Your pregnant patient complains of back pain. When inquiring about the pain, the clinician should use the "PQRST" method. This includes asking the patient about:
A. Radiation
B. Severity
C. Timing
D. All of the above
ANS: D
Back pain is reported as a dull, aching pain in the upper or lower back that worsens as the day progresses. Standing or sitting for long periods may aggravate the back pain. The location of the pain is important, as is the information gathered via a PQRST report. This inquiry usually provides sufficient diagnostic information and comprises the precipitating (P) factors (what aggravates or alleviates the pain; the symptoms associated with the pain), the quality (Q) of the pain (achy, burning, cramping, shooting, etc.), the radiation (R) of the pain, the severity (S) of the pain (typically reported on a 1-to-10 scale and whether it interferes with the usual activities of daily living), and the timing (T) of the pain (sudden or gradual onset, duration). Worrisome symptoms include a history of back injuries, problems, or surgeries; UTI or vaginal infection symptoms; bowel changes; uterine contractions; pain, numbness, or tingling that radiates either into the abdomen or down into the legs; and any neurological deficits.
You might also like to view...
A client, age 60, voices concern about the development of osteoporosis. She asks about beginning preventative activities. What response by the nurse is indicated?
A) "After menopause, the decline is too rapid to begin preventative interventions." B) "Exercise and calcium supplements are helpful in the prevention of osteoporosis." C) "Hormone replacement therapy should be initiated as soon as possible." D) "You should first determine if you are at risk for the development of osteoporosis."
International health organizations are classified based on their relationships with other distinguished organizations that match their commitment to specific aspects of population-based health,
the specific implementation of health goals both directly and indirectly, and their particular resources including financial contributions. What is a multilateral agency? A) Conducts business within two countries B) Responsible for health and welfare of citizens nationally C) Uses both governmental and nongovernmental resources D) Acquires resources to help others from private versus public sources
A nurse is caring for a client who is receiving morphine via a patient controlled analgesia (PCA) pump. When assessing the client, she notes that his respiratory rate is 4. What should the nurse do first?
A) Notify the physician. B) Stop the PCA pump. C) Administer naloxone. D) Increase the primary IV rate.
A patient has three consecutive blood pressure readings of 140/95 mm Hg. The patient's body mass index is 24 . A fasting plasma glucose is 100 mg/dL. Creatinine clearance and cholesterol tests are normal. The primary care NP should order:
a. a b-blocker. b. an angiotensin-converting enzyme inhibitor. c. a thiazide diuretic. d. dietary and lifestyle changes.