The nurse is caring for a teenager and is assessing pain level with the vital signs. The client is reporting pain but when the nurse asks for a description of the pain the client says, "It just hurts. Why can't I have something?"
The nurse would choose to do which of the following next?
1. Leave the room and come back later.
2. Provide questions that require yes or no answers related to pain.
3. Ask the client what they would like to have for pain.
4. Continue with the vital signs assessment.
2
Rationale 1: Leaving the room will not provide effective pain management.
Rationale 2: People who are not feeling well or who are in pain may have difficulty with open-ended questions, such as "Describe…." The nurse may be better able to obtain an accurate description of their pain by having them respond to descriptive words.
Rationale 3: Asking the client what she would like for pain is not appropriate without a complete assessment.
Rationale 4: If the client is in pain, moving on to the vital signs will not yield additional information.
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