PrepU Comfort
A middle-age client with cancer has been prescribed patient-controlled analgesia (PCA). The nurse caring for the client explains the functioning of PCA. What is the main advantage of PCA?
The client is actively involved in pain management.
The spouse of a client with terminal brain cancer asks the nurse about hospice. Which statement by the nurse best describes hospice care?
"Clients and families are the focus of hospice care."
After explaining about the second stage of labor, which client statement would indicate to the nurse that the client understands the information discussed?
"I should try to push with each contraction."
A clinic client with agoraphobia must go to a local laboratory to have blood drawn. The client is terrified, stating, "I know I can't handle being in the waiting room." What is the nurse's most therapeutic response?
"I'll arrange for you to be the first client and we'll talk about it afterward."
The parents of a newborn are deciding if they want their baby circumcised. The parents ask the nurse if their newborn can feel any pain during the procedure. How should the nurse respond? You Selected:
"It's hard to know for sure, but research shows that it is possible for newborns to experience pain."
When preparing for palliative care with the dying client, the nurse should provide the family with which explanation?
"The goal of palliative care is to give clients the best quality of life by the aggressive management of symptoms."
The nurse is selecting antidiarrheal medications for clients with diarrhea. Which statements accurately describe the action of specific antidiarrheal medications? Select all that apply.
-Bismuth subsalicylate contains salicylates; a physician should be consulted before giving it to children or clients taking aspirin. -Paregoric contains morphine and may be addictive. -Loperamide is a nonaddictive antidiarrheal medication that has a longer duration of action than diphenoxylate/atropine.
The nurse is obtaining data regarding the medication that the client is taking on a regular basis. The client states he is taking duloxetine (Cymbalta), an antidepressant for the treatment of neuropathic pain. What type of therapy does the nurse understand the client is receiving?
Adjuvant drug therapy
A female client experienced a pelvic fracture in a motor vehicle accident several months earlier and recovery has been slow. Among the challenges presented by this event is the fact that sexual activity causes a dull ache in her pelvis. Which nursing diagnosis is most appropriate for this client?
Alteration in Comfort: Pain
The nurse plans to apply EMLA cream to decrease the pain of an injection. What would be the best technique?
Apply it at least 1 hour before the procedure.
A client with quadriplegia is experiencing severe muscle spasms. To relieve them, a physician orders baclofen, 5 mg P.O. three times daily. What is the principal indication for baclofen?
Muscle spasms with paraplegia or quadriplegia from spinal cord lesions
An older adult client informs the nurse, "I just don't feel like myself. I cry so easily and my mobility is so bad from my degenerative disk disease in my back." What factor is most likely contributing to the client's depression?
Pain
An adult with appendicitis has severe abdominal pain. Which action will be the most effective to assist the client to manage pain prior to surgery?
Place the client in semi-Fowler's position with the knees to the chest.
When going through the transition phase of labor, women often feel out of control. What do women in the transition phase of labor need the most?
Positive reinforcement
A client who's 7 months pregnant reports severe leg cramps at night. Which nursing action would be most effective in helping the client cope with these cramps?
Teaching her to dorsiflex her foot during the cramp
A nurse is caring for a child with intussusception. Which of the following is an expected client outcome related to the nursing diagnosis Acute pain related to cramping, which might be made for this child?
The child exhibits no manifestations of discomfort.
The nurse is providing education to a client about the role of endogenous opioids in the transmission of pain. Which information about the release of endogenous opioids is most accurate?
They bind to opioid receptor sites throughout the CNS.
The nurse is instructing a client about skin care while receiving radiation therapy to the chest. What should the nurse instruct the client to do?
Wash the area with tepid water and mild soap.
The nurse is assessing a client with superficial thrombophlebitis in the greater saphenous vein of the left leg. The client has "aching" in the leg. Which finding indicates the nurse should contact the health care provider (HCP) to request a prescription to improve the client's comfort?
red, warm, palpable linear cord along the vein that is painful on palpation
