Author Question: A nurse on a postsurgical unit is providing care for a 76-year-old female client who is 2 days ... (Read 187 times)

bobbysung · **on:** Jun 25, 2018

A nurse on a postsurgical unit is providing care for a 76-year-old female client who is 2 days posthemiarthroplast y (hip replacement) and who states that her pain has been out of control for the last several hours,

though she is not exhibiting signs of pain. Which of the following guidelines should the nurse use for short-term and long-term treatment of the client's pain?
A)
Reconciling the client's need for opioid analgesics with the risk of addiction to these drugs
B)
Recognizing the client's pain is not likely self-limiting
C)
Knowing that the client's self-report of pain is the most reliable indicator of pain
D)
Realizing that chronic pain is likely to require innovative and complex treatment

Question 2

A nursing student having trouble moving his head from side to side is likely experiencing a problem with which type of neurons?

A)
General visceral efferent neurons
B)
Preganglionic neurons
C)
Parasympathetic postganglionic neurons
D)
Pharyngeal efferent neurons

ultraflyy23 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Ans:
C

Feedback:

Clinically, the patient's self-report of pain is the most reliable indicator of pain. The risk of addiction to opioids is extremely low, and since the client's pain is acute rather than chronic, it is likely self-limiting.

Answer to Question 2

Ans:
D

Feedback:

Pharyngeal efferent neurons innervate brachial arch skeletal muscles, muscles of mastication and facial expression, and muscles of the pharynx and larynx. They also innervate muscles responsible for moving the head. General visceral efferent neurons and preganglionic neurons (same) innervate smooth and cardiac muscle and glandular cells of the body, most of which are in the viscera. Parasympathetic postganglionic neurons have no effect in moving the head.