Which question is best for assessing the severity of pain?
1) "Does the pain really hurt?"
2) "Does anything make the pain worse?"
3) "On a scale of 0 to 10 with 0 being no pain, what would you rate your pain?"
4) "How long have you had the pain?"
ANS: 3
You might also like to view...
Which of the following variables can intrude on successful communication? (Select all that apply.)
a. Social class b. Gender c. Stereotype d. Phenotype e. Age
The health care team has just given the family of a terminally ill patient an update on the patient's status. Thirty minutes later the patient's sibling says, "The family does not understand the last update the physician gave us."
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. Repeat the information the physician provided. 2. Have the physician paged to talk to the family again. 3. Explain the information in a different way. 4. Offer to call the physician's answering service to leave a message for the family. 5. Have the unit supervisor talk with the family.
A 73-year-old client is admitted to the unit experiencing bruising, confusion, and decreased urine output. The medical diagnosis is a urinary tract infection. The most appropriate nursing diagnosis is:
1. Ineffective Breathing Pattern. 2. Activity Intolerance. 3. Impaired Memory. 4. Risk for Falls.
At the beginning of the 7 am-3 pm shift, the nurse checks her assigned clients and notes that a client with diabetes mellitus has an intravenous (IV) bag of 5% dextrose in water hanging and infusing instead of the prescribed 0.9% normal saline. The nurse verifies the prescription and changes the IV solution to the correct one. The nurse assesses the client noting that the blood glucose level at 7:15 am was 149 mg/dL, notifies the physician, and completes an incident report. Which information about the event is appropriate for inclusion on the incident report?
A. The physician was contacted. B. The blood glucose level at 7:15 am was 149 mg/dL. C. An IV solution of 5% dextrose in water was infusing at 7 am. D. A solution of 5% dextrose in water was infusing instead of the prescribed 0.9% normal saline solution. E. A 5% dextrose in water solution is not usually prescribed for clients with diabetes, and the solution was changed immediately on its discovery.