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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

A. 3 mL syringe and a sterile needle.
This is incorrect. A sterile needle is unnecessary for administering an oral medication. Syringes with needles are used for injections, not for measuring or delivering oral medications.

B. One ounce medicine cup.
This is incorrect. While a medicine cup can be used for liquid medications, it is not precise for small volumes such as 2 mL. The graduations on a medicine cup are typically in larger increments, making it difficult to measure accurately.

C. 3 mL syringe.
This is correct. A 3 mL syringe is precise and suitable for measuring a 2 mL dose of a viscous liquid. Syringes provide clear markings, ensuring accurate measurement of small volumes. Additionally, the absence of a needle makes it appropriate for oral administration.

D. Tuberculin syringe.
This is incorrect. Although a tuberculin syringe can accurately measure small doses, it is designed for very small volumes, such as 1 mL or less. A 3 mL syringe is more appropriate for a 2 mL dose.

A. Abdominal girth. B. Breath sounds. C. Bowel sounds. D. Vital signs.

Correct Answer is D

Explanation

Prior to performing digital removal of a fecal impaction, it is important for the nurse to assess the client’s vital signs.

This includes checking the client’s blood pressure, pulse rate, respiratory rate, and temperature.

These measurements can provide important information about the client’s overall health status and can help the nurse determine if it is safe to proceed with the procedure.

Choice A is not correct because abdominal girth is not the most important assessment for the nurse to perform prior to performing digital removal of a fecal impaction.

Choice B is not correct because breath sounds are not the most important assessment for the nurse to perform prior to performing digital removal of a fecal impaction.

Choice C is not correct because bowel sounds are not the most important assessment for the nurse to perform prior to performing digital removal of a fecal impaction.

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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

What equipment should the nurse use to most accurately measure a 2ml dose of a viscous liquid solution to be given orally?

Correct Answer is C

Explanation

Prior to performing digital removal of a fecal impaction, what is the most important assessment for the nurse to perform?

Correct Answer is D

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?