1323 Test

The nurse is caring for a patient with a fever. The health-care provider orders tepid baths for a rapid decrease in temperature. Which nursing knowledge recognizes why the temperature of the bath should be tepid?

A tepid bath will prevent chilling and shivering.

Fluid entering the interstitial space will cause which of the following?

Edema

The nurse is providing care to a patient diagnosed with bone cancer. The nurse is aware that the patient is experiencing which type of pain?

Nociceptive pain

The nurse understands that a variety of pharmacological methods of pain management exists. Which types of medications are available to help control pain? Select all that apply.

Nonopioid analgesics. Ajuvant analgesics. Opiate/opioid medications. Nonsteroidal antiflammatory drugs (NSAIDs).

The nurse is preparing to apply ice therapy to a patient after surgery to the scrotum. Which method of ice application will work best?

A disposable glove filled with ice and tied shut.

The nurse is caring for a patient ordered to begin pain management with a transcutaneous electrical nerve stimulation (TENS) unit. Using knowledge about gate control theory, the nurse knows that which nerve fibers are involved with TENS therapy?

Broad fibers

The nurse is working in a pain management clinic. Which type of pain will the nurse identify as nociceptive pain? Select all that apply.

Cutaneous pain, Osteogenic pain, Soft tissue pain.

The nurse applies heat to a wound as ordered by the health-care provider. The nurse is aware that which process of healing is promoted by heat therapy?

Metabolism is increased to build and maintain tissue.

__________________________ is essential because it is when the brain works to repair small injuries to the body, mind, and emotions that occur as part of the natural wear and tear of daily living.

Restorative sleep

The nurse works in the intensive care unit (ICU). The nurse's patient is displaying irritability and confusion. The patient expresses feeling fatigued all the time. Which condition does the nurse suspect the patient is experiencing?

Sleep deprivation

The nurse works in surgery and experiences sore, stiff muscles at the end of each work day. Which therapy will be best for this nurse?

Soaking in a hot tub after working.

The nurse is caring for an older female patient who is experiencing chronic pain in the back. The patient describes the pain as a "deep, stabbing" pain. The nurse concludes that the pain is most likely related to which condition?

Spinal column compression related to age and possible osteoporosis.

The nurse is interviewing a patient in an adult clinic. When asked about sleeping habits, the patient replies, "I rest frequently." Which is the reason the nurse needs to further interpret the patient's comment?

The nurse needs to know how the patient defines resting and sleeping.

The nurse works at an adult wellness clinic. Which patient will the nurse recognize as having the fewest problems related to sleep?

The patient who consistently trains for marathons

The nurse is aware that cold therapy is sometimes ordered for the numbing effect. Which situation is best suited for numbing with cold therapy?

To stop the stinging from a bug bite

The nurse is caring for a patient who is experiencing a pain level of 4 on a scale of 0-10 after the administration of pain medication. Before seeking an increase in the patient's medication order, the nurse decides to try distraction. Which activities are considered to be distractions for pain management? Select all that apply.

Turning on the television Receiving a back rub Working on word puzzles

The nurse is hired to work in a pain clinic. The nurse manager encourages the nurse to look at pain in a holistic manner. Which focus will help the nurse to achieve this outlook?

Understand that pain touches every aspect of the patient's life.

The nurse works on a post-surgical unit. A patient who had surgery on this day requests pain medication. When the nurse enters the patient's room, the patient is sleeping. Which is the correct action for the nurse to take?

Wake the patient and give the medication.

The nurse receives an order from the health-care provider to apply moist heat to a patient's injury. The nurse can provide the moist heat by applying a moist towel to the heat source. Which heat source is contraindicated for conversion to moist heat?

Warming blankets

The nurse works in an acute care setting. Which patients will the nurse identify as being at risk for restorative sleep deprivation? Select all that apply.

A patient diagnosed with chronic obstructive pulmonary disease (COPD) A patient admitted with rheumatoid arthritis A patient with diarrhea and vomiting

Which patient does the nurse recognize as benefitting from heat therapy?

A patient with edema 3 days after a severe sprain.

The nurse is caring for a patient ordered on alternating heat and cold therapy. Which assessment by the nurse after each application of therapy is unimportant?

If the patient preferred one type of therapy over the other.

The nurse in the intensive care unit (ICU) is concerned about the lack of restorative sleep for patients. For which reasons does the nurse recognize the need for restorative sleep? Select all that apply.

The healing process is faster and complete.

The nurse is caring for a patient just admitted with a knee joint injury. The health-care provider orders alternating heat and cold therapy. For which reason will the nurse question the health-care provider's order?

The heat therapy will initially cause additional edema and pain.

The nurse is caring for multiple patients. Which patients will the nurse identify as being contraindicated for heat therapy? Select all that apply.

A patient just admitted for multiple contusions A patient who has abdominal swelling after surgery

The nurse is caring for a patient who sustained an injury that is edematous and painful. The health-care provider orders alternating heat and cold therapy. The nurse is aware that the cold therapy will help with pain and swelling. Which therapeutic purpose does the nurse recognize for the heat therapy?

Delivers oxygen, nutrients, and white blood cells (WBCs) for healing

The nurse works night shift in a long-term care facility. Which measure by the nurse is important to provide an environment conducive for sleep?

Closing the door to reduce noises from outside the room

The nurse is caring for multiple patients who are ordered on thermal therapy. Which patient does the nurse recognize as being contraindicated for this therapy?

A patient with diabetes mellitus who is ordered on heat therapy for an open ulcer on the bottom of the foot.

The nurse works in acute care. In which situation is the nurse most likely able to independently apply heat therapy?

A patient with inflammation at an IV site.

The nurse is preparing to apply heat therapy to the arm of an older adult patient. Which factor related to the patient's age is inappropriate?

Assess the patient's level of tactile sensation with a pointed object.

The nurse is teaching a patient about the use of an electrical heating pad at home. Which information should the nurse include?

Avoid the use of petroleum products on the skin during heat therapy.

The home care nurse is visiting a patient with osteoarthritis in the knees. The patient states using a hot water bottle for heat therapy. Which instruction should the nurse give the patient about this method of heat application?

Fill the bottle only two-thirds full.

The nurse is preparing to apply cold therapy to a patient's sprained ankle. The nurse observes the available equipment for applying cold therapy. Which characteristics of the equipment will best suit this patient's needs?

Flexible, with a way to secure

The nurse is caring for a patient who is ordered to receive moist heat therapy to large, diffuse areas of the body. Of the usual methods of delivering moist heat, which does the nurse recognize as being the least effective?

Hot compresses

The nurse is caring for a patient who is hypothermic from exposure. The health-care provider diagnoses the patient's hypothermia as being extreme. Which order does the nurse expect due to the patient's condition?

IV infusion of warm normal saline

The nurse is preparing to apply heat therapy to a toddler. Which safety intervention should the nurse apply?

Stay with the patient during therapy.

The nurse placed a cold pack on a patient's knee for 30 min. When the cold pack is removed, the skin is bright pink in color. The nurse recognizes that the patient is having a rebound effect. Which cause does the nurse understand?

The area has vasodilation to prevent tissue damage.

The nurse is aware that pain can be controlled with a variety of methods. Which method is based on natural body chemistry changes?

The body's ability to produce endorphins

The nurse is preparing to use electrical equipment for the delivery of heat therapy. Which assessment of the equipment is unnecessary?

The date when the equipment was manufactured.

The nurse is caring for an adult patient recently diagnosed with cancer who is scheduled for surgery. The patient tells the nurse, "I have been sleeping for seven hours and I still feel tired." Which reason can the nurse identify as most likely for the patient's statement?

The patient is receiving antianxiety and sleep-promotion medications.

The nurse is caring for a patient admitted with pain from an unknown cause. The patient is requesting opioid pain medications around the clock for pain at level 7 on a scale of 0 to 10. Which factor indicates that the nurse may be resistant to pain management?

The presence of pain from an unknown cause is related to drug seeking.

The nurse is applying heat to a patient's swollen ankle. The patient states that the cold therapy makes the ankle less painful. Which purpose does the nurse recognize as the purpose of the heat therapy?

The resulting vasodilation will help carry away the excess fluid and reduce edema.

The nurse is reviewing a pain assessment for a patient experiencing pain. Which areas of information are important? Select all that apply.

The specific location of the pain A pain level using a 0-10 scale A description of the pain Actions that cause the pain