What is the best method to identify the presence and intensity of pain in patients?
a. vital signs c. analysis of serious-ness of tissue damage
b. observation of non-verbal behavior d. pain assessment tools and rating scales
D
Pain assessment tools are the single most effective method of identifying the presence and intensity of pain in patients. Tools used for assessing pain must be appropriate to the patient's age and cultural context.
You might also like to view...
The family of a client with a pacemaker asks the nurse what information would help them better care for the client at home. Family members appear to be anxious and fearful. What should the nurse plan?
1. Have Home Health check the client daily. 2. Delay the client's discharge. 3. Suggest that the client live in a skilled nursing facility. 4. Teach the family CPR.
The patient has had throat surgery and has a tracheal tube in place. The nurse assesses that suctioning is necessary when the patient:
1. becomes restless and has increases in vital signs. 2. has decreased peak airway pressure. 3. shows diaphoresis. 4. is coughing frothy mucus.
When the shoulder contour is asymmetric and one shoulder has hollows in the rounding contour, you would suspect:
a. kyphosis. b. fractured scapula. c. a dislocated shoulder. d. muscle wasting.
Upon entering the room of a 74-year-old client receiving brachytherapy for cervical cancer, the nurse finds that the radiation implant and the position-holding devices are in the client's bed. What is the nurse's first best action?
A. Assess the client's mental status. B. Use tongs to place the implant into the radiation container. C. Notify the physician and move the client to a different room. D. Don gloves and attempt to reposition the implant and position-holding device.