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. Using hot water is not recommended as it can cause skin irritation or burns, especially in vulnerable populations such as those with urinary incontinence. Warm or lukewarm water is more appropriate for cleaning sensitive skin.
B. Applying cornstarch can sometimes be used to absorb moisture and reduce friction; however, it is not the first-line recommendation. It may also promote yeast growth in the presence of moisture, so it should be used with caution.
C. Using a pH-balanced cleanser helps maintain the natural acidity of the skin, which is important for skin integrity and preventing irritation. This type of cleanser is less likely to disrupt the skin's barrier, reducing the risk of skin breakdown and infection.
D. While air-drying can be beneficial in some cases, it is generally not the best practice after cleaning. Gently patting the skin dry with a soft towel is usually recommended to avoid irritation. Allowing skin to remain damp can increase the risk of skin breakdown.
Correct Answer is ["B","C","E"]
Explanation
A. While a cane can be helpful for balance, it doesn't necessarily increase fall risk. In fact, it can help reduce the risk.
B. Throw rugs can be tripping hazards, especially for individuals with visual impairments like macular degeneration.
C. Electrical cords can cause tripping and falls, especially in areas with high foot traffic.
D. A grab bar can actually help prevent falls, especially in the bathroom where there is a risk of slipping.
E. This eye condition can impair vision, making it difficult to see obstacles and potential hazards, increasing the risk of falls.
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