The nurse is attempting to ambulate a postoperative client who continues to rate his pain as a 7 on a scale of 0 to 10, with 10 being the most severe
The client is reluctant to walk and consents to move only to the chair, reporting that "it hurts too much to walk." The nurse's primary concern regarding the client's recovery related to his pain experience is that:
1. His pain medications are not effectively managing his pain
2. He does not fully understand the importance of ambulation
3. He is expending too much of his energy dealing with the pain
4. He is not ready to participate in the activities needed to recover quickly
ANS: 4
Efforts aimed at teaching and motivating the client toward self-care are often hampered until the pain is successfully managed. Thus a primary nursing goal is to provide pain relief that allows clients to participate in their recovery. Although the remaining options are not inappropriate, they do not express the major concern regarding his recovery.
You might also like to view...
A patient in the ICU with acute respiratory failure demonstrates dyspnea, headache, tachypnea, and tachycardia
Which of these symptoms distinguishes this patient's condition as acute hypercapnic respiratory failure, as opposed to acute hypoxemic respiratory failure? A) Dyspnea B) Headache C) Tachycardia D) Tachypnea
A patient's primary immunodeficiency disease is characterized by the inability of white blood cells to initiate an inflammatory response to infectious organisms. What is this patient's most likely diagnosis?
A) Chronic granulomatous disease B) Wiskott-Aldrich syndrome C) Hyperimmunoglobulinemia E syndrome D) Common variable immunodeficiency
A nurse is assessing a pregnant client with twin gestation and notes that the sonogram shows monoamniotic twin pregnancy. Which of the following sonographic features is associated with monoamniotic twin pregnancy?
A) Division of amniotic membranes B) Fetuses of the same sex C) Restricted fetal movement D) Presence of double placentas
A patient has been admitted for observation following an automobile accident. The nurse suspects that the patient's condition may be deteriorating because
1. The patient was previously lethargic and is now alert. 2. The blood pressure and pulse have not changed. 3. The patient still cannot remember the events before the accident. 4. The patient was oriented to person, place, time, and situation 1 hour ago and is now oriented to person and place only.