From an assessment, the nurse learns that the client is having ...

[Mr. Wonderful]

From an assessment, the nurse learns that the client is having difficulty sleeping because of pain in the hips and knees due to arthritis. The client is weak and fatigued. Which diagnoses would be applicable to the client at this time?
 
  1. Anxiety
  2. Hopelessness
  3. Ineffective Health Maintenance
  4. Insomnia
  5. Impaired Physical Mobility

Question 2

A client experiencing chronic pain is not getting relief with pain medication. What should the nurse do to help this client?
 
  1. Ask the physician to change the prescribed pain medication.
  2. Reassess the pain and consider another pain relief measure.
  3. Limit interaction with the client.
  4. Stop using alternative pain relief measures, if not effective.

[mcinincha279]

Answer to Question 1

Correct Answer: 3, 4, 5
Rationale: The diagnosis of Anxiety would not be applicable, as the client did not express past experiences of poor control of pain or anticipation of future pain events.

Answer to Question 2

Correct Answer: 2
Rationale 1: If a pain relief measure is ineffective, encourage the client to try it again before abandoning it. Medications might need repeated doses to saturate plasma proteins before sufficient free drug is available to work on the intended target.
Rationale 2: Keep trying. Do not ignore a client because pain persists despite failed attempts to alleviate the discomfort. In these circumstances, reassess the pain and consider other relief measures.
Rationale 3: The nurse should not ignore the client.
Rationale 4: Many nonpharmacologic measures require practice before they are effective.

[Mr. Wonderful]

Excellent

[mochi09]

TYSM