A client with metastatic bone cancer is requesting pain medication. Which approach should the nurse use to assess the quality of the client's pain?

Ask the client to describe the pain.

Identify effective pain relief measures. C. Observe body language and movement.

Provide a numeric pain scale.

Answer and Explanation

The Correct Answer is A

A.   Asking the client to describe the pain allows for a detailed assessment of the pain's quality, location, intensity, and any aggravating or alleviating factors. This information is crucial for tailoring pain management strategies to the client's specific needs.
B.   Identifying effective pain relief measures is important but comes after understanding the pain's characteristics.
C.   Observing body language and movement can provide clues about pain but is subjective and less accurate than direct communication.
D.   A numeric pain scale measures pain intensity but does not provide information about the quality or nature of the pain.

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Correct Answer is D

Explanation

A. Asking the spouse about the client's depression can provide insights but might not be as effective as directly addressing the client.
B. While privacy is important, the spouse can often provide additional valuable information.
C. Explaining about post-MI depression is informative but does not directly assess the client's current emotional state.
D. Encouraging the client to describe his feelings allows the nurse to perform a thorough assessment of the client’s mental state and identify any signs of depression or anxiety.

A. Serum potassium of 4.2 mEq/L. (4.2 mmol/L) B. Hemoglobin A1C 7%. C. Total cholesterol 180 mg/dL (4.7 mmol/L). D. Hematocrit 45% (0.45 volume fraction). E. Random plasma glucose level 200 mg/dl (11.1 mmol/L).

Correct Answer is ["B","E"]

Explanation

A. Serum potassium within the reference range is not typically a cause for concern in this scenario.
B. A hemoglobin A1C level of 7% indicates poor glycemic control and may suggest the need for adjustment in diabetes management, as it exceeds the recommended target range.
C. Total cholesterol within the reference range is not the most significant finding to report in this scenario.
D. Hematocrit within the reference range is not the most significant finding to report in this scenario.
E. A random plasma glucose level of 200 mg/dl (11.1 mmol/L) is indicative of hyperglycemia and requires attention as it suggests poor glycemic control, potentially related to diabetes.

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A client with metastatic bone cancer is requesting pain medication. Which approach should the nurse use to assess the quality of the client's pain?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is D

Explanation

Correct Answer is ["B","E"]

Explanation

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