The nurse has asked a child to rate her pain on a scale of 0 to 10 . The child ranks the pain at a 5 . The nurse will chart this in which of the following ways?
a. ranks pain at a 5 c. admits to a moderate level of pain
b. states pain is at a 5 on a 10-point scale d. midpoint of scale in terms of pain
B
Feedback
A Incorrect: The scale points should be documented then recording the child's measure of pain (i.e., "rates pain 5 out of 10" rather than "rates pain a 5").
B Correct: For the verbal child, the pain assessment scale of 0 to 10 or 0 to 5 may be the simplest and best understood. Here the nurse asks the child to rate pain on a scale there "zero is no pain" and the higher number is the "worst pain you can imagine." The scale points should be documented then recording the child's measure of pain (i.e., "rates pain 5 out of 10" rather than "rates pain a 5").
C Incorrect: The scale points should be documented then recording the child's measure of pain (i.e., "rates pain 5 out of 10" rather than "rates pain a 5"). Converting the numeric value to a verbal description is not considered as the best approach.
D Incorrect: The scale points should be documented then recording the child's measure of pain (i.e., "rates pain 5 out of 10" rather than "rates pain a 5"). Converting the numeric value to a verbal description is not considered as the best approach.
You might also like to view...
The daughter of a client with AD who is receiving cholinesterase inhibitor therapy tells the nurse that her father has been getting more and more clumsy lately, saying, "He's almost fallen several times and he often gets out of bed at night
That's when I'm most concerned that he will fall." The daughter reports that his appetite is fair and that he takes his medication as prescribed. When developing the client's plan of care, the nurse would identify which nursing diagnosis as the priority? A) Imbalanced Nutrition: Less Than Body Requirements B) Risk for Injury C) Ineffective Self Health Management D) Deficient Knowledge: drug therapy
Which of the following is the most plausible nursing diagnosis for a patient whose treatment for colon cancer has necessitated a colonostomy?
A) Risk for Unstable Blood Glucose Due to Changes in Digestion and Absorption B) Unilateral Neglect Related to Decreased Physical Mobility C) Risk for Excess Fluid Volume Related to Dietary Changes and Changes In Absorption D) Ineffective Sexuality Patterns Related to Changes in Self-Concept
While eating a meal in the hospital, a patient exhibits difficulty breathing and signs of choking. What should the nurse realize the patient is experiencing?
1. laryngeal obstruction 2. pulmonary emboli 3. epiglottitis 4. acute myocardial infarction
A nurse is describing aging according to the Rowe and Kahn Model of Successful Aging to a class of new nursing students. Which of the following is not one of their key components of successful aging?
A. Low likelihood of disease and disability B. Actively engaged with life C. Minimal stress and loss D. High functioning ability, both cognitive and physical