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A client arrives at the emergency department (ED) with severe right upper quadrant pain.
To assess the quality of the client's pain, which approach should the nurse use?

Ask the client to describe the pain.

Provide a numeric pain scale.

Identify effective pain relief measures.

Observe body language and movement.

Answer and Explanation

The Correct Answer is A

To assess the quality of the client’s pain, the nurse should ask the client to describe the pain.

This will help the nurse to understand the characteristics of the pain and how it is affecting the client.

Choice B is incorrect because providing a numeric pain scale only assesses the intensity of the pain, not its quality.

Choice C is incorrect because identifying effective pain relief measures does not assess the quality of the pain.

Choice D is incorrect because observing body language and movement only provides indirect information about the quality of the pain.

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Correct Answer is C

Explanation

Restate the vital importance of performing hand hygiene. The most effective way to prevent MRSA is frequent hand washing1.

Choice A is incorrect because changing the coccyx dressing after performing routine care does not necessarily prevent the spread of MRSA to others.

Choice B is incorrect because changing the coccyx dressing before performing routine care does not necessarily prevent the spread of MRSA to others.

Choice D is incorrect because performing a coccyx dressing change in the nursing station does not necessarily prevent the spread of MRSA to others.

A. Send the UAP to be educated on how to care for a foot ulcer. B. Advise the UAP to wear gloves when caring for the FP. C. Instruct the UAP to start with basic wound care precautions. D. Ask the UAP which action they would take first and state why.

Correct Answer is A

Explanation

It is important for the UAP to receive proper education and training on how to care for a foot ulcer before being assigned to care for a client with this condition.

Choice B is not correct because advising the UAP to wear gloves when caring for the FP is not the first action the nurse should take.

Choice C is not correct because instructing the UAP to start with basic wound care precautions is not the first action the nurse should take.

Choice D is not correct because asking the UAP which action they would take first and stating why is not the first action the nurse should take.

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A client arrives at the emergency department (ED) with severe right upper quadrant pain. To assess the quality of the client's pain, which approach should the nurse use?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is in contact isolation due to a stage IV coccyx wound infected with MRSA. The nurse plans interventions to prevent multiple infections. Which intervention is most appropriate to prevent the spread of MRSA to others?

Correct Answer is C

Explanation

An ulcerated foot peronet (FP) is to be implemented. The UAPs state they have not yet been educated on this before charging assignments. What action should the nurse take first?

Correct Answer is A

Explanation

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A client arrives at the emergency department (ED) with severe right upper quadrant pain.
To assess the quality of the client's pain, which approach should the nurse use?