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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. This is an open-ended question, not closed-ended.
B. A closed-ended question like "Does your pain occur when walking short distances?" is specific and allows the nurse to understand the triggers and pattern of the pain, which is important for assessing unstable angina.
C. "When did you first notice the pain in your chest?" is also a relevant question but less specific to understanding the current pattern and triggers of the pain.
D. "How do you feel when the pain becomes noticeable?" is open-ended and less specific in identifying triggers and patterns of the pain.
Correct Answer is D
Explanation
A. While it's important to know about peripheral pulses and mobility, this is not as critical immediately post-op.
B. A history of vomiting is relevant but not immediately actionable for the current post-op care.
C. Dry mouth is a common and manageable symptom post-op, but not immediately critical.
D. A soft abdomen, absent bowel sounds, and no bleeding on dressing provide essential information on the client's current post-op status and potential complications, making it the most important information to confirm.
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