The nurse is assessing a client who complains of diffuse pain ...

[meagbuch]

The nurse is assessing a client who complains of diffuse pain that started 1 year ago and who is having difficulty with appetite and sleeping. Which physical assessment finding should the nurse expect?
 
  1. An elevated heart rate and blood pressure
  2. High blood glucose levels
  3. Normal vital signs
  4. Symptoms of manic behavior

Question 2

The nurse is teaching the client who is about to be discharged about ways to help control chronic pain in the home using the gate control theory. The nurse teaches the client with back pain to use which of the following to close the gate?
 
  1. Take ordered pain medication every 4 hours around the clock.
  2. Assume a supine position for 1 hour when pain is perceived.
  3. Obtain a back massage.
  4. Take chondroitin when pain begins.

[Ptupou85]

Answer to Question 1

Answer: 3

1. The client is describing chronic pain, and the autonomic system adjusts to the pain, producing a normal heart rate and blood pressure.
2. Blood glucose levels will be normal unless the client is diabetic, which has nothing to do with pain.
3. Since the autonomic nervous system adjusts to chronic pain, vital signs will be normal.
4. The most likely psychological responses to chronic pain are depression and social withdrawal.

Answer to Question 2

Answer: 3

1. Medication for pain is useful to alter the perception of pain once the gate is open and pain perception reaches the brain.
2. Position changes will not close the gate and block pain.
3. Massage therapy blocks the pain by stimulating the large A-beta fibers, which close the gate and decrease the perception of pain.
4. Chondroitin is an herbal preparation taken to prevent the pain in joints from arthritis that has no effect on the gate.

[meagbuch]

TYSM

[scottmt]

Gracias!