Question 1

The nurse is caring for a trauma patient with the Nursing diagnosis of acute pain r/t fracture and muscle spasms. Which is an appropriate goal for this Nursing diagnosis?

Accepted Answer

A)  The patient will experience less pain when participating in physical therapy. 
B)  The patient will describe meditation techniques that can be used to cope with pain. 
C)  Nursing staff will explain the ordered pain management approach to the patient. 
D)  The patient will feel less pain each day when range-of-motion therapy is performed. 
A)  The patient will experience less pain when participating in physical therapy. 
B)  The patient will describe meditation techniques that can be used to cope with pain. 
C)  Nursing staff will explain the ordered pain management approach to the patient. 
D)  The patient will feel less pain each day when range-of-motion therapy is performed.

Question 2

The nurse is caring for a patient who will be using a hydromorphone (Dilaudid) PCA analgesia pump following surgery. Which intervention is the highest priority for the nurse to include in the patient's care plan related to this pump?

Accepted Answer

A)  Assess the patient's respiratory status frequently after PCA pump started. 
B)  Review patient's medication profile to check for interactions with hydromorphone. 
C)  Teach the patient how to use PCA pump when the pain level is still tolerable. 
D)  Keep naloxone (Narcan) available at the bedside in case of respiratory depression. 
A)  Assess the patient's respiratory status frequently after PCA pump started. 
B)  Review patient's medication profile to check for interactions with hydromorphone. 
C)  Teach the patient how to use PCA pump when the pain level is still tolerable. 
D)  Keep naloxone (Narcan) available at the bedside in case of respiratory depression.

Exam 36: Pain Management

The nurse is caring for a trauma patient with the Nursing diagnosis of acute pain r/t fracture and muscle spasms. Which is an appropriate goal for this Nursing diagnosis?

The nurse is caring for a patient who will be using a hydromorphone (Dilaudid) PCA analgesia pump following surgery. Which intervention is the highest priority for the nurse to include in the patient's care plan related to this pump?

Nursing, Theory, and Professional Practice

Values, Beliefs, and Caring

Communication

Critical Thinking in Nursing

Introduction to the Nursing Process

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Nursing Diagnosis

Planning

Implementation and Evaluation

Documentation, Electronic Health Records, and Reporting

Ethical and Legal Considerations

Leadership and Management

Evidence-Based Practice and Nursing Research

Health Literacy and Patient Education

Nursing Informatics

Health and Wellness

Human Development: Conception Through Adolescence

Human Development: Young Adult Through Older Adult

Vital Signs

Health History and Physical Assessment

Ethnicity and Cultural Assessment

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Human Sexuality

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Hygiene and Personal Care

Activity, Immobility, and Safe Movement

Skin Integrity and Wound Care

Nutrition

Cognitive and Sensory Alterations

Stress and Coping

Sleep

Diagnostic Testing

Medication Administration

Perioperative Nursing Care

Oxygenation and Tissue Perfusion

Fluid, Electrolytes, and Acid-Base Balance

Bowel Elimination

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