NR 226 exam 1 -questions and answers 2024-2025-graded A.docx | Exams Nursing | Docsity (2024)

Download NR 226 exam 1 -questions and answers 2024-2025-graded A.docx and more Exams Nursing in PDF only on Docsity! NR 226 exam 1 -questions and answers 2024-2025-graded A • Know factors that may affect pain (SATA) • Know why an infants may be perceived differently than adults • Know that an incident report is NOT kept in a patients chart • Know what a standing order is & what to do if a patient has a standing order • There’s a question about missing narcotics & the answer is responsibility Which patient outcome statement includes all seven guidelines for writing goal and outcomestatements? a. The patient will ambulate in hallways. b. The nurse will administer pain medication every 4 hours to keep the patient free from discomfort. c. The nurse will monitor the patient's heart rhythm continuously this shift. d. The patient will feed self at all mealtimes today without complaints of shortness of breath The nurse is caring for seven patients this shift. After completing their assessments, the nurse states that he doesn't know where to begin in developing care plans for these patients. Whichof the following is an appropriate suggestion by another nurse? a. "Choose all the interventions and perform them in order of time needed for each one." b. "Make sure you identify the scientific rationale for each intervention first." c. "Decide on goals and outcomes you have chosen for the patients." d. "Begin with the highest priority diagnoses, then select appropriate interventions." A patient's son decides to stay at the bedside while his father is confused. When developingthe plan of care for this patient, what should the nurse do? a. Individualize the care plan only according to the patient's needs. b. Request that the son leave at bedtime, so the patient can rest. c. Suggest that a female member of the family stay with the patient. d. Involve the son in the plan of care as much as possible Which of these outcomes would be most appropriate for a patient with a nursing diagnosis of Constipation related to slowed gastrointestinal motility secondary to pain medications? (5/325). What important patient education does the nurse provide? A. "Be sure to eat a meal high in fat before taking the medication, to avoid a stomach ulcer." B. "Narcotics can be addictive, so do not take them unless you are in severe pain." C. "You need to drink plenty of fluids and eat a diet high in fiber." D. "As your pain severity lessens, you will begin to give yourself once- daily intramuscular injections." A patient who had a motor vehicle accident 2 days ago is experiencing pain and is receiving patient- controlled analgesia (PCA). How does the nurse know that the patient is experiencing effective pain management with the PCA? A. The patient is sleeping and is difficult to arouse. B. The patient rates pain at an acceptable level of 3 on a 0 to 10 scale. C. Sufficient medication is left in the PCA syringe. D. The patient presses the control button to deliver pain medication. The nurse is evaluating the effectiveness of guided imagery for pain management as used for a patient who has second- and third-degree burns and needs extensive dressing changes. Which statement best describes that guided imagery is effectively controlling the patient's pain during dressing changes? A. The patient's need for analgesic medication decreases during the dressing changes. B. The patient rates pain during the dressing change as a 6 on a scale of 0 to 10. C. The patient's facial expressions are stoic during the procedure. D. The patient can tolerate more pain, so dressing changes can be performed more frequently. The nurse is administering pain medication for several patients. Which patient does the nurse administer medication to first? A. The patient who needs to take a scheduled dose of maintenance pain medication B. The patient who needs to be premedicated before walking C. The patient with a PCA running who needs to have the syringe replaced D. The patient who is experiencing 8/10 pain and has a STAT order for pain medication The nurse is caring for an infant in the intensive care unit. Which of the following is the most accurate description of factors that will influence the perception and management of pain for this patient? A. Infants cannot tolerate analgesics owing to an underdeveloped metabolism. B. Infants have an increased sensitivity to pain when compared with older children. C. Pain cannot be accurately assessed in infants. D. Infants respond behaviorally and physiologically to painful stimuli.