A nurse is applying a cold compress for a client who has pain and minor swelling in a sutured laceration on the forearm. Which of the following assessments should the nurse use to determine whether the treatment is effective?

Asking the client to rate the pain

Having the client perform range-of-motion of the affected arm

Monitoring the client's pulse rate

Inspecting the site for reduced swelling

Answer and Explanation

The Correct Answer is A

A. Asking the client to rate the pain: Pain rating provides a subjective measure of the intervention’s effectiveness in reducing discomfort.

B. Having the client perform range-of-motion of the affected arm: This assessment is not specific to determining the effectiveness of cold therapy; it is more related to mobility or rehabilitation.

C. Monitoring the client's pulse rate: While pain can affect pulse rate, this is an indirect and nonspecific measure of pain or swelling reduction.

D. Inspecting the site for reduced swelling: Swelling reduction can be an indicator of decreased inflammation, but it does not provide a direct assessment of the client’s pain levels.

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Correct Answer is C

Explanation

A. Spirituality can increase depression: Spirituality often alleviates, rather than increases, depression.

B. Spirituality can increase feelings of hopelessness: Spirituality typically fosters hope and comfort.

C. Spirituality can increase emotional and psychological comfort. Spirituality often helps individuals find meaning, peace, and connection during end-of-life care, improving emotional and psychological well-being.

D. Spirituality can increase the desire to hasten death: Spirituality generally supports coping and a peaceful end-of-life experience rather than a desire to hasten death.

A. Observe the patient's facial expressions and body language for signs of discomfort. B. Measure the patient's vital signs and note any changes. C. Review the patient's medical history for past pain management interventions and their outcomes. D. Ask the patient to describe the pain using a pain scale and provide details about its location, duration, and intensity.

Correct Answer is D

Explanation

A. Observe the patient's facial expressions and body language for signs of discomfort: While observation is important, it doesn't provide a complete picture of the client's pain experience and may not capture all aspects, such as intensity or location.

B. Measure the patient's vital signs and note any changes: Vital signs are important but can be nonspecific indicators of pain and are not as reliable for assessing pain intensity or quality.

C. Review the patient's medical history for past pain management interventions and their outcomes: While this is useful, it does not directly address the client's current pain experience.

D. Ask the patient to describe the pain using a pain scale and provide details about its location, duration, and intensity. A comprehensive pain assessment requires the client's self-report to fully understand the pain's characteristics. A pain scale (e.g., 0-10) helps quantify the intensity, and asking about its location, duration, and type allows for a thorough understanding of the pain's impact.

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A nurse is applying a cold compress for a client who has pain and minor swelling in a sutured laceration on the forearm. Which of the following assessments should the nurse use to determine whether the treatment is effective?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

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