A nurse is caring for a postoperative patient.
When helping to manage the patient’s pain, which of the following principles should the nurse apply? (Select all that apply)

Expect the patient to express his pain both verbally and nonverbally

Administer opioids with caution because they will eventually lead to addiction

Consider the patient’s individual expression of pain

Use a scale from 0 to 10 to monitor the severity of the patient’s pain

Answer and Explanation

Correct Answer : A,C,D

Choice A rationale

Pain is a subjective experience and can be expressed both verbally and nonverbally. It is important for the nurse to be attentive to both types of expressions to effectively manage the patient’s pain.
Choice B rationale
While it is true that opioids should be used with caution due to the risk of addiction, this statement can be misleading. Opioids are often necessary for managing postoperative pain, and the risk of addiction is low when they are used appropriately and under medical supervision.
Choice C rationale
Considering the patient’s individual expression of pain is crucial in pain management. Pain is a subjective experience and can vary greatly between individuals. Tailoring pain management strategies to the individual patient can improve pain control.
Choice D rationale
Using a pain scale is a common and effective way to monitor the severity of a patient’s pain. It provides a quantifiable measure of pain that can be used to guide treatment decisions.

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Correct Answer is C

Explanation

Choice A rationale
Monitoring peripheral pulses every 8 hours is not typically a priority in the care plan for a patient with acute pancreatitis. While cardiovascular monitoring is important in all patients, it is not specifically related to the management of acute pancreatitis.
Choice B rationale
Measuring urine output every 4 hours can be important in assessing fluid balance and kidney function, but it is not the primary intervention in the care plan for a patient with acute pancreatitis.
Choice C rationale
Maintaining NPO (nothing by mouth) status is a key intervention in the management of acute pancreatitis. This helps to rest the pancreas and reduce the production of digestive enzymes.
Choice D rationale
Ambulating the patient three times daily is generally a good practice for postoperative recovery, but it is not specific to the care of a patient with acute pancreatitis. In the acute phase of pancreatitis, rest is often recommended.

A. Bulging at the hernia site. B. Reports of mild discomfort. C. A bulge that disappears when lying down. D. Reports of nausea and vomiting.

Correct Answer is D

Explanation

Choice A rationale

While a bulge at the hernia site is a common symptom of an umbilical hernia, it is not typically a cause for immediate concern or a reason to alert the healthcare provider.
Choice B rationale
Mild discomfort may be associated with an umbilical hernia, but it is not typically a cause for immediate concern or a reason to alert the healthcare provider.
Choice C rationale
A bulge that disappears when lying down is a common characteristic of an umbilical hernia and is not typically a cause for immediate concern or a reason to alert the healthcare provider.
Choice D rationale
Nausea and vomiting could indicate that the hernia has become strangulated, which is a medical emergency. Strangulation occurs when the blood supply to the herniated tissue is cut off. This is a serious complication that requires immediate medical attention.
Question 50.

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A nurse is caring for a postoperative patient. When helping to manage the patient’s pain, which of the following principles should the nurse apply? (Select all that apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is contributing to the care plan for a patient who has acute pancreatitis. Which of the following interventions should the nurse include?

Correct Answer is C

Explanation

The nurse is caring for a patient with an umbilical hernia. Which symptom should prompt the nurse to alert the healthcare provider?

Correct Answer is D

Explanation

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A patient has undergone subtotal gastrectomy and is being prepared for discharge. Which reasons should the nurse consider for the care?

A nurse is caring for a postoperative patient.
When helping to manage the patient’s pain, which of the following principles should the nurse apply? (Select all that apply)