ATI RN
Client Comfort Questions
Question 1 of 5
Which intervention is most appropriate for end-of-life comfort care?
Correct Answer: B
Rationale: In end-of-life care, the primary goal shifts from curing to ensuring comfort and dignity, which involves managing pain and providing emotional support to both the patient and their family. Pain management addresses physical suffering, while emotional support helps alleviate fear, anxiety, or spiritual distress, aligning with holistic comfort principles. Choice A, aggressive treatment, contradicts this goal, as it may prolong suffering rather than enhance comfort. Choice C, limiting family visits, is inappropriate because family presence often provides emotional solace and supports the patient's psychosocial needs. Choice D, focusing only on physical symptoms, neglects the emotional, spiritual, and social dimensions critical in end-of-life care. Choice B stands out as the most appropriate, integrating comprehensive pain relief with emotional care to promote peace and comfort during this sensitive phase.
Question 2 of 5
The nurse is assessing a client with fibromyalgia who reports disturbed sleep and fatigue. What additional symptom does the nurse anticipate?
Correct Answer: B
Rationale: The nurse anticipates widespread pain in a client with fibromyalgia reporting disturbed sleep and fatigue, as it's a hallmark symptom of the condition. Fibromyalgia involves chronic, diffuse musculoskeletal pain across multiple body regions, often exacerbated by poor sleep and fatigue, which disrupt pain modulation in the central nervous system. Increased appetite (Choice A) isn't typicalfatigue might reduce appetite due to low energy, not increase it. Headache (Choice C) can occur but isn't a core feature; fibromyalgia's pain is broader, not localized to the head. Bradycardia (Choice D), a slow heart rate, has no direct link to fibromyalgia, which doesn't typically affect cardiac rhythm. Widespread pain (Choice B) aligns with diagnostic criteria, making it the expected finding. Nurses assess this to tailor interventions like pain management, sleep aids, or stress reduction, addressing the triad of pain, sleep issues, and fatigue that defines fibromyalgia's impact on quality of life.
Question 3 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 4 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 5 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.