ATI Ch 7 (Josh)

Question 1

By the second postoperative day, a client has not achieved satisfactory pain relief. What should nurse do next?

a) Reassess the client to determine the reasons for unsatisfactory pain relief
b) See whether the pain lessens during the next 24 hr
c) Change the plan to ensure that the client achieves adequate pain relief
d) Teach the client about the plan of care for managing his plan.

Answer 1

a) reassess the client

Question 2

Which of the following is classified as objective data? (select all that apply)

a) RR of 22/min w/ even, unlabored respirations
b) ‘I can walk 3 blocks a day before my legs hurt’
c) Pain level of 3 on a scale of 0-10
d) Skin pink, warm, and dry
e) Urine output of 300mL/8hr
f) Dressing clean, dry, & intact

Answer 2

a, d, e, f

Question 3

Which of the following can be nurse-initiated actions (select all that apply)?

a) Give morphine sulfate 1-2 mg IV qhr as needed for pain
b) Insert NG tube to relieve a client’s gastric distention
c) Show a client how to use a progressive muscle relaxation
d) Perform a daily bath after the evening meal
e) Reposition a client q2hrs to reduce pressure ulcer risk

Answer 3

c, d, e