A nurse is collecting data on a client for manifestations of pain. Which of the following findings is an objective indicator of pain?

The client rates their pain as an 8 on a scale of 0 to 10.

The client reports a burning sensation.

The client grimaces when they move.

The client states the pain is located on their abdomen.

Answer and Explanation

The Correct Answer is C

A.   This is a subjective indicator of pain. The pain rating is based on the client’s personal experience and perception of their pain intensity. It reflects the individual’s feelings rather than observable data.
B.   This statement is also subjective. Describing pain as a "burning sensation" comes from the client's personal experience and interpretation of their symptoms, which cannot be measured or observed by others.
C.   This is an objective indicator of pain. A grimace is an observable behavior that can indicate discomfort or pain. It is something that the nurse can see and assess, making it an objective finding.
D.   This is another subjective indicator. While knowing the location of pain is important for diagnosis and treatment, the statement reflects the client’s personal experience of pain and cannot be measured or observed directly.

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Correct Answer is B

Explanation

A. Lifting heavy loads alone can increase the risk of injury. It is important to use proper lifting techniques and to get help when needed.
B. Taking breaks allows nurses to rest and reduce the risk of musculoskeletal injuries. It helps to prevent fatigue, which can lead to poor posture and other ergonomic problems.
C. Reaching can strain muscles and increase the risk of injury. It is better to move closer to the object before lifting it.
D. Working long hours can lead to fatigue and increased stress, which can contribute to ergonomic problems. It is important to have adequate rest and recovery time.

A. Client administered nitroglycerin 0.3 mg SL for chest pain B. Client's blood pressure is 182/98 mm Hg C. Client's skin is pale and diaphoretic D. Client reports chest pain after mowing lawn this morning

Correct Answer is D

Explanation

A. This statement describes an action taken by the client and is considered objective information. It reports a measurable action rather than the client’s personal experience or feelings about their condition.
B. This is an objective finding, as it is a measurable and observable fact obtained through assessment. It
does not reflect the client’s perspective or self-reported symptoms.
C. It describes observable signs noted during the assessment and does not include any information shared by the client about how they feel.
D. It reflects the client’s personal experience of pain and provides context for the symptom, including the activity that triggered it. This type of information is essential in understanding the client’s condition from their perspective.

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A nurse is collecting data on a client for manifestations of pain. Which of the following findings is an objective indicator of pain?

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Naxlex Comprehensive Predictor Exams

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