A nurse is caring for apatient who is experiencing pain. For which most common psychological patient response to pain should the nurse assess?
A. Psychological or affective responses to pain relate to feelings and emotional distress. Fear of being dependent on others or loss of self-control are psychological responses to pain.
The most appropriate goal for an adult who has disturbed sleep because of nocturia is, "the patient will:
B.
Which concept associated with rest and sleep must the nurse consider when planning nursing care?
C.
A patient has a total abdominal hysterectomy for fourth-stage ovarian cancer. What should the nurse do first when on the second postoperative day this patient reports abdominal pain at level 5 on a 1-to-10 pain scale?
C. Major abdominal surgery involves extensive manipulation of internal organs and a large abdominal incision that require adequate pharmacological intervention to provide relief from pain.
A patient is diagnosed with narcolepsy. The nurse's primary intervention should address the patient's:
B. Narcolepsy is excessive sleepiness in the daytime that can cause a person to fall asleep uncontrollably at inappropriate times (Sleep Attack) and result in physical harm to self or others.
A nurse is caring for a patient who is having difficulty sleeping. Which patient response indicates to the nurse that the patient is not obtaining adequate rapid-eye-movement (REM) sleep?
B. Rapid-eye-movement (REM) sleep is essential for maintaining mental and emotional equilibrium and, when interrupted, results in irritability, excitability, restlessness, confusion, and suspiciousness.
A patient is experiencing discomfort associated with gastroesophageal reflux. In which position should the nurse teach the patient to sleep?
C.
WHAT IS MOST IMPORTANT FOR A NURSE TO CONSIDER WHEN A PATIENT REPORTS THE PRESENCE OF PAIN?
D. Pain is a personal experience. Margo McCaffery, a pain researcher, has indicated that pain is whatever the person in pain says it is and exists whenever the person in pain says it exists.
A patient is experiencing anxiety. Which aspect of sleep should the nurse expect will be affected as a result of the anxiety?
C. Anxiety increases norepinephrine blood levels through stimulationof the sympathetic nervous system, which results in prolonged sleep onset.
A patient requests pain medication. What should the nurse do first when responding to this patient's The nurse is planning a teaching program
A. All the factors that affect pain experience should be assessed, including location, intensity, quality, duration, pattern, aggravating and alleviating factors, and physical, behavioral, and attitudinal responses. Assessment must precede intervention.
The nurse is planning a teaching program for a patient with a diagnosis of obstructive sleep apnea. Which is the most common intervention that the nurse should plan to discuss with this patient?
B.
Which statement by the patient to a nurse indicates a precipitating factor associated with pain?
B. Anything that induces or aggravates pain is considered a precipitating factor of pain. For example, precipitating factors may be physical (e.g. exertion associated with activities of daily living, valsalva maneuver) environmental (e.g. extremes in temperature, noise), or emotional (anxiety,fear).
Which is the most important nursing intervention that supports a patient's ability to sleep in the hospital setting?
A. Noise is serious deterrent to sleep in a hospital. The nurse should limit environmental noise (ex. distributing fluids, providing treatments, rolling drug and lining carts) and staff communication noise.
A patient has a history of severe chronic pain. Which is one of the most important guidelines associated with providing nursing care to this patient?
D.
What concept should the nurse consider when assessing a patient's pain?
D.
Which most common cause of sleep deprivation in the hospital should the nurse consider when planning care?
B.
THE NURSE IS PERFORMING AN ADMITTING INTERVIEW. WHICH PATIENT STATEMENT ABOUT PAIN CAUSES THE MOST CONCERN?
C.
A patient has been in the Intensive care unit (ICU) for 3 days. For which common adaptation indicating ICU psychosis associated with sleep deprivation should the nurse assess the patient?
D.
What concept associated with sleep should the nurse consider to best plan nursing care for a hospitialized patient?
B.
A nurse is assessing a patient in pain. What word might the nurse use when documentating the pattern of a patient's pain?
A.
A nurse is obtaining a health history from a newly admitted patient. Which patient statement about alcohol intake in based on a common physiological response?
B.
A nurse is assessing a patient experiencing acute pain. Which characteristic is more common with acute pain than with chronic pain?
C.
Preemptive analgesia is used when a nurse medicates the patient:
C.
A patient is diagnosed with chronic fatigue syndrome. It is most important that the nurse explore the extent of the patient's:
D.
When caring for patients in pain, it is important for the nurse to consider that patients:
C.
A patient is experiencing interrupted sleep. For which is response associated with shortened non-rapid-eye-movement (NREM) sleep should the nurse assess the patient?
A.
A patient is experiencing lack of sleep because of pain. Which is most appropriate goal for this patient? "The patient will:
D.
A nurse is helping a patient who is experiencing mild pain to get ready for bed. Which nursing action is most effective?
C.
DURING WHICH TIME FRAME DO PEOPLE TEND TO BE THE SLEEPIEST?
D.
Which patient statement indicates that the patient is experiencing bruxism?
C.
A patient is having difficulty sleeping and my be experiencing shortened NREM sleep. What patient assessment supports this conclusion?
D.
A nurse is caring for patients receiving a variety of interventions for pain management. Which pain relief method has the shortest duration of action?
B.
A nurse is teaching a community health education class about rest and sleep. Which concept related to sleep should the nurse include?
B.
A nurse is teaching a patient various techniques to promote sleep. What internal stimulus that most commonly interferes with sleep should the nurse include in the teaching?
C.
A nurse is giving a back rub. What stroke is most effective in inducing relaxations at the end of the procedure?
B.
A patient states, "The pain moves from my chest down my left arm." Which characteristic of pain is associated with this statement?
D.
A nurse is providing health teaching for a patient with the diagnosis of obstructive sleep apnea. Which aspect of sleep should the nurse explain is most often affected?
B.
A patient is being admitted to the hospital and the nurse is performing a complete assessment. Which is the most therapeutic open-ended question the nurse can ask about the quality of the patient's sleep?
C.
When assessing patients who have a difficulty sleeping, the nurse considers that there are common psychological and physiological responses to insomnia. Select all those that are physiological responses to insomnia.
Vertigo
Fatigue
Headache
Irritability
Frustration
Vertigo
Fatigue
Headache
A practitioner prescribes oxycodone oral solution 15 mg every 6 hours. The drug is supplied in a 500 ml bottle that indicates 5 mg/5ml.How much oral solution should the nurse administer?
15 mL
5mL/5mg x 15mg/1 = 75/5= 15
Author
fgaines0002
ID
290052
Card Set
Nursing 111 Exam 5 Green Book
Description
Nursing Test 5 Sleep, Comfort, Rest,Pain, Death and Dying
