Comfort, Rest, Sleep, and Pain quiz

A nurse is assessing a client who has a sudden onset of severe back pain of unknown origin. Which of the following questions should the nurse ask to encourage discussion with the client?

"What do you think caused the onset of your pain?"

A nurse is talking with a parent of a preschooler. The parent reports that she struggles to get her child to go to bed at a consistent time. She explains that the child gets out of bed, enters his parents' room, and cries when they tell him to stay in his own bed. Which of the following instructions should the nurse give the parent?

"Use a stable, relaxing routine like a bath and story time before bed."

A nurse is caring for an older adult client who asks why she has developed greater difficulty sleeping as she ages. Which of the following responses should the nurse provide?

"The body rhythms that control the sleep-wake cycle weaken a bit with aging."

A nurse is planning to administer pain medication to a client following abdominal surgery. Which of the following actions should the nurse take first?

Use the pain scale to determine the client's pain level.

A nurse is providing teaching to the guardian of an adolescent. The guardian reports that the adolescent sleeps about 10 hrs on weekend nights. Which of the following responses should the nurse provide?

"Adolescents need more sleep due to rapid growth."

During the completion of a health history with a nurse, a client reports intermittent chest pain for the past week. Which of the following questions is the nurse's priority?

"Can you tell me what the pain felt like and show me exactly where it was?"

A nurse is teaching an older adult client about methods to improve sleep. Which of the following statements should the nurse include in the teaching?

"Go to bed at the same time every night."

A nurse is teaching a client who is using a patient-controlled analgesia (PCA) pump to deliver morphine for pain management. Which of the following statements should the nurse identify as an indication that the client understands the instructions?

"I can still use my transcutaneous electrical nerve stimulation unit while I'm pushing the PCA button."

A nurse is caring for a client who has injuries resulting from a motor-vehicle crash. Which of the following client statements should the nurse address first?

"I can't sleep well because whenever I move in my sleep, the pain wakes me up."

A nurse is teaching a client who has low back pain about heat therapy. Which of the following statements by the client indicates an understanding of the teaching?

"I need to place a towel between the heating pad and my skin."

A nurse in a provider's office is talking with an older adult client who reports having trouble sleeping. Which of the following statements should the nurse identify as a possible cause of the client's sleeping difficulties?

"I often have a cup of coffee with my desert before going to bed."

A nurse is caring for a child who is postoperative following a tonsillectomy. Which of the following actions should the nurse take?

Administer the analgesics to the child on a routine schedule throughout the day and night.

A nurse on a medical unit is caring for a client who has difficulty sleeping. Which of the following action should the nurse take to promote the client's ability to fall asleep?

Allow the client to maintain the same bedtime routine as at home

A nurse is caring for a client who has a terminal illness. Th client is restless and reports severe pain but refuses the prescribed opioid pain medication. Which of the following actions should the nurse take first?

Ask why the client is refusing the pain medication.

A nurse is caring for a client who reports not sleeping at night, which interferes with her ability to function during the day. Which of the following interventions should the nurse suggest to this client?

Avoid beverages that contain caffeine.

A nurse is teaching a newly licensed nurse about pain management in the clients age 65 and older. Which of the following pieces of information should the nurse include in the teaching?

Clients who are age 65 or older are reluctant to report pain.

A nurse is caring for a client who has cancer and is experiencing pain. The nurse should implement which of the following interventions to assist the client with pain relief?

Encourage the client to listen to soft music.

A nurse teaching the parent of a 3-year-old toddler about promoting sleep. Which of the following pieces of information should the nurse include?

Follow a nightly routine and established bedtime.

A nurse is assessing a client who is postoperative. Which of the following findings should the nurse identify as an indication that the client is experiencing pain?

Grimacing

A nurse in a provider's office is collecting information from an older adult client who reports taking acetaminophen 500 mg/day for severe joint pain. The nurse should instruct the client that large doses of acetaminophen could cause which of the following adverse effects?

Liver damage

A nurse is caring for an older adult client who has a hip fracture and rates his pain as 8 on a scale of 0 to 10. Which of the following medications should the nurse administer?

Oxycodone/acetaminophen 7.5/3.25 tablet PO

During a well-child visit, the guardian of a toddler reports that the toddler takes several hours to fall asleep at night. Which of the following recommendations should the nurse make?

Provide the toddler with a favorite stuffed animal at bedtime.

A nurse is planning to implement relaxation strategies with a young child prior to a painful procedure. Which of the following actions should the nurse take?

Rock the child using long, rhythmic movements

A nurse is teaching a newly licensed nurse about the sleep cycles of an older adult client. Which of the following pieces of information should the nurse include?

The client spends more time in lighter stages of sleep.

A hospice nurse is visiting with the family of a client. The family member states that the client has insomnia almost nightly. Which of the following practices should the nurse identify as contributing to the client's insomnia?

The client watches television in her bed during the day.