Author Question: A client comes to the facility complaining of acute pain. When assessing the client, the nurse ... (Read 31 times)

penguins · **on:** Jul 22, 2018

A client comes to the facility complaining of acute pain. When assessing the client, the nurse understands that unrelieved acute pain can result in which physiologic responses? Select all that apply.

A) Decreased secretion of antidiuretic hormone
B) Gluconeogenesis
C) Protein anabolism
D) Increased secretion of cortisol
E) Decreased peripheral vascular resistance

Question 2

A client is receiving opioid analgesia for pain control. The nurse is assessing the client for possible respiratory depression. Which method would be most reliable for the nurse to use to identify impending respiratory depression?

A) End tidal CO2
B) Pulse oximetry
C) Respiratory rate
D) Lung sounds

Tonny · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

Ans: B, D
Feedback:
Physiologic responses to unrelieved acute pain include increased secretion of antidiuretic hormone, gluconeogenesis, protein catabolism, increased secretion of cortisol, and increased peripheral vascular resistance.

Answer to Question 2

Ans: A
Feedback:
End tidal CO2 is considered a highly reliable measure of the quality of ventilation and, unlike pulse oximetry, is an early indicator of impending respiratory depression. Although respiratory rate and lungs sounds help evaluate the client's respiratory status, they are not reliable indicators of impending respiratory depression.