MC The most important information gathered while completing an assessment of pain in an adult client is:
A. observation of body language.
B. verbal report from client.
C. palpation of painful areas.
D. nonverbal responses from client.
B
You might also like to view...
A group of nursing students have participated in a class discussion about the health continuum. Which statement by the group indicates that they have understood the information?
A) The distinction between health and illness is well demarcated. B) Illness refers to a state of being relatively unhealthy. C) The term "health" is limited to reflect an individual's state. D) Treatment of acute conditions reflects the current focus of health care.
The nurse is caring for a client with the impairment of speech. This condition is:
a. aphasia c. dysarthria b. arthria d. dysphasia
A patient with severe panic attacks refuses to come to the mental health clinic to get help even after being assured there is no charge for the initial assessment. Which of the following provides the best explanation for this behavior?
a. People know that the treatment is to confront your fears in small doses, and the very idea is overwhelming and frightening. b. Such persons have anticipatory anxiety, so they try to avoid situations that may lead to a panic attack, such as leaving their house. c. The recurring symptoms such as tachycardia, chest pain, nausea, and sweating are seen as symptoms of a physical illness, not a mental illness. d. They are too depressed to take action.
Following a bone marrow transplant, the patient is put on a protocol of chemotherapy and radiation and the nursing diagnosis of "risk for injury" is added. The nurse will add the in-tervention of assessing for:
1. increased urine output. 2. decreasing bilirubin levels. 3. increasing blood pressure. 4. increasing abdominal girth.