Author Question: Which learning objective/outcome has the highest priority for a patient with life-threatening, ... (Read 122 times)

ec501234 · **on:** Jul 22, 2018

Which learning objective/outcome has the highest priority for a patient with life-threatening, severe food allergies that require an EpiPen (epinephrine)?

a. The patient will administer epinephrine.
b. The patient will identify the main ingredients in several foods.
c. The patient will list the side effects of epinephrine.
d. The patient will learn about food labels.

Question 2

A nurse is caring for a patient who recently had spinal surgery. The nurse knows that patients usually experience acute pain following this type of surgery. The patient refuses to get up and walk and is not moving around in the bed.

However, the patient is stoic and denies experiencing pain at this time. What most likely explains this patient's behavior and response to surgery? a. The surgery successfully cured the patient's pain.
b. The patient's culture is possibly influencing the patient's experience of pain.
c. The patient is experiencing urinary retention because of manipulation of the spine during surgery; this is preventing the patient from experiencing pain.
d. The nurse is allowing personal beliefs about pain to influence pain management at this time.

yasmin · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

A
Once you assist in meeting patient needs related to basic survival (how to give epinephrine), you can discuss other topics, such as nutritional needs and side effects of medications. For example, a patient recently diagnosed with coronary artery disease has deficient knowledge related to the illness and its implications. The patient benefits most by first learning about the correct way to take nitroglycerin and how long to wait before calling for help when chest pain occurs. Thus, in this situation, the patient benefits most by first learning about the correct way to take epinephrine. The patient will learn about food labels is not objective and measurable and is not correctly written.

Answer to Question 2

B
A patient's culture often influences the patient's expression of pain. In this case, the patient has just had surgery, and the nurse knows that this surgical procedure usually causes patients to experience pain. It is important at this time for the nurse to examine cultural and ethnic factors that are possibly affecting the patient's lack of expression of pain at this time. Even if surgery corrects neurological factors that create chronic pain, surgery causes pain in the acute period. Urinary retention usually creates pain and does not mask surgical pain. The nurse is not allowing personal beliefs to influence pain management because the nurse is attempting to determine the reason why the patient is not verbalizing the experience of pain.