HESI Saunders Module 7 Basic Care and Comfort (A Graded) Latest Questions and Complete Solutions
Codeine sulfate is prescribed for a client with severe
... [Show More] back pain. Which parameters does the nurse monitor while the client is taking this medication? Select all that apply.
a. Volume of urine output
b. Strength of peripheral pulses
c. Ability to move the extremities
d. Frequency of bowel movements
e. Color, motion, and sensation of extremities
a. Volume of urine output
d. Frequency of bowel movements
Rationale: Because urine retention may occur with the use of opioid analgesics, the nurse would monitor the volume of the client's urine output. Because the client is also at risk for constipation, the nurse would monitor the frequency of bowel movements. Other side/adverse effects include hypotension and slowed respiration. The incorrect options are not specifically associated with this medication.
A client requests the use of an alternative or complementary therapy to help control pain and asks about the use of guided imagery. The nurse responds by telling the client that in this technique, the clientwill experience which?
a. Become totally unaware of pain
b. Ignore the pain by focusing on the alternate activity
c. Alter pain perception though the influence of positive suggestion
d. Become less aware of pain by creating and then concentrating on a mental image
d. Become less aware of pain by creating and then concentrating on a mental image
Rationale: In guided imagery, the client creates a mental image and then concentrates on the image, becoming less aware of pain and other stimuli. Hypnosis can help alter pain perception through the influence of positive suggestion. Certain distraction techniques, such as music, can help a client ignore pain. No alternative or complementary therapy will allow the client to become totally unaware of pain.
A client has been told to apply cold packs to a knee injury, and the client asks the nurse how this will help the injury. The nurse hould provide the clent with which information about a cold pack?
a. Reduces muscle tension
b. Dilates the blood vessels
c. Promotes muscle relaxation
d. Reduces blood flow to the extremity
d. Reduces blood flow to the extremity
Rationale: The application of cold reduces blood flow through its vasoconstriction action and eases localized pain. Cold also reduces the oxygen need of the tissues and promotes blood coagulation at the site of injury. The incorrect options are the effects of heat application. [Show Less]