A nurse is assessing a client for pain sensation using a sharp or dull instrument. What technique should be used to obtain valid results?
A. Test the client first with eyes open, then with eyes closed.
B. Test the client for dull sensation first, followed by sharp.
C. Test the client for sharp sensation first, followed by dull.
D. Test the client for sharp and dull sensation randomly.
D
The proper assessment technique for assessing pain sensation is to test the client for sharp and dull sensation randomly to prevent the client from anticipating the type of stimulus that will fol-low.
You might also like to view...
People with alcoholism and those who take isoniazid should be monitored for which vitamin B6–related complications? (Select all that apply.)
a. Sprue b. Glossitis c. Microcytic anemia d. Seborrheic dermatitis e. Changes in neurologic function
A woman at 40 weeks of gestation should be instructed to go to a hospital or birth center for evaluation when she experiences
a. A trickle of fluid from the vagina b. Thick pink or dark red vaginal mucus c. Irregular contractions for 1 hour d. Fetal movement
An older adult who lives alone takes three different white, flat, unscored medications every day. He has trouble remembering if he has taken the correct pill at the correct time
What strategy would best help this patient maintain independence and safety in taking his medications? a. Place a piece of different colored tape on each pill bottle to differentiate the medi-cation. b. Take the medications out of the bottles and place them in a pill holder. c. Have a neighbor give the patient his pills once each day. d. Ask the patient how he wants to identify the medications.
List the principles of a diet to prevent hypoglycemia