Question 1

A female client has returned to the unit following a hysterectomy.The nurse knows that which intervention will provide the most pain relief for the client?

Accepted Answer

A)  Offer pain relief before the client complains of pain. 
B)  Assess the pain level every 4 hours around the clock. 
C)  Wait until the client can describe the pain specifically. 
D)  Allow the client to "sleep off" the anesthesia, and then offer pain medication. A

Question 2

The nurse is caring for a dying child.Which nursing action supports the primary goal for a dying child?

Accepted Answer

A)  Keep the child entertained so she does not think about dying. 
B)  Ensure that a good relationship is maintained with the family. 
C)  Administer pain medication as ordered. 
D)  Maintain a busy schedule for child and family members. C

Question 3

A client having difficulty sleeping asks the nurse what the complications of sleep deprivation might be.Which topic will the nurse include when responding to the client?

Accepted Answer

A)  Fatigue occurring at night 
B)  Auditory hallucinations 
C)  Improved wound healing 
D)  Development of Alzheimer's disease B

Question 4

An adult client diagnosed with sleep apnea has been prescribed a continuous positive airway pressure (CPAP)machine as treatment.The nurse is instructing the client on how to use the machine.Which instruction should the nurse include?

Accepted Answer

A)  Any size mask will work. 
B)  Straps can be loose, if that feels more comfortable. 
C)  Use relaxation exercises to reduce uncomfortable feelings from the mask. 
D)  Do not use a humidifier at the same time.

Question 5

A participant in a seminar given by the nurse asks for information about lifestyle situations that might contribute to chronic fatigue.Which should the nurse identify in response to this request? Select all that apply.

Accepted Answer

A)  Synthroid use 
B)  Chronic back pain 
C)  Marijuana use 
D)  Vigorous exercise three times a week 
E)  Swimming after a meal

Question 6

The nurse is teaching a female client with chronic fatigue due to clinical depression regarding ways to increase energy levels.Which client statement indicates that teaching has been effective?

Accepted Answer

A)  "I need to increase exercise time each week." 
B)  "I will spend time with friends." 
C)  "I will take Wellbutrin as prescribed." 
D)  "I will go shopping once a week."

Question 7

A competent older adult client has a living will that expresses the client's desire to avoid resuscitation and heroic life support measures.The family members are not supportive of this directive and plan to contest the living will.Which nursing action is the most appropriate?

Accepted Answer

A)  Place the document on the chart. 
B)  Contact the Social Services department. 
C)  Explain to the client that the conflict could invalidate the document. 
D)  Notify the hospital attorney.

Question 8

A resident in an assisted-living facility is restless most nights and sits in the lounge area reading.When questioned,the resident reports suffering from insomnia.What should the nurse expect as an outcome if the resident continues with this pattern of sleep?

Accepted Answer

A)  Safety issues with an unsupervised resident in the lounge area 
B)  Onset of cardiac dysfunction 
C)  Onset of new underdiagnosed health problems 
D)  The ability to function during the day may be hindered by these episodes.

Question 9

The nurse provides an in-service to peers regarding situations that can affect the comfort level of the clients on the unit.Which client statement indicates that the client's sense of well-being is negatively impacted?

Accepted Answer

A)  "I feel like I have no energy today." 
B)  "I don't feel any physical pain today." 
C)  "I was able to sleep uninterrupted last night." 
D)  "I am so glad that playing cards takes my mind off my worries."

Question 10

An adult client is diagnosed with fibromyalgia.The client asks the nurse whether a recent of infection with the Coxsackie B virus could have caused fibromyalgia.Which response by the nurse is the most appropriate?

Accepted Answer

A)  The Coxsackie B virus has nothing to do with fibromyalgia. 
B)  The Coxsackie B virus may have triggered the fibromyalgia. 
C)  The Coxsackie virus definitely caused the fibromyalgia. 
D)  Fibromyalgia is a psychiatric disorder.

Question 11

A client with clinical depression asks the nurse for suggestions on how to improve the quality of sleep.After reviewing the client's history,which suggestion by the nurse is the most appropriate? Select all that apply.

Accepted Answer

A)  Avoid the use of alcohol late in the evening. 
B)  Consume a cup of tea before bed to relax. 
C)  Adjust the temperature in the room to a comfortable level. 
D)  Change the time of aerobic exercise to 1 hour prior to sleep. 
E)  Avoid smoking before bedtime.

Question 12

The nurse is taking care of a client with terminal lung cancer who is showing signs of imminent death.What changes should the nurse expect the client to exhibit? Select all that apply.

Accepted Answer

A)  Decreased blood pressure 
B)  Initial increased heart rate followed by bradycardia 
C)  An increase in the volume of Korotkoff's sounds 
D)  Diaphoresis 
E)  An increase in cardiac output

Question 13

The nurse is preparing to assess comfort for several clients.Which will the nurse assess,in addition to the client's physical experience of pain,during this process? Select all that apply.

Accepted Answer

A)  Religion 
B)  Friendship 
C)  Environment 
D)  Psychospirituality 
E)  Social interaction

Question 14

An Asian man brings his wife to the clinic and states,"I want you to fix my wife and tell her that there is nothing wrong with her." The client has symptoms of pain,sleep disorders,and stiffness.Which would be most appropriate for the nurse to include in a plan of care for this family?

Accepted Answer

A)  Medications used to treat fibromyalgia 
B)  An exercise program to increase energy 
C)  Information and literature on fibromyalgia 
D)  Suggested dietary changes to help with the pain

Question 15

A client is experiencing severe pain in the left lower quadrant of the abdomen that is rated as a 10 on a pain scale of 0-10.The client is also experiencing nausea,vomiting,and restlessness.Based on this data,the nurse concludes that the client is experiencing which phenomenon?

Accepted Answer

A)  Acute pain 
B)  Chronic pain 
C)  End-of-life pain 
D)  Fibromyalgia pain

Question 16

A client reports feeling tired and not refreshed after sleeping even when everyone at home laughs about her loud snoring at night.What should the nurse suspect as being the cause of this client's fatigue?

Accepted Answer

A)  Insomnia 
B)  Depression 
C)  Thyroid disorder 
D)  Sleep apnea

Question 17

The nurse is caring for a client who is diagnosed with fibromyalgia.Based on this diagnosis,which clinical manifestations does the nurse anticipate for this client? Select all that apply.

Accepted Answer

A)  Irritable bowel syndrome 
B)  Insomnia 
C)  Pain in the calves of the leg 
D)  Nausea and vomiting 
E)  Anxiety

Question 18

The nurse is teaching a class on the perception of pain.What will the nurse teach as being the second step in processing pain stimuli?

Accepted Answer

A)  Thalamus 
B)  Reticular system 
C)  Limbic system 
D)  Cerebral cortex

Exam 3: Comfort