Pain Comfort Rest and Sleep Discussion
1. A nurse is caring for a patient who was diagnosed
with obstructive sleep apnea. Which should the nurse
encourage the patient to do because it is most
effective in supporting restful sleep?
1. Maintain a side-lying position when going to bed.
2. Employ breathing exercises for relaxation before
3. Use an ordered positive pressure device when
going to sleep.
4. Position several pillows under the head when
retiring at night.
2. A patient with a history of inflammation of the gallbladder (cholecystitis) comes to the urgent care center
with acute pain in the upper right quadrant of the
abdomen. The patient states, “We went out for dinner
last night and I ate spare ribs, macaroni and cheese,
and ice cream. I really overdid it.” Where should the
nurse anticipate that the patient will report referred
pain associated with inflammation of the gallbladder?
4. A nurse is caring for a school-aged child who is to
have a bone marrow biopsy. Although a local anesthetic will be used during the biopsy, it may be frightening and uncomfortable for the child. What should
the nurse say that will best help the child tolerate the
1 “Let’s practice what will happen during the
2. “Do you have any questions about the procedure
that you would like to ask?”
3. “You need to be strong during the procedure and
before you know it will be over.”
4. “Would you like me to play a disk with your
favorite songs during the procedure?”
5. A nurse is caring for a patient who is reporting pain in
the jaw as a result of cardiac ischemia. What word
should the nurse use to describe this pain when
writing progress notes?
6. An older adult with rheumatoid arthritis comes
to the clinic during an exacerbation of the disease.
Which patient responses are associated with chronic
pain? Select all that apply.
1. Pressured speech
2. Constricted pupils
3. Increased heart rate
4. Increased respiratory rate
5. Decreased blood pressure
7. A nurse is assessing the presence of pain in a variety
of patients. Which patient condition may precipitate
1. Vertebral stenosis causing sciatica
2. Above the knee amputation
3. Myocardial infarction
4. Acute appendicitis
8. A nurse is caring for a postoperative patient who is
receiving patient-controlled analgesia to control
postoperative pain. Which concept about patientcontrolled analgesia is most important for the nurse
to convey to the patient?
1. A basal dose will deliver a basic dose of analgesic
2. Excessive doses are locked out if a triggered dose
3. Pain medication should be administered before
pain becomes intense.
4. An extra dose of medication is delivered when
the trigger is compressed.
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