous experience and cultural values

A client is admitted to the hospital with a diagnosis of acute pancreatitis. The health care provider's prescriptions include nothing by mouth and total parenteral nutrition (TPN). The nurse explains that the TPN therapy provides which benefit?

Will meet the client's nutritional needs without causing the discomfort precipitated by eating

After surgery the client has a prescription for morphine sulfate via intravenous (IV) route every 3 hours as needed for pain. The client's preoperative blood pressure was 128/76 mm Hg. Postoperative assessments reveal that the client's blood pressure ranges between 90/60 mm Hg and 100/70 mm Hg. Which action will the nurse take if the client requests medication for pain?

Withhold morphine until the blood pressure stabilizes.

A client with a known history of opioid addiction has a surgical repair of multiple stab wounds to the abdomen. After surgery, the client's pain is not relieved by the prescribed morphine injections. The nurse realizes that the failure to achieve pain relief indicates that the client is probably experiencing which phenomenon?

Tolerance

A client states a desire to follow a total vegetarian (vegan) diet. The client requests assistance in planning a menu to ensure adequate protein quality. Which suggestion should the nurse make?

Use a mixture of plant proteins to provide essential amino acids

After assessing the characteristics of the pain, which priority action would the nurse take next for a client who reports severe pain 2 days after surgery?

Obtain vital signs

After an abdominal cholecystectomy, the client refuses to take deep breaths and cough, saying, "It's too painful." Which action would the nurse take?

Schedule coughing and deep-breathing exercises after analgesic has taken effect.

Which dietary nutrients would the nurse teach a client regarding the support of natural defense mechanisms?

Vitamins A, C, E, and selenium