Author Question: The nurse is talking to a patient with chronic pain secondary to psoriatic arthritis in multiple ... (Read 49 times)

ss2343 · **on:** Jul 23, 2018

The nurse is talking to a patient with chronic pain secondary to psoriatic arthritis in multiple joints about developing a pain management program. Which goal identified by the patient would be realistic for the program?

a. I would like for all my pain to be gone and not recur in the future.
b. I want to be able to do all the things I used to do before this pain started.
c. I want to control the pain enough to allow me to sleep through the night.
d. My goal is to lead a normal life without experiencing so much pain every day.

Question 2

A patient is diagnosed with an intestinal infection after traveling abroad. The nurse should encourage the intake of which food to promote healing?

a. Yogurt
b. Pasta
c. Oatmeal
d. Broccoli

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

Answer to Question 1

C
A reasonable goal is to obtain adequate pain control to allow for the patient to sleep during the night. It is not realistic to think that the pain can be completely eliminated. The patient will not be able to do everything she did before the pain started because strenuous activity will likely exacerbate the pain in the damaged joints. The patient's life will not be the same as it was before the pain, because the damaged joints will not return to normal; however, pain reduction enough to function and engage in ADLs is a reasonable expectation.

Answer to Question 2

A
Although the patient may have diarrhea, the goal is not to stop the diarrhea, but to eliminate the pathogens from the digestive tract. The active bacteria in yogurt stimulate peristalsis and promote healing of intestinal infections. Pasta is a low-fiber food that slows peristalsis. It does not promote healing of intestinal infections. Oatmeal stimulates peristalsis, but it does not promote healing of intestinal infections. Broccoli stimulates gas production; it is ineffective against intestinal infections.