A nurse is caring for a client who reports abdominal pain. The nurse asks the client to describe what the pain feels like. The nurse is using which of the following components of the PQRST mnemonic?
Precipitating cause
Region
Quality
Severity
The Correct Answer is C
A. This component refers to what triggered the pain or any factors that may have contributed to its onset. For example, a nurse might ask if the pain started after eating, exercising, or any other activity. This does not apply to the nurse asking about the quality of the pain.
B. This involves identifying the location of the pain. The nurse would ask the client where the pain is situated (e.g., upper abdomen, lower abdomen, etc.). While important, this is not what the nurse is asking when they inquire about the nature of the pain.
C. This component focuses on describing the nature of the pain itself. The nurse is asking the client to describe what the pain feels like, such as whether it is sharp, dull, throbbing, burning, or cramping. This is the correct choice in this scenario.
D. This refers to how intense the pain is, often measured on a scale (e.g., 0 to 10). The nurse would ask the client to rate their pain intensity. While this is an important aspect of pain assessment, it does not pertain to describing what the pain feels like.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. This approach can be frustrating for the client and may undermine their confidence and autonomy. It can also prevent the client from expressing themselves fully. Therefore, this is not an appropriate action.
B. Visual aids can enhance understanding and facilitate communication, especially for clients with speech impairments. Avoiding them would limit effective communication.
C. Providing extra time allows the client to process their thoughts and express themselves at their own pace. It shows respect for their communication needs and fosters a more supportive environment.
D. While open-ended questions encourage more detailed responses, they may be challenging for someone with impaired speech. Instead, closed-ended questions or offering choices can be more effective. Open-ended questions could lead to frustration if the client struggles to articulate their responses.
Correct Answer is D
Explanation
A. This is too hot and can scald the client's skin. The recommended water temperature for bathing is around 37-40°C (98.6-104°F).
B. Bath oil can make the bathtub surface slippery, increasing the risk of falls.
C. While it's important to avoid prolonged exposure to hot water, limiting bath time to 20 minutes is not the primary concern for safety in this situation.
D. This is the most important safety measure to prevent falls, especially for a client with a lower extremity amputation who may have balance difficulties.
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