Author Question: A client who had knee replacement surgery the previous day refuses to take any pain medication, even ... (Read 27 times)

lidoalex · **on:** Jul 23, 2018

A client who had knee replacement surgery the previous day refuses to take any pain medication, even though he rates his pain as an 8 on a 0 to 10 scale.

Upon questioning the client the nurse learns that the reason for refusing pain medication is be-cause he is concerned about injuring the knee and not feeling it. The best information that the nurse can provide this client is to explain that:
1. The pain medication will help speed his recovery time
2. He need not worry about becoming addicted to the pain medication
3. He will not be perceived as weak for taking the pain medication
4. He is being a difficult client and needs to comply with the health care provider's orders

Question 2

The home care nurse notes that a 67-year-old female diabetic client's blood glucose level has been elevated since she strained her back the previous week.

The client states that she cannot understand why her blood glucose level is elevated. The nurse suspects the most likely cause for the elevated blood sugar is:
1. The decreased activity level of the client since the injury
2. Parasympathetic stimulation from the body's normal response to pain
3. The client is consuming more food as a comfort measure
4. The client may not be taking her medication as ordered

kalskdjl1212 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: 1
Acute pain seriously threatens a client's recovery by resulting in prolonged hospitalization, in-creased risks of complications from immobility, and delayed rehabilitation. Physical or psycho-logical progress is delayed as long as acute pain persists, because the client focuses all energy on pain relief. Thus a primary nursing goal is to provide pain relief that allows clients to participate in their recovery.

Answer to Question 2

ANS: 2
An increased blood glucose level is the body's physiological response to pain, which is triggered by the parasympathetic nervous system in order to provide additional glucose for additional en-ergy.