A nurse is teaching a client who has chronic pain about nonpharmacological pain management techniques.

Which of the following statements by the client indicates an understanding of the teaching? (Select all that apply.).

“I can use meditation to help me relax and cope with pain.”.

“I can apply cold packs to the painful area for up to 30 minutes.”.

“I can listen to music or watch a funny show to distract myself from pain.”.

“I can massage the painful area with firm pressure to relieve muscle tension.”.

“I can take a warm bath or shower to soothe the painful area.”.

Answer and Explanation

Correct Answer : A,C,E

The correct answer is choice A, C and E. These statements indicate that the client understands the teaching about nonpharmacological pain management techniques.

• Choice A is correct because meditation can help the client relax and cope with pain by reducing stress and anxiety.

• Choice C is correct because distraction can help the client divert attention from pain by engaging in enjoyable or stimulating activities.

• Choice E is correct because heat can help the client soothe the painful area by increasing blood flow and relaxing muscles.

• Choice B is wrong because cold packs should not be applied to the painful area for more than 15 minutes at a time, as they can cause tissue damage or frostbite.

• Choice D is wrong because massage should not be done with firm pressure, as it can aggravate the pain or cause injury. Gentle massage may be beneficial for some clients.

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Correct Answer is ["A","B","C","D"]

Explanation

The correct answer is choice A, B, C, and D.Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that has anti-inflammatory, analgesic, and antipyretic effects.It works by inhibiting the synthesis of prostaglandins, which are involved in inflammation, pain, and fever.However, ibuprofen can also cause adverse effects such as gastric irritation, bleeding complications, renal impairment, and hypersensitivity reactions.

Therefore, the nurse should instruct the client to:

• Take ibuprofen with food or milk to prevent gastric irritation.This will reduce the direct contact of the drug with the stomach lining and decrease the risk of ulcers and bleeding.

• Drink at least 2 liters of fluid per day to prevent renal impairment.This will help maintain adequate hydration and renal perfusion and prevent the accumulation of ibuprofen in the kidneys.

• Avoid alcohol and other NSAIDs to prevent bleeding complications.Alcohol and other NSAIDs can increase the risk of gastric bleeding by interfering with the protective effects of prostaglandins on the stomach mucosa.

• Report any signs of hypersensitivity such as rash, itching, or wheezing.These may indicate an allergic reaction to ibuprofen that can be serious or life-threatening.

Choice E is wrong because ibuprofen does not affect blood pressure significantly.However, some other NSAIDs such as celecoxib may increase the risk of cardiovascular events such as thrombosis, myocardial infarction, and stroke.Therefore, clients with hypertension or cardiovascular disease should use NSAIDs with caution and monitor their blood pressure regularly.

A. The patient will experience increased euphoria and sedation. B. The patient will experience severe withdrawal symptoms and agitation C. The patient will experience decreased respiratory rate and blood pressure. D. The patient will experience improved mental status and oxygenation.

Correct Answer is D

Explanation

The correct answer is choice D. The patient will experience improved mental status and oxygenation.This is because naloxone is a medication that can rapidly reverse an opioid overdose by blocking the effects of opioids and restoring normal breathing.Naloxone can be given as a nasal spray or an injection.

Choice A is wrong because naloxone does not increase euphoria and sedation, but rather reverses them by blocking opioid receptors.

Choice B is wrong because naloxone does not cause severe withdrawal symptoms and agitation, but rather mild to moderate ones that are not life-threatening.

Choice C is wrong because naloxone does not decrease respiratory rate and blood pressure, but rather increases them by reversing opioid overdose.

Normal ranges for respiratory rate are 12 to 20 breaths per minute and for blood pressure are 90/60 mmHg to 120/80 mmHg.

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A nurse is teaching a client who has chronic pain about nonpharmacological pain management techniques. Which of the following statements by the client indicates an understanding of the teaching? (Select all that apply.).

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is educating a client about ibuprofen, a nonsteroidal anti-inflammatory drug (NSAID), that has been prescribed for moderate pain and inflammation. Which of the following instructions should the nurse include? (Select all that apply.).

Correct Answer is ["A","B","C","D"]

Explanation

A nurse is administering naloxone to a patient who has overdosed on heroin. What is the expected outcome of this intervention?

Correct Answer is D

Explanation

Which component of pain assessment is addressed by asking a client to rate his or her current level of discomfort on a scale of 0-10?

A nurse is providing discharge teaching to a client who has a prescription for acetaminophen and hydrocodone (Vicodin).Which of the following instructions should the nurse include in the teaching?

A nurse is caring for a patient who has been prescribed fentanyl patches for chronic cancer pain management at home. Which statement by the patient indicates that he understands how to use this medication safely?

A patient with cancer-related bone pain is receiving etidronate as an adjuvant analgesic. The nurse should monitor the patient for which of the following laboratory values?

Which statement made by a client taking aspirin indicates an understanding of its use?

A nurse is caring for an older adult client who has difficulty communicating verbally due to aphasia following a stroke. Which of the following strategies should the nurse use to assess this client’s pain? (Select all that apply.)

A nurse is teaching a client who has cancer pain about the use of oral oxycodone with acetaminophen (Percocet). Which statement by the client indicates a need for further teaching?

A nurse is teaching a client who has chronic pain about nonpharmacological pain management techniques.

Which of the following statements by the client indicates an understanding of the teaching? (Select all that apply.).