The nurse is assessing a patient's pain. The patient is tearful, hesitant to move, and grimacing. When asked, the patient rates the pain as a two at this time using a zero-to-ten pain scale. What conclusion would be most accurate?
A) The patient has rated the pain as minimal according to the scale.
B) The nurse should reinforce teaching about the pain scale number system.
C) The nurse should reassess the pain in 30 minutes.
D) The medication the patient is receiving is not adequate for pain relief.
Ans: B
Feedback: The patient is physically exhibiting signs and symptoms of pain. Further teaching may need to be done so the patient can correctly rate the pain. The nurse may also verify that the same scale is being used by the patient and caregiver to promote continuity. All answers are correct, however, the most accurate conclusion would be to reinforce teaching about the pain scale. This makes the other options incorrect.
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