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hbuedu hbuedu
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Posts: 336
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6 years ago
A client complains that the bed sheets touching his skin are extremely painful. The nurse realizes this client is experiencing:
 
  1. allodynia.
  2. modulation.
  3. kinesthesia.
  4. proprioception.

Question 2

The nurse is assessing a client for risks in the development of varicose veins. Which of the following findings would increase this client's risk?
 
  1. Normal weight
  2. Prolonged standing
  3. Engages in golf three times a week
  4. Eats several servings of fruits and vegetables each day

Question 3

The scrub nurse is preparing the sterile field by opening an instrument package that was sterilized in an autoclave with direct exposure to steam. This type of sterilization is considered to be:
 
  1. high-pressure/high-temperature steam.
  2. cold chemical.
  3. dry heat.
  4. alcohol.

Question 4

The perioperative nurse realizes that the surgical environment is designed to ensure which of the following?
 
  1. Calming effect on the client
  2. Ease of use by personnel
  3. Control surgical asepsis
  4. Reduce postoperative pain

Question 5

A client tells the nurse that she rarely experiences pain, but when she does, she seeks medical attention. The nurse realizes this client understands that pain is important because it:
 
  1. is a protective system.
  2. includes the automatic withdrawal reflex.
  3. creates sensitivity to pain.
  4. helps with healing.

Question 6

A client's blood pressure measurements have a 20 mmHg difference between the upper extremity readings. Which of the following does this assessment finding suggest to the nurse?
 
  1. Arteriosclerosis
  2. Aortic aneurysm
  3. Deep vein thrombosis
  4. Subclavian steal syndrome

Question 7

Even though the nurse realizes that the ideal time period to plan for postoperative pain management for a pediatric client begins in the operating room, the nurse will begin the assessment process:
 
  1. at the time the decision is made that the client needs surgery.
  2. in the family's home.
  3. during the admission process.
  4. in the operating room after anesthesia wears off.
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Replies
wrote...
6 years ago
The answer to question 1

1
Allodynia or hyperalgesia is a state where a slight or nonpainful stimulus is interpreted as very painful. Kinesthesia is the awareness of movement. Proprioception is the awareness of body position. Modulation is an influencing factor in the perception of pain.

The answer to question 2

2
Risk factors for the development of varicose veins include thrombophlebitis, obesity, prolonged standing, pregnancy, and liver or pancreas dysfunction. Normal weight, activity, and balanced diet are not risk factors for the development of varicose veins.

The answer to question 3

1
High-pressure/high-temperature steam sterilization is the use of an autoclave to directly expose the instruments to steam for a specified period of time. Cold chemical sterilization is the submersion of instruments in a sterilizing solution for a predetermined period of time. Dry heat utilizes static air or forced air to sterilize items. Alcohol is a commonly used disinfectant. It is not an effective sterilant and, therefore, is not acceptable.

The answer to question 4

3
The design of the intraoperative environment is to maintain surgical asepsis. The design is not to have a calming effect on clients. Intraoperative environments are not designs for ease of use by personnel or to reduce postoperative pain.

The answer to question 5

1
Pain is a protective system that includes protection from unsafe behaviors by use of reflexes, memory, and avoidance. Even though the automatic withdrawal reflex is a part of the pain response, it does not explain why pain is important. Pain does not create sensitivity to pain. Pain does not help with healing.

The answer to question 6

4
A difference of greater than 20 mmHg when assessing bilateral blood pressure measurements is considered a significant finding in the diagnosis of subclavian steal syndrome. This blood pressure discrepancy is not a finding with arteriosclerosis, aortic aneurysm, or deep vein thrombosis.

The answer to question 7

3
Pain management cannot begin before the patient is admitted, and starting after the surgery is too late. It begins at the admission when the type of surgery indicates which type of medication will be needed, and medication skills will be taught to the client and the family. Planning for pain management cannot begin in the client's home nor at the time the decision is made that the client needs surgery.
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