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ATI Custom Fundamentals Chapter 31 ALL Questions

Extract:


Question 1 of 5

A nurse is collecting data on a client following administration of an opioid narcotic. Which of the following findings indicates a decrease in the client's pain?

Correct Answer: B

Rationale: The client being asleep may indicate decreased pain as pain often disrupts sleep and opioids promote sedation. Elevated blood pressure (
A) increased respiratory rate (
C) and diaphoresis (
D) suggest ongoing pain or other issues not relief.

Question 2 of 5

The patient with a recent abdominal incision has an abdominal binder applied. The nurse explains that this appliance helps reduce pain by:

Correct Answer: A

Rationale: An abdominal binder supports surface and internal tissues reducing pain by minimizing movement and strain on the incision. It does not primarily provide back support (
B) increase warmth (
C) or keep sutures/staples in place (
D).

Question 3 of 5

A patient experiencing pain states that guided imagery has made the pain more manageable in the past. To assist this patient,the nurse should:

Correct Answer: D

Rationale: Reading a script for guided imagery helps the patient visualize a restful place aligning with their past success. Newspapers/cards (
A) focal points (
B) and back rubs (
C) do not support guided imagery.

Question 4 of 5

A nurse is assessing the status of a patient who is sleeping. Which assessment data indicate that the patient is most likely in stage 3 of non-rapid eye movement (NREM) sleep?

Correct Answer: D

Rationale: Stage 3 NREM sleep (slow-wave sleep) is characterized by decreased respirations and slow heart rate reflecting deep rest. Options A B and C indicate more active physiological states not typical of stage 3.

Question 5 of 5

The most helpful intervention by the nurse for a hospitalized child who is having difficulty falling asleep would be to:

Correct Answer: C

Rationale: Keeping a night light on creates a comforting environment reducing fear of the dark. Sugary snacks (
A) increase alertness a blanket/pillow (
B) is secondary and complete darkness (
D) may frighten the child.

Similar Questions

A nurse is caring for a client who is postoperative. When helping to manage the client's pain,which of the following principles should the nurse apply? (Select all that apply.)
The nurse performing a focused assessment on pain will assess: (Select all that apply.)
A nurse is collecting data on a client following administration of an opioid narcotic. Which of the following findings indicates a decrease in the client's pain?
A relative complains that an older adult patient takes frequent naps late in the day and awakens frequently during the night and wants to know if this is normal. The nurse explains that an older adult:
A nurse is assisting in the care of a patient who is receiving pain medication by the epidural route. It is most important to monitor this patient for which adverse drug effects?

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