Which of these data provide the MOST accurate information about the pain a client is experiencing?
a. objective changes in vital signs such as in-creased respiratory rate, heart rate, and blood pressure
b. the amount of tissue damage actually occurring or already present
c. facial expressions and level of mobility
d. self-report
D
Although many factors contribute to individual responses to pain, the nurse's primary consideration when assessing pain is that the client is the only authority about the existence and nature of his or her pain.
You might also like to view...
Which of the following best describes the current perspective on how communities should treat persons with disabilities (PWDs)?
a. Be supportive of PWDs and try to reduce environmental barriers b. Maximize opportunities for PWDs to work and otherwise contribute to community life c. PWDs have civil rights just as other citizens do. d. Recognize that PWDs deserve our support both financially and otherwise
The critical care nurse is preparing to admit a client with suspected hypovolemic shock to the intensive care unit. Which laboratory tests does the nurse anticipate to be included in the client's plan of care? Select all that apply.
A) Urinalysis B) Blood glucose level C) Thyroid stimulating hormone (TSH) D) Complete blood count (CBC) E) Serum lactate concentration
Which of the following is true of the Elizabethan Poor Laws?
1. Established in the eighteenth century 2. Originated in Spain 3. Communities worked together to assist the poor 4. Poor travelers were shipped back to their original community
A hospitalized elderly client is recovering from an acute illness. As the client nears the end of his hospitalization, he questions the nurse about medications and care after discharge. The gerontological nurse should:
1. Informing the physician the client needs to go to a nursing home. 2. Assess the client's independence and ability to function in his own home before discharge. 3. Tell the client not to worry about going home. 4. Invite the client's family to come to the hospital so the nurse can explain the client's care to them.