Question

1. The RN is evaluating a nursing assistive personnel (NAP) who prepares a sitz bath and gives it to the patient. Which action taken by the NAP demonstrates safe effective care with the procedure?  
2. The water temperature was 40° Celsius (105° Farenheight).
3. The patient sat in sitz bath for approximately 5 minutes.
4. The entire buttocks and thighs were immersed in the sitz bath.
5. The patient was instructed to call when the water temperature became too cool.

2. Which assessment finding would cause the RN to reconsider applying cold to the skin surface over patient’s right foot?

1. Blanching of right foot skin.
2. Absence of left pedal pulse.
3. Bruising of right foot.
4. Intact skin integrity

3. The RN received the SBAR handoff report at the beginning the shift. Which information requires immediate intervention?

1. Mr. Lourdes reports nausea after taking his pain medication.
2. Mr. Jackson’s pain rating ranged from 2 to 7 on the numeric pain scale.
3. Mrs. Hernandez’s visitor pushed the PCA button to provide pain relieve
4. Mrs. George wanted to sleep so she pushed the PCA button frequently.

4.A patient is scheduled for a bone marrow aspiration procedure. Which information about pain management would the RN include in the teaching plan?

1. Lidocaine/prilocaine (EMLA) topical cream is applied prior to the procedure.
2. Patient controlled analgesia (PCA) is utilized for pain control.
3. Oral non-steroidal anti-inflammatory drugs (NSAIDs) are used to prevent pain.
4. Adjuvant drugs, such as anti-anxiety medications, are the primary pain relief method.

5. Which nursing intervention is most appropriate for the RN to perform when caring for a 12-year-old pediatric patient experiencing chronic pain?

1. Talk with the patient independently of parents.
2. Administer as needed (PRN) analgesics for pain.
3. Administer around the clock (ATC) analgesics.
4. Teach the patient about the hospital routines.

Answer 1

1.the temperature of water for sitzbath is 39-40 degree celsius

2blanching of skin, if it is present the skin is already cold due to the compression of arteries. If we are agin apply cold it may worsen thei symptoms.

3.should not press pca button frequently because it may leads to further problem.

4.adjuvant drugs, such as anxietymedications are the primary pain relief method.

5.around the clock analgesics is useful for chronic pain. If pain is acute it may releive by single dose of analgesics.