Carter Verified Test Bank Chapter 27 Assisting With Comfort

Test Generator Questions, Chapter 27, Assisting With Comfort

Format:  Multiple Choice

Chapter Number:  27

Client Needs:  Physiological Integrity: Basic Care and Comfort

Cognitive Level:  Apply

Difficulty:  Easy

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  4

Page and Header:  616, General Comfort Measures

1. The nursing assistant administers a back massage to a client and observes a reddened area in the lower back. What is the appropriate action for the nursing assistant to take?

A) Rub the reddened area to restore circulation.

B) Chill the lotion and dab it on the reddened area.

C) Chart the observation and not provide the back massage.

D) Massage the back and avoid the reddened area.

Difficulty:  Easy

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  2

Page and Header:  618, Managing Pain

2. Which statement(s) about pain is accurate? Select all that apply.

A) Pain tells us that we have been injured.

B) Pain results from an overworked muscle group.

C) Pain tells us that we may be getting sick.

D) Pain feels the same to all people.

Difficulty:  Moderate

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  7

Page and Header:  618, Managing Pain

3. What can a nursing assistant do to help a resident cope with knee pain without first asking the nurse?

A) Apply a warm compress to the knee.

B) Perform range-of-motion exercises on the knee.

C) Tune the radio to the resident’s favorite station.

D) Administer the resident’s usual pain medication.

Difficulty:  Easy

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  1

Page and Header:  620, Heat and Cold Applications

4. Which care measure causes the blood vessels to constrict, resulting in less bleeding and decreased tissue swelling?

A) Cold application

B) Heat application

C) Passive range-of-motion exercises

D) Active-assistive range-of-motion exercises

Difficulty:  Moderate

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  2

Page and Header:  620, Heat and Cold Applications

5. The person at high risk for injury from heat or cold applications is a client:

A) who is middle aged.

B) who is dark skinned.

C) who is allergic to dairy products.

D) who has paraplegia and is wheelchair-bound.

Difficulty:  Moderate

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  3

Page and Header:  620, Heat and Cold Applications

6. When a client has a cold pack applied to the foot, the nurse should be notified immediately if the nursing assistant sees that the foot is:

A) dry.

B) blistering.

C) pale in color.

D) turning bright red.

Difficulty:  Moderate

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  6

Page and Header:  620, Heat and Cold Applications

7. The nurse applied a hot compress to a resident’s right knee and delegated for the nursing assistant to monitor the knee every 5 minutes while the compress is in place for the next 20 minutes. The nursing assistant should notify the nurse immediately if the right knee:

A) becomes pale and does not return to the color of the left knee.

B) is warmer than the resident’s left knee.

C) is reported as having less discomfort than the left knee.

D) is more mobile than the left knee after the application is done.

Difficulty:  Moderate

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  3

Page and Header:  618, Managing Pain

8. A nursing assistant suspects that a resident is in pain when the resident:

A) refuses to eat dinner.

B) has a frowning facial expression.

C) walks very slowly to the dining room.

D) does not want to talk on the telephone with a friend.

Difficulty:  Easy

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  3

Page and Header:  616, General Comfort Measures

9. A back massage is particularly important for a resident who is at risk for:

A) pressure ulcers.

B) constipation.

C) depression.

D) falling.

Difficulty:  Moderate

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  4

Page and Header:  616, General Comfort Measures

10. To which client should the nursing assistant avoid administering a back massage?

A) A resident with diabetes

B) A young adult who has two broken ribs

C) An older adult client who needs eye surgery

D) A middle-aged client recovering from leg surgery

Difficulty:  Moderate

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  3

Page and Header:  616, General Comfort Measures

11. What can a nursing assistant do to help an older adult resident develop good sleep patterns? Select all that apply.

A) Encourage physical activity after the evening meal.

B) Provide a cup of coffee with dessert.

C) Limit the afternoon nap to 60 minutes.

D) Provide a warm bath in the evening.

E) Straighten bed linens and fluff the pillows every evening.

Difficulty:  Moderate

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  5

Page and Header:  618, Managing Pain

12. The nursing assistant notices that the client appears to be in pain. What should the nursing assistant do to help the client manage the pain? Select all that apply.

A) Report the client’s pain to the registered nurse (RN).

B) Massage the area where the client usually has pain.

C) Encourage the client to ask for medication before the pain becomes too intense.

D) Bring the client some milk and ibuprofen from the medicine room.

E) Plug in a heating pad and place it on the area of greatest pain for the resident.

Difficulty:  Moderate

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  3

Page and Header:  618, Managing Pain

13. When a resident appears to be in pain, which question(s) should the nursing assistant ask the resident before notifying the nurse? Select all that apply.

A) “Where is your pain located?”

B) “How would you describe your pain?”

C) “How would you rate your pain on a scale of 1 to 10, where 1 is minimal discomfort and 10 is the worst pain ever?”

D) “Do you think your pain is getting worse?”

E) ”What do you think is causing your pain?”

Difficulty:  Moderate

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  6

Page and Header:  620, Heat and Cold Applications

14. Which intervention(s) related to dry heat application may result in the client developing a burn? Select all that apply.

A) Placing the dry heat application directly under the body part to be warmed.

B) Covering the dry heat application with the bed linens to maintain body temperature.

C) Placing the dry heat directly on the person’s skin to get the best contact.

D) Removing the dry heat after a 20-minute application.

E) Replace the water in the hot water bottle every 5 to 10 minutes with hot water heated in the microwave.

Difficulty:  Moderate

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  4

Page and Header:  620, Heat and Cold Applications

15. Place the steps listed below into the correct sequence for “giving a moist cold application” to the resident with a sore, swollen knee.

A) Leave the compress in place for the designated time of 20 minutes.

B) Straighten the bed linens and make sure the client is in good body alignment.

C) Put the ice in the bath basin and fill the basin with cold water at the sink.

D) Remove the compress and carefully dry the skin.

E) Position the person comfortably and expose only the knee area to be treated.

F) Moisten the compress with ice water; wring out the compress and apply to knee.

Difficulty:  Moderate

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  1

Page and Header:  620, Heat and Cold Applications

16. After a fall, the resident’s knee is swollen, so the nurse has elevated the leg on pillows and placed an ice pack on the knee. The nursing assistant monitors the treatment for the next 20 minutes and should immediately report if the:

A) resident reports numbness.

B) skin feels cool to touch.

C) towel covering is damp.

D) rolled gauze is loose.

Difficulty:  Moderate

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  3

Page and Header:  616, General Comfort Measures

17. How can the nursing assistant best prepare a new resident for the first night at the facility?

A) Determine what the resident’s usual bedtime ritual to promote sleep entails.

B) Choose measures the nursing assistant finds helpful to fall asleep and use them.

C) Prepare the pillows by fluffing them and add a warm blanket to the bed.

D) Provide soft music to listen to as the lights are turned off and leave a nightlight on.

Difficulty:  Moderate

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  1

Page and Header:  620, Heat and Cold Applications

18. The nursing assistant enters the room of a resident to help the resident to turn and finds that the resident’s family provided a dry heating pad, which the resident has under their back. What is the appropriate action for the nursing assistant to take?

A) Explain that the heating pad needs to be approved and ordered by a doctor.

B) Examine the skin for burns every 5 minutes and leave the pad on no longer than 20 minutes.

C) Reposition the resident to the lateral position, apply the heating pad, and leave the area uncovered.

D) Collect the heating pad and remove it from the resident’s room because it is not ordered.

Difficulty:  Moderate

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  1

Page and Header:  620, Heat and Cold Applications

19. The nursing assistant is caring for a hospitalized client who requires an aquamatic pad to the right shoulder. What is the first action for the nursing assistant to take when the water level is low and the covering is wet?

A) Determine whether the connections are intact.

B) Use distilled water and fill up the machine.

C) Ask if the client has been sweating.

D) Unplug the machine and get another one.

Difficulty:  Moderate

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  1

Page and Header:  620, Heat and Cold Applications

20. The nursing assistant is caring for a client who arrived on the unit after wrist surgery whose left arm is elevated on pillows with an ice pack in place. What finding should the nursing assistant report immediately to the nurse?

A) The dressing has fresh bloody drainage present on it.

B) The client will not answer questions about the sensation.

C) The skin of the fingers is the same color as that of the right hand.

D) The client moves the fingers from time to time.