The most accurate indicator of the existence and intensity of pain is the
A. nursing assessment and vital signs.
B. patient's self-report of pain.
C. physician's evaluation of the patient.
D. patient's body language and expressions.
Answer: B
You might also like to view...
A circulating nurse wishes to provide emotional support to a client who was just transferred to the operating room. What action by the nurse would be best?
a. Administer anxiolytics. b. Give the client warm blankets. c. Introduce the surgical staff. d. Remain with the client.
The telephone triage nurse at a pediatric clinic knows each call is important
However, recognizing that infant deaths are most frequent in the following categories, the nurse must be extra attentive during calls from parents of infants who are: (Select all that apply.) 1. Less than 3 weeks old. 2. Of an American Indian family. 3. Of a non-Hispanic black family. 4. Between 6 and 8 months old. 5. Born to an unmarried mother.
A patient in the PACU is nauseated and has vomited. Which nursing actions are indicated? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. Administer an antiemetic per protocol or order. 2. Raise the head of the patient's bed. 3. Place a cool washcloth on the patient's forehead or neck. 4. Offer the patient a small amount of ice chips. 5. Offer the patient sips of tea or coffee.
A patient with a history of hypertension and heart disease has developed intense chest pain. The physician suspects that the patient is experiencing an aortic dissection. What tests would the nurse prepare for that would most likely diagnose this condition? Select all that apply.
a. Transesophageal echocardiography b. CT angiogram c. Chest x-ray d. MRI without contrast e. Cardiac biomarkers