ATI RN
Client Comfort Questions
Question 1 of 5
What is a common trigger for fibromyalgia pain?
Correct Answer: B
Rationale: Physical or emotional stress is a common trigger for fibromyalgia pain, exacerbating the widespread musculoskeletal discomfort characteristic of the condition. Stress, whether from injury, overexertion, or psychological strain like anxiety, disrupts the central nervous system's pain processing, a key factor in fibromyalgia's pathology. Choice A, warm weather, might actually ease symptoms for some, as cold often worsens stiffness and pain. Choice C, regular exercise, while beneficial in moderation to maintain mobility, isn't a triggeroverdoing it might be, but that's distinct. Choice D, adequate rest, typically helps manage symptoms, not provoke them, though poor sleep can worsen pain. Choice B correctly identifies stress as a primary trigger, aligning with clinical observations that fibromyalgia patients experience flare-ups during stressful periods, making stress management a critical nursing focus.
Question 2 of 5
A nurse administering an opioid analgesic will base the dosage and timing on which of the following?
Correct Answer: B
Rationale: The nurse bases opioid analgesic dosage and timing on the client's weight and pain level, ensuring safe, effective relief tailored to body mass (for metabolism) and pain severity (for efficacy). Guidelines like mg/kg and pain scales (0-10) inform this, preventing under- or overdosing. Choice A, nurse's convenience, is unethicalcare prioritizes client need, not staff schedule. Choice C, time of day, might influence sleep-related dosing but isn't primarypain dictates timing (e.g., PRN). Choice D, drug availability, affects options but not dosage; nurses adjust within what's accessible, not arbitrarily. Choice B is correct, reflecting pharmacology principles nurses apply, balancing therapeutic effect with safety (e.g., monitoring respiratory depression), ensuring individualized care for acute or chronic pain management.
Question 3 of 5
A client with arthritis tells the nurse that applying heat to the joints helps relieve the pain. What would be the basis for the nurse's follow-up teaching?
Correct Answer: A
Rationale: The basis for the nurse's follow-up teaching is that heat increases blood flow, dilating vessels to deliver oxygen and nutrients to arthritic joints, relaxing muscles and easing stiffness-related pain. This physiological effect underpins heat therapy's benefit in arthritis. Choice B, heat numbs nerve endings, is inaccurateheat soothes, but numbing is more cold's domain; it doesn't block nerve signals. Choice C, heat reduces inflammation, is misleadingheat may feel good but can worsen acute inflammation; arthritis pain relief here ties to chronic stiffness, not swelling reduction. Choice D, heat distracts from pain, oversimplifiesdistraction occurs, but increased circulation is the primary mechanism. Choice A is correct, guiding nurses to explain heat's vascular benefits, reinforcing safe use (e.g., warm packs) and pairing it with other therapies, enhancing the client's self-management of chronic arthritis pain.
Question 4 of 5
A client with a fractured arm asks the nurse why the pain gets worse at night. What would be the basis of the nurse's response?
Correct Answer: A
Rationale: The basis of the nurse's response is less distraction, as nighttime's quiet and inactivity allow greater focus on pain signals from a fractured arm, amplifying perception. During the day, activity or interaction diverts attention, dulling pain awarenessa psychological modulation effect. Choice B, more activity, is falsenight typically involves rest, not exertion, which might increase pain if true. Choice C, improved circulation, doesn't fit; circulation may stabilize at rest, but this doesn't inherently worsen painswelling might, but it's not specified. Choice D, increased appetite, is unrelatedhunger doesn't intensify fracture pain. Choice A is correct, guiding nurses to explain this common pattern, suggesting strategies like mild distraction (e.g., music) or timed analgesics to blunt nighttime pain spikes, enhancing comfort for acute injuries like fractures.
Question 5 of 5
A client with chronic pain tells the nurse that the pain medication causes drowsiness. What would be the nurse's best response?
Correct Answer: B
Rationale: The best response is Take the medication at bedtime,' as it leverages drowsinessa common opioid side effectto aid sleep, a frequent issue in chronic pain, while maintaining pain control. Timing adjusts impact without altering the regimen. Choice A, stop taking it, risks uncontrolled pain, dismissing a manageable side effect over the drug's benefit. Choice C, you'll get used to it, assumes tolerance develops, which may notdrowsiness can persist, disrupting daytime function. Choice D, reporting to the physician, may follow, but nurses first offer practical solutions; this isn't urgent. Choice B is correct, empowering the client with a strategy nurses often suggest, aligning dose with lifestyle, reducing daytime sedation, and enhancing comfort, with follow-up if issues persist.