The nurse is preparing to complete the admission assessment for a client who is being admitted to the acute care facility for complaints of severe pain. As the nurse plans actions relating to this task, the following steps will be taken
Organize in order the actions that should be taken by the nurse. Standard Text: Click and drag the options below to move them up or down. 1. Contact the healthcare provider.
2. Discuss the unit routine with the client and family.
3. Ask the client when the pain first began.
4. Ask the client what helps to relieve the pain.
5. Assess the client's past coping methods for pain throughout her life.
3,4,5,2,1
Rationale 1: Contact the healthcare provider. The healthcare provider will need to be contacted about the current condition of the client but this cannot be completed until the client has been assessed. The assessment information will allow the nurse to provide information to the healthcare provider.
Rationale 2: Discuss the unit routine with the client and family. The client and family need to have information provided concerning unit policies but this is not an immediate task. Management of the client's admission data collection takes precedence.
Rationale 3: Ask the client when the pain first began. Determining the duration of the pain is the most important step that must be taken by the nurse. This information will provide a guide for the remaining information that will be sought from the client.
Rationale 4: Ask the client what helps to relieve the pain. The client in pain has likely been employing methods to manage the discomfort at home. Determining the measures being taken away from the acute care facility will help to lead the health care team in managing the current pain. This information can also be used to help indicate the severity of pain being experienced.
Rationale 5: Assess the client's past coping methods for pain throughout her life. An individual's methods of coping with pain will help to determine her tolerance and ability to manage current pain. This information is needed but does not take priority over assessing the duration of the pain being experienced or the methods being used to manage the current pain.
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