A nurse is assessing the pain of a client who is in hospice. Which of the following is the most reliable indicator of pain?
A) Vital signs
B) Patient cues
C) Patient self-report
D) Inability to sleep
C
Feedback:
The nurse should assess pain frequently as the fifth vital sign and listen to the client's self-report, which is considered the most reliable indicator of pain. Only the client knows how the pain feels, what measures make it worse, and which give relief. Pain and its level of interference with activities, rest, and general comfort are evaluated.
You might also like to view...
In looking at continuity versus discontinuity in human development, theorists who use discontinuity believe that:
a. there is a connection between early and later development b. a shy adult was shy as a child c. development is a series of discrete steps or stages d. once an introvert, always an introvert
A blood clot that travels through the vascular system until it lodges in a distant vessel is:
a. Regional anesthesia b. An embolus c. A thrombus d. Spirometry
This is an example of a(n) ________ syringe used to inject medication into an existing IV line.
Fill in the blank(s) with the appropriate word(s).
The nurse is reviewing postoperative care for a patient scheduled for a thyroidectomy. What information should the nurse include in this teaching?
A. "Perform neck flexion and extension exercises twice daily for several weeks postoperatively." B. "Plastic surgery may be required to conceal the surgical scar." C. "Use iodized salt when preparing foods." D. "Avoid the use of iodized salt after your procedure."