Nursing gas exchange/pain quiz

A retired schoolteacher is interested in nondrug, mind-body therapies, self-management, and alternative strategies to deal with joint discomfort from rheumatoid arthritis. Based on her expressed wishes, which options should the nurse suggest for her plan of care?

Using music therapy, distraction techniques, meditation, prayer, hypnosis, guided imagery, relaxation techniques, and pet therapy

The nurse in an acute care setting is caring for a patient experiencing pain and a pain management plan of care has been implemented. What is the minimal interval of time and/or instance when the nurse should reassess the patient pain

With each new report of pain Before and after administration of analgesics

A nurse is preparing to teach an older adult who has chronic arthritis how to practice meditation. Which of following strategies are appropriate

Have patient identify a quiet room in the home that has minimal interruptions. Suggest use of a quiet fan running in the room. Show the patient how to sit comfortably with the limitation of his arthritis and focus on a prayer.

Unless contradicted postoperative surgical patients should be given alternating doses of acetaminophen and which medication throughout the postoperative course

NSAID

A woman fell while sweeping her driveway and sustained a tissue injury. She describes her condition as an aching, throbbing back. Which term best describes this type of pain?

Nociceptive pain

An 86 year old woman is admitted to the unit with chills and a fever of 104 degrees F. What physiological process explain why she is at risk for dyspnea

Fever increases metabolic demands requiring increased oxygen need

partial nonrebreather mask fio2

10-15 L/min 60-90%

Nasal Cannula FiO2 Range

24%-44% 1-6L/min

Venturi mask FiO2

24-50%

simple face mask FiO2

35-50% 6-12L/min

Which finding by the nurse may indicate a client is experiencing pain

Blood pressure 142/92 Grimacing Guarding Unwilling to ambulate

Which is a priority for the nurse to include in a teaching plan for a patient who desires self-management and alternative strategies for pain management

Body alignment and superficial heat and cooling

A patient has been diagnosed with severe iron deficiency anemia. During physical assessment, which of the following symptoms are associated with decreased oxygenation

Decreased activity tolerance and increased breathlessness

A client with pneumonia is coughing up bloody sputum. How would the nurse document this

Hemoptysis

The nurse observes a client sitting up in bed attempting to catch his breath. He is restless, agitated, and confused. His pulse is 102 beats/minute and respirations are 42 breaths/minute and shallow. He is most likely experiencing which condition

Hypoxia

A patient has been newly diagnosed with chronic lung disease. In discussing his condition with the nurse, which of his statements indicate a need for further teaching

If I get short of breath I'll turn up my oxygen level 6L/min

A nurse is assessing a client who is experiencing chronic pain. The nurse realizes that chronic pain:

Last longer than acute pain Negatively impacts a client quality of life Has a psychological impact on the client

A client is breathing 42 breaths/minute. How would the nurse document this

Tachypnea