A nurse is caring for a client with acute back pain. When should the nurse assess the client's pain?
A) Six hours after administering a prescribed analgesic
B) After the client is discharged from the health care facility
C) Once per day when the pain is a potential problem
D) Whenever the vital signs are measured and documented
D
Feedback:
As per JCAHO pain assessment standards, the nurse should assess the client's pain whenever the nurse measures and documents vital signs. When administering a prescribed analgesic, the nurse should assess pain before implementing a pain-management intervention and again 30 minutes later. The nurse should assess the client's pain when the client is admitted to, not discharged from, the health care facility. Similarly, the nurse should assess pain once per shift when pain is an actual or potential problem.
You might also like to view...
A pregnant woman with hypertensive disease comes to the community health center for follow-up. Which of the following would be appropriate to include when teaching the woman about controlling her blood pressure at this time?
A) Ensuring rest periods with legs elevated B) Limiting her daily intake of fluid C) Restricting intake of fresh fruits D) Encouraging additional weight gain
The nurse is caring for a patient admitted with unstable angina. The laboratory result for the initial troponin I is elevated in this patient. The nurse should recognize what implication of this assessment finding?
A) This is only an accurate indicator of myocardial damage when it reaches its peak in 24 hours. B) Because the patient has a history of unstable angina, this is a poor indicator of myocardial injury. C) This is an accurate indicator of myocardial injury. D) This result indicates muscle injury, but does not specify the source.
The nurse is attempting to place a urinary catheter in a 96-year-old female client. The nurse is unable to visualize the client's urinary meatus. An alternate position to facilitate the insertion of the catheter would include
A) supine with the head of bed (HO B) elevated at 90?. B) supine with the bed flat, legs bent and apart. C) supine with the HOB elevated at 30?. D) side-lying lifting up the buttock.
____ was recognized by the American Nurses Association as a nursing specialty in 1992 and is one of the fastest growing practice areas in health care
a. Nurse anesthesia b. Nursing informatics c. Nurse-midwifery d. Clinical nurse specialist