When completing a health history with a patient, a nurse should encourage the patient to describe the symptoms in objective terms. Which statement is a good example of the description of pain?
a. "This spot seems to hurt more right here."
b. "This pain is the worst pain in the world."
c. "My pain reminds me of when I hurt my foot last year."
d. "I would say my pain is a 5 on a scale from 1 to 10."
D
Encourage the patient to use descriptive terms such as stinging or aching and ask him to indicate the intensity on a scale from 1 to 10.
You might also like to view...
The nurse is working with a child newly enrolled in an English as a Second Language class. The nurse wants to teach the child about the importance of hand washing before meals and to not eat food dropped on the exam room floor
The best way to evaluate the child's understanding of hygienic nutrition is to: 1. Have the child repeat his interpretation of the information that was taught. 2. Schedule a medical interpreter to accompany the patient to his next visit. 3. Provide written materials in English about hygiene and diet for the client to take home. 4. Have the nurse model proper hand washing before examining the child, and throw out the dropped cookie.
The nurse needs to assess the young child's gait and range of motion of the extremities. Which of the following instructions is a commonly used method during this portion of the child's assessment?
1. "I need you to pretend to be a duck. Squat and move forward while flapping your arms.". 2. "Let me see you jump in place on both feet.". 3. "Please hop across the room on one foot and then come back by hopping on the other foot.". 4. "Would you please do some jumping jacks for me?"
The neonatal special care unit nurse is overseeing the care provided by a nurse new to the unit. Which action requires immediate intervention? The new nurse:
1. Holds the infant after giving a gavage feeding. 2. Auscultates lung sounds bilaterally. 3. Provides care when the baby is awake. 4. Gives the feeding with room-temperature formula.
A nurse is teaching a patient who will undergo chemotherapy with fluorouracil (Adrucil) to treat a solid tumor. Which statement by the patient indicates understanding of this chemotherapeutic agent's actions?
a. "Fluorouracil acts to deprive cancer cells of thymidylate needed to make DNA." b. "Fluorouracil causes accumulation of adenosine, which inhibits DNA synthesis." c. "Fluorouracil disrupts the biosynthesis of nucleic acids." d. "Fluorouracil inhibits DNA polymerase in cancer cells."