Which of the following is the best method for the nurse to assess the presence and intensity of pain in a client?
a. Vital signs
b. Observation of nonverbal behavior
c. Analysis of seriousness of tissue damage
d. Pain assessment tools and rating scales
ANS: D
You might also like to view...
The nurse is admitting a client with suspected meningitis and notes a positive Brudzinski sign has been noted in the history and physical. Which clinical manifestation would validate this assessment finding?
1. Seizure activity. 2. Neck pain and stiffness. 3. Flexion of the legs and thighs. 4. Neck extension.
A diagnosis of hyperemesis gravidarum is made in a pregnant woman when there is a condition of vomiting that causes:
A. Metabolic alkalosis B. Hyperkalemia C. Metabolic acidosis D. None of the above
A nurse provides care for an adolescent patient diagnosed with an eating disorder. Which behavior by this nurse indicates that additional clinical supervision is needed?
a. The nurse interacts with the patient in a protective fashion. b. The nurse's comments to the patient are compassionate and nonjudgmental. c. The nurse teaches the patient to recognize signs of increasing anxiety and ways to intervene. d. The nurse refers the patient to a self-help group for individuals with eating disorders.
A young adolescent boy tells the nurse he "feels gawky." The nurse should explain that this occurs in adolescents because of:
a. growth of the extremities and neck precedes growth in other areas. b. growth is in the trunk and chest. c. the hip and chest breadth increases. d. the growth spurt occurs earlier in boys than it does in girls.