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Questions and Answers

What is the primary focus of nursing interventions when delivering a PCA pump to a terminally ill patient?

  • Guide the family on recognizing signs of morphine overdose.
  • Teach the family about alternative therapies for pain management.
  • Provide emotional support to the family considering the situation.
  • Ensure the family understands how to operate the pump and manage side effects. (correct)
  • In cases of severe intractable pain, which intervention is likely to be ineffective?

  • Neurologic approaches to pain management.
  • Increasing exercise to distract from pain. (correct)
  • Investigating alternative pain management options abroad.
  • Using pharmacologic pain relief methods.
  • What should be included in family education when using a PCA pump at home?

  • Monitoring medication intake and recognizing side effects. (correct)
  • Encouraging alternative pain relief methods.
  • Understanding the theories behind pain management.
  • Discussing relocation options for caregiving.
  • Which of the following actions is least appropriate when managing chronic pain in a homebound patient?

    <p>Suggesting increased physical activity.</p> Signup and view all the answers

    What role does psychosocial support play in caring for families of terminally ill patients?

    <p>It helps the family cope with emotional distress.</p> Signup and view all the answers

    Why is it important to teach families about the side effects of medication used in PCA?

    <p>To ensure they can recognize potential dangers to the patient.</p> Signup and view all the answers

    What might be a consequence of suggesting relocation to long-term care for pain management?

    <p>It may give the impression that pain management is not achievable.</p> Signup and view all the answers

    When assessing pain in a patient on PCA therapy, what aspect should be prioritized?

    <p>Patient's ability to describe pain duration accurately.</p> Signup and view all the answers

    What is the primary reason for significantly increased caloric needs in patients experiencing shock?

    <p>Increased release of catecholamines</p> Signup and view all the answers

    In managing a patient in the progressive stage of shock, what should the nursing focus primarily be on?

    <p>Assessing and understanding changes in assessment data</p> Signup and view all the answers

    Which of the following statements accurately reflects the nutritional needs of patients in shock?

    <p>Patients in shock may require around 3,000 calories daily.</p> Signup and view all the answers

    What factor is least likely to contribute to the physiologic changes seen in shock?

    <p>Increased gastrointestinal function</p> Signup and view all the answers

    How should a nurse prioritize interventions when a patient is suspected to be in shock?

    <p>Report subtle assessment changes immediately</p> Signup and view all the answers

    Which of the following interventions is critical for patients in shock regarding their nutritional needs?

    <p>Meeting high caloric demands through appropriate dietary management</p> Signup and view all the answers

    In the context of providing care for patients in shock, what role does education play for family members?

    <p>Education is essential to help family understand physiological changes and care tasks.</p> Signup and view all the answers

    What should a nurse do if fluid loss occurs due to decreased skin integrity?

    <p>Increase fluid management and monitor input and output closely.</p> Signup and view all the answers

    What is the most appropriate response from the nurse regarding the patient's increasing need for analgesia?

    <p>Much cancer pain is caused by tumor involvement and needs to be treated in a way that brings the patient relief.</p> Signup and view all the answers

    Which factor emphasizes the reason why stress from pain is particularly harmful in the elderly?

    <p>The stress of pain can lead to significant endocrine, immunologic, and inflammatory changes.</p> Signup and view all the answers

    What is a common misconception about managing pain in patients with a history of chronic pain?

    <p>Higher doses of analgesics will always lead to better pain management.</p> Signup and view all the answers

    Which technique is important for assessing a patient's pain level accurately?

    <p>Connecting with the patient to discuss their personal pain experiences.</p> Signup and view all the answers

    What is a critical point for family education in managing a patient's home care for chronic pain?

    <p>Family members should learn how to assess pain and respond accordingly to changes.</p> Signup and view all the answers

    How can psychosocial support for caregivers impact the care provided to patients with chronic pain?

    <p>Emotional support helps caregivers manage their stress and better care for the patient.</p> Signup and view all the answers

    What aspect of pain management is essential to consider when dealing with an elderly patient?

    <p>Pain management strategies should align with the individual's overall health status and functional ability.</p> Signup and view all the answers

    What misconception about pain control in cancer patients is highlighted in the nurse's interaction with the patient's wife?

    <p>Pain control methods are the same as for patients without cancer.</p> Signup and view all the answers

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