A client continues to report post-surgical incision pain at a level of 9 out of 10 after pain medication is given. The next dose of pain medicine is not due for another hour. What should the critically thinking nurse do first?
Offer to notify the health care provider after morning rounds are completed
Explore other options for pain relief
Discuss the surgical procedure and reason for the pain
Explain to the patient that nothing else has been ordered
The Correct Answer is B
Choice A reason: This is not the correct answer because offering to notify the health care provider after morning rounds are completed is not the first action that the critically thinking nurse should take. The nurse should act promptly and advocate for the patient's pain management needs, rather than delaying the communication with the health care provider.
Choice B reason: This is the correct answer because exploring other options for pain relief is the first action that the critically thinking nurse should take. The nurse should assess the patient's pain level, location, quality, and contributing factors, and use a multimodal approach to pain management that includes pharmacological and non-pharmacological interventions, such as ice, heat, distraction, relaxation, or massage.
Choice C reason: This is not the correct answer because discussing the surgical procedure and reason for the pain is not the first action that the critically thinking nurse should take. The nurse should focus on alleviating the patient's pain, rather than educating the patient about the surgery. The nurse can provide information and reassurance to the patient after the pain is controlled.
Choice D reason: This is not the correct answer because explaining to the patient that nothing else has been ordered is not the first action that the critically thinking nurse should take. The nurse should not dismiss the patient's pain or imply that the patient has no other options for pain relief. The nurse should collaborate with the patient and the health care provider to find the best pain management plan for the patient.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Using soap to clean the client's skin is not a recommended action, as it can dry out and irritate the skin, increasing the risk of skin breakdown and infection.
Choice B reason: Applying friction when drying the client's skin is not a recommended action, as it can damage and abrade the skin, causing pain and inflammation.
Choice C reason: Using hot water to clean the client's skin is not a recommended action, as it can increase the blood flow and inflammation to the skin, as well as remove the natural oils that protect the skin.
Choice D reason: Applying a barrier cream to the client's skin is a recommended action, as it can moisturize and protect the skin from the effects of urine, such as acidity, bacteria, and enzymes.
Correct Answer is C
Explanation
Choice A reason: Cognitive domain of learning involves the mental processes of acquiring, storing, and applying knowledge. It includes skills such as remembering, understanding, analyzing, and evaluating. An example of cognitive learning is the RN asking the client to explain the purpose and effects of his inhaler.
Choice B reason: Affective domain of learning involves the emotional aspects of learning, such as attitudes, values, beliefs, and feelings. It includes skills such as receiving, responding, valuing, and committing. An example of affective learning is the RN asking the client how he feels about using his inhaler.
Choice C reason: Psychomotor domain of learning involves the physical aspects of learning, such as movement, coordination, and manipulation. It includes skills such as imitating, practicing, adapting, and creating. An example of psychomotor learning is the RN asking the client to demonstrate proper use of his inhaler.
Choice D reason: Kinesthetic domain of learning is not a recognized domain of learning, but rather a learning style that refers to the preference of learning by doing or experiencing. Kinesthetic learners tend to learn best by engaging in physical activities, such as hands-on tasks, simulations, and experiments.
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