Author Question: The nurse recognizes which of the following client outcomes as being a result of ineffective pain ... (Read 71 times)

itsmyluck · **on:** Jul 23, 2018

The nurse recognizes which of the following client outcomes as being a result of ineffective pain management? (Select all that apply.)

1. Client expressing feelings of despair and hopelessness
2. Inability to self-ambulate distance from bed to bathroom
3. Stage 1 pressure ulcer development on coccyx and left hip
4. Client rating pain as 4 on a scale of 0 to 10 30 minutes after pain medication
5. Postponement of discharge because of the inability to perform activities of daily living
6. Postponement of physical therapy because of client's inability to tolerate knee flexion

Question 2

Which of the following client outcomes reflect the positive aspects of effective pain manage-ment? (Select all that apply.)

1. The client with arthritis in both hands knitting for pleasure
2. A client rating his chronic back pain as a 3 on a scale of 0 to 10
3. A client with type 2 diabetes walking 5 miles in a Fourth of July parade
4. A client who has undergone surgery ambulating to the bathroom on the first postoperative day
5. A client with knee replacement surgery returning to his job as a mail carrier
6. A client with terminal cancer going home on outpatient chemotherapy

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

Answer to Question 1

ANS: 1, 2, 3, 5, 6
Acute pain seriously threatens a client's recovery by resulting in prolonged hospitalization, in-creased risks of complications from immobility, and delayed rehabilitation. Physical or psycho-logical progress is delayed as long as acute pain persists because the client focuses all energy on pain relief. A pain rating of 4 reflects tolerable pain, which may be a realistic expectation in some cases of chronic pain.

Answer to Question 2

ANS: 1, 2, 4, 5, 6
Effective pain management improves quality of life, reduces physical discomfort, promotes earli-er mobilization and return to work, results in fewer hospital/clinic visits, and shortens hospital stays, thus reducing health care costs. The remaining option does not involve a client who is nor-mally dealing with pain.