Certified Neuroscience Registered Nurse (CNRN) Practice Exam

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Which method can help alleviate pain associated with pneumoperitoneum?

  1. Laying the patient flat temporarily

  2. Immediate resuscitation

  3. Increasing CO2 pressure

  4. Administering pain medication only

The correct answer is: Laying the patient flat temporarily

Laying the patient flat temporarily can help alleviate pain associated with pneumoperitoneum because it may reduce diaphragm irritation, which is often a source of discomfort. Pneumoperitoneum, the insufflation of carbon dioxide (CO2) into the abdominal cavity during laparoscopic procedures, can lead to referred pain in the shoulders and upper abdomen due to diaphragmatic irritation. By positioning the patient flat, you may alleviate pressure on the diaphragm, allowing for a decrease in discomfort. While the other methods mentioned can support patient care in general, they do not directly target the alleviation of pain associated with pneumoperitoneum. Immediate resuscitation pertains mainly to life-threatening situations and does not specifically address the pain issue, whereas increasing CO2 pressure could worsen the pain. Administering pain medication, while beneficial, does not address the underlying source of the discomfort as effectively as changing the patient’s position.