The nurse takes into consideration the Joint Commission on Accreditation of Healthcare Organizations (CAHO) standards for pain assessment and treatment.
Include:.

Pain is assessed only for patients who complain of pain.

Pain treatment ends at discharge.

All patients have the right to appropriate assessment of pain.

Pain treatment is based on objective data collected by the nurse.

Answer and Explanation

The Correct Answer is C

Choice A rationale:

False. Pain should not be assessed only for patients who complain of pain. Pain assessment should be a routine part of patient care, as not all patients may be able to verbalize their pain or may underreport it. Identifying and addressing pain is crucial for patient well-being.

Choice B rationale:

False. Pain treatment does not necessarily end at discharge. The management of pain may continue beyond the hospital setting, and a plan for pain management post-discharge may be needed. This ensures that patients receive appropriate pain relief and support during their recovery.

Choice C rationale:

True. According to the Joint Commission's standards, all patients have the right to appropriate assessment of pain. This means that every patient, regardless of their condition or the presence of pain complaints, should have their pain assessed and managed as necessary.

Choice D rationale:

False. Pain treatment is not solely based on objective data collected by the nurse. Pain is a subjective experience, and it is essential to consider the patient's self-report of pain, in addition to any objective data, when determining the appropriate treatment. Objective data can help, but it should not be the sole basis for pain management.

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Correct Answer is A

Explanation

There are three types of sleep apnea: obstructive, central, and mixed complex. Obstructive apnea is the most common type. It is caused by the relaxation of the soft tissues, which allows partial to total obstruction of the airway. (True or False) = The correct answer is True.

Choice A rationale:

True. Obstructive sleep apnea is indeed the most common type. It occurs when the soft tissues in the throat and the muscles of the upper airway relax too much during sleep, leading to a partial or complete blockage of the airway. This obstruction results in the characteristic pauses in breathing that are a hallmark of obstructive sleep apnea.

Choice B rationale:

False. Obstructive sleep apnea is not caused by the need for hypnotics or sleep-inducing medications. It is a physiological condition related to airway obstruction during sleep and not a result of poor sleep hygiene or a lack of medication.

Choice C rationale:

False. While it's true that older adults may have changes in their sleep patterns, this doesn't mean they require 10 hours of sleep a day to prevent fatigue. Sleep needs can vary among individuals, and older adults often experience more fragmented sleep and may nap during the day, but the requirement for 10 hours of sleep a day is not a general rule.

Choice D rationale:

False. Older adults may nap more during the day due to changes in their sleep patterns, but it doesn't necessarily mean they need to nap less to sleep better at night. The sleep-wake cycle of older adults may be different from younger individuals, and it's not always necessary for them to reduce daytime napping to improve nighttime sleep.

A. remove the patch and wipe off the skin. B. apply ice to the skin around the patch. C. elevate the head of the bed 45 degrees and offer coffee or cola drink. D. put up the side rails on the bed.

Correct Answer is A

Explanation

Choice A rationale:

If a patient with a Fentanyl patch is experiencing symptoms like abnormal sleepiness, slurred speech, and unsteadiness when ambulating, it could indicate an overdose or adverse reaction to the Fentanyl. In such cases, the patch should be removed immediately to stop the further absorption of the drug. Wiping off the skin can also help remove any residual medication. This is the correct choice as it addresses the issue at its source.

Choice B rationale:

Applying ice to the skin around the Fentanyl patch is not the appropriate action in this situation. Ice will not counteract the effects of a Fentanyl overdose or adverse reaction. The priority is to remove the patch and seek medical attention.

Choice C rationale:

Elevating the head of the bed and offering coffee or cola may be useful in combating some forms of sleepiness but would not be effective for someone experiencing an overdose or adverse reaction to Fentanyl. This choice does not address the problem's root cause and is not the appropriate action to take.

Choice D rationale:

Putting up the side rails on the bed does not address the issue of Fentanyl patch overdose or adverse reactions. This choice is not relevant to the situation and should not be chosen.

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The nurse takes into consideration the Joint Commission on Accreditation of Healthcare Organizations (CAHO) standards for pain assessment and treatment. Include:.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

There are three types of sleep apnea: obstructive, central, and mixed complex. Obstructive apnea is the most common type. It is caused by the relaxation of the soft tissues, which allows partial to total obstruction of the airway.

Correct Answer is A

Explanation

A nurse caring for a patient with a Fentanyl patch assesses that the patient is abnormally sleepy, is slurring words, and is unsteady when ambulating.The nurse should:.

Correct Answer is A

Explanation

A nurse is instructing a patient about relaxation techniques for pain management. The patient should:.

The nurse takes into consideration that when the patient has an order for patient-controlled analgesia (PCA), the pump will be programmed by the:

A nurse is reinforcing teaching with a client about the use of transcutaneous electrical nerve stimulation (TENS) to manage chronic pain.Which of the following statements by the client indicates the need for further teaching?

A patient is receiving an ice massage for relief of muscle spasms in the neck.The patient complains that the ice is making the pain worse.Most helpful response from the nurse would be:.

Sleep influences memory, mood, cognitive function, secretion of various hormones, immune function, body temperature, and renal function.

A patient experiencing discomfort because of severe arthritis would be described as having:

An adult male with a right below the knee amputation is complaining of sharp pain in the removed limb.What is the best response from the nurse?

The nurse appreciates the principal advantage in using patient-controlled analgesia (PCA) is that it:.

The nurse takes into consideration the Joint Commission on Accreditation of Healthcare Organizations (CAHO) standards for pain assessment and treatment.
Include:.