The nurse performing a focused assessment on pain will assess: (Select all that apply.).

Culture.

Psychological factors.

History of pain.

Contributing factors.

Assess verbal indicators

Answer and Explanation

Correct Answer : A,B,C,D,E

Choice A rationale:

Culture can influence a person's perception and expression of pain. It's important to consider cultural factors when assessing and managing pain because beliefs and attitudes about pain can vary significantly among different cultural groups. This can affect how pain is experienced and communicated.

Choice B rationale:

Psychological factors, such as anxiety, depression, and coping mechanisms, play a significant role in the experience of pain. Assessing psychological factors is essential for a comprehensive understanding of the patient's pain experience and developing appropriate pain management strategies.

Choice C rationale:

Understanding the patient's history of pain is crucial for a focused pain assessment. Previous experiences with pain, including the cause, intensity, and effectiveness of previous pain management strategies, can provide valuable insights into the current pain situation.

Choice D rationale:

Assessing contributing factors, such as concurrent medical conditions, injuries, or environmental factors, is essential to determine the underlying causes of pain and develop an effective pain management plan.

Choice E rationale:

Verbal indicators are essential for assessing pain. Patients often describe their pain in words, and understanding their descriptions and expressions of pain is fundamental to evaluating its intensity, location, quality, and duration.

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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. decreased level of consciousness from a stroke. B. neuritis secondary to diabetes. C. severely sprained ankle. D. impaired peripheral circulation.

Correct Answer is B

Explanation

Choice A rationale:

A patient with a decreased level of consciousness from a stroke may not be able to provide feedback or recognize discomfort or pain, which can increase the risk of burn injury when using a heating pad. This choice increases the risk rather than reducing it.

Choice B rationale:

A patient with neuritis secondary to diabetes has a decreased sensitivity in the affected area due to nerve damage. While this can be a challenging condition, it reduces the patient's ability to perceive heat and pain, making them less likely to realize if the heating pad becomes too hot. As a result, this patient has the least risk for burn injury when using the Aquathermia K pad.

Choice C rationale:

A severely sprained ankle is not related to the risk of burn injury from a heating pad. This choice is not relevant to the assessment of burn injury risk with the Aquathermia K pad.

Choice D rationale:

Impaired peripheral circulation can increase the risk of burn injury from a heating pad. Patients with compromised circulation have a reduced ability to dissipate heat, which can lead to localized overheating and potential burn injury. This choice increases the risk of injury. .

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The nurse performing a focused assessment on pain will assess: (Select all that apply.).

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 evaluating the effectiveness of an Aquathermia K pad for the leg is aware that the patient who has the least risk for burn injury from this device would be the patient with:.

Correct Answer is B

Explanation

There are several different types of pain.Which type of pain occurs after the loss of a body part from an amputation?

A nurse is assisting with teaching a client who has obstructive sleep apnea (OSA) about continuous positive airway pressure (CPAP). Which of the following instructions should the nurse include?

A nurse is preparing a patient for home care following cancer treatment. He is discussing the use of the fentanyl patch. Which of the following would be the most important instruction regarding safety?

A nurse is caring for a client who is using a patient-controlled analgesia (PCA) pump for postoperative pain management. The nurse enters the room to find the client asleep and his partner pressing the button to dispense a dose of analgesia. Which of the following responses should the nurse make?

A nurse is reinforcing teaching about pain control with a client who has acute pain following a subtotal gastric resection. Which of the following client statements indicates an understanding of pain control?

The nurse attempts to help an 86-year-old patient describe his pain because the nurse is aware the older adult may not express pain because they:.

A nurse is assisting in the care of a patient who is receiving pain medication by the epidural route.It is most important to monitor this patient for which adverse drug effects?

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