Which scale would be most appropriate for the nurse to use when assessing pain in a 5-year-old?
A) Visual Analog Scale
B) Verbal Numeric Scale
C) McGill Pain Questionnaire
D) Wong-Baker FACES Scale
D) Wong-Baker FACES Scale
Explanation: A) The most commonly used is the visual analog scale (VAS); in using the VAS, patients rate their pain by indicating a position along a continuous line between two end points of no pain to very severe pain.
B) In using the verbal numeric scale (VNS), patients verbally rate their pain on a scale of 0 (no pain) to 10 (most intense pain imaginable).
C) The McGill Pain Questionnaire (MPQ), which lists 78 pain descriptor items categorized into 20 subclasses, is a multidimensional pain questionnaire that measures the sensory, affective, and evaluative aspects of chronic pain.
D) A visual analog scale, such as the Wong-Baker FACES scale, is useful in determining pain in young children.
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The husband of a client who has been diagnosed with severe depersonalization disorder asks the
nurse if he is in any way at fault for his wife's illness. He states their relationship is mutually supportive and no trauma has recently occurred. The nurse's reply should be predicated on the knowledge that this disorder is thought to be related to a. faulty learning. b. genetic predisposition. c. childhood emotional abuse. d. the intentional production of symptoms.
Assessing the patient's response to the nursing interventions.
What will be an ideal response?
A postoperative patient is taking shallow breaths because of fear of incisional pain. Which of the following actions should the nurse take first?
a. Contact the physician to request nebulized mist treatments (NMTs). b. Instruct the patient on the use of an incentive spirometer. c. Call respiratory therapy to provide a metered-dose inhaler (MDI). d. Measure peak expiratory flow rate with a peak flow meter.