The nurse is assessing a patient's pain while the patient awaits a cholecystectomy. The patient is tearful, hesitant to move, and grimacing
When asked, the patient rates his pain as a 2 at this time using a 0-to-10 pain scale. How should the nurse best respond to this assessment finding?
A) Remind the patient that he is indeed experiencing pain.
B) Reinforce teaching about the pain scale number system.
C) Reassess the patient's pain in 30 minutes.
D) Administer an analgesic and then reassess.
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. Although all answers are correct, the most accurate conclusion would be to reinforce teaching about the pain scale.
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