prioritization-delegation-and-assignment-practice-exercises-for-the-nclex-examination-4th-edition

Questions
1. Which postoperative client is manifesting the most serious negative effect of
inadequate pain management?
1. Demonstrates continuous use of call bell related to unsatisfied needs and
discomfort
2. Develops venous thromboembolism related to immobility caused by pain
and discomfort
3. Refuses to participate in physical therapy because of fear of pain caused by
exercises
4. Feels depressed about loss of function and hopeless about getting relief
from pain
2. A client with chronic pain reports to the charge nurse that the other nurses
have not been responding to requests for pain medication. What is the charge
nurse's initial action?
1. Check the medication administration records for the past several days.
2. Ask the nurse educator to provide in-service training about pain
management.
3. Perform a complete pain assessment on the client and take a pain history.
4. Have a conference with the staff nurses to assess their care of this client.
3. According to recent guidelines from the American Pain Society in
collaboration with the American Society of Anesthesiologists, what are the
priority pain management strategies that the nurse would expect to see in the
pain management for postsurgical clients? Select all that apply.
1. Acetaminophen and/or nonsteroidal anti-inflammatory drugs (NSAIDs) for
management of postoperative pain in adults and children without
contraindications
2. Surgical site-specific peripheral regional anesthetic techniques in adults
and children for procedures
3. Neuraxial (epidural) analgesia for major thoracic and abdominal
procedures if the client has risk for cardiac complications or prolonged
ileus
4. Multimodal therapy that could include opioids and nonopioid therapies,
regional anesthetic techniques, and nonpharmacologic therapies
5. Long-acting oral opioids, especially in the immediate postoperative period,
for continuous around-the-clock relief
6. Neuraxial administration of magnesium, benzodiazepines, neostigmine,
tramadol, or ketamine is recommended for postoperative pain
4. The home health nurse is interviewing an older client with a history of mild
heart failure and rheumatoid arthritis. The client reports “feeling pretty good,
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