The nurse is evaluating a client who is experiencing chest pain. Which of the following should be included in this assessment? (Select all that apply.)
1. Grade the pain on a scale of 1 to 10.
2. Precipitating factors.
3. Assess for sleep disturbance.
4. Determine what was used to eliminate the pain.
5. Assess for sweating.
6. Determine if the pain is related to an injury or surgery.
1, 2, 4, 5, 6
When evaluating a client's chest pain, the following should be assessed: pain intensity with a pain scale; duration; characteristics to include precipitating factors, onset, pattern of disappearance; recurrence and time of day; what is used to treat the pain; other symptoms such as shortness of breath or sweating; and if the pain is related to an injury or surgery. Assessment for sleep disturbance is not a part of the chest pain assessment.
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