PN1 Test 2 Review
1. The most accurate information concerning a client’s pain comes from the nurse’s assessment or the
client? Information from the
... [Show More] client
Is objective or subjective data more important? Subjective
When objective and subjective data about a client’s pain are in conflict, which report should the nurse
consider as the primary source? Pain is always subjective “subject says”.
2. When administering pain medication, is it the most appropriate to administer the minimum dose and
reevaluate the client’s pain after 30 minutes or administer the highest pain medication dosage to
ensure the client’s pain is relieved? If BP is slow, start low. If patient comes out of surgery and pain is an
8 pushing the max dose is at the nurses discretion.
3. What physiological changes can occur when a client is in acute pain?
- BP, Resp Rate, Pulse
- Dilated Pupils
- Perspiration (Diaphoresis/sweating)
- Pallor (pale skin)
How can a nurse assess a non-verbal client for pain? Wong Baker Face Scale, or non-verbal cues
(grimacing, rolling on bed, fetal position).
What is the difference between pain quality and intensity?
Quality = Type (sharp, dull, stabbing, numb)
Intensity = How bad it hurts (scale of 1-10)
4. What are the signs of a client in chronic pain?
- Lasts over 6 months
- Persistent
- Constant/recurrent
- Produces negative changes in life (withdrawn, frail)
- Body adapts (moves slowly to avoid movement of painful areas)
- Needs reg assessment & diff approach to treatment
5. What is the gate control theory? Things other than medications can help relief pain (communication ie.
Saying someone will be okay and rubbing their backs, therapy, acupuncture)
6. Review hypertension stepped-care approach, food with elevated sodium levels, know which ethnic
group tends to develop hypertension earlier in life. African Americans are higher risk, change in lifestyle
& diet first, then diuretics (which eliminate water from the body by passing urine more frequently).
7. Review the difference between primary (essential) hypertension and secondary hypertension. [Show Less]