The nurse admits the patient with mild chest pain from the emergency department. Which should the nurse implement first to gain patient cooperation during a physical assessment?
a. Explain the procedure and its purpose.
b. Perform assessment in stages over the day.
c. Complete assessment within 3 to 5 mi-nutes.
d. Assess painful areas before nontender areas.
A
First and foremost, the nurse should explain the procedure and its purpose. The patient is more likely to cooperate during a physical assessment if he or she knows what to expect and what the purpose of the procedure is. The nurse explains how the information is used to plan individua-lized nursing care. The information helps make the patient feel valued and important because the nurse engages him or her in the plan of care. In addition, the nurse reassures the patient about maintaining privacy. The nurse completes the assessment in as few stages as possible because he or she needs the assessment data to plan care. While the nurse will assesses painful and tender areas first because if pain is triggered, the nurse would want to stop the assessment and provide pain management, explaining the procedure should precede any assessment.. Assessment data are vital to manage pain successfully.
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