An accident arrives at the emergency department (ED) with severe right lower quadrant abdominal pain.
To assess the intensity of the client's pain, which approach should the nurse use?

Ask the client to describe the pain.

Provide a numeric pain scale.

Identify effective pain relief measures.

Observe body language and movement.

Answer and Explanation

The Correct Answer is B

The assessment of pain intensity by a validated pain scale is a critical initial step, and a patient’s self-reporting is widely considered as the key to effective pain management 1.

According to good practice guidelines, clinicians must accept a patient’s statement, regardless of their own opinions 1.

Choice A is not the answer because asking the client to describe the pain does not provide an objective measure of pain intensity 1.

Choice C is not the answer because identifying effective pain relief measures does not assess the intensity of the client’s pain 1.

Choice D is not the answer because observing body language and movement does not provide an objective measure of pain intensity 1.

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Free Nursing Study Resources

Correct Answer is D

Explanation

The correct answer is choice D.

When administering ear drops to an adult client with an ear infection, the nurse should keep the patient in a supine position to administer the drops.

This position allows the medication to flow into the ear canal and reach the site of infection.

Choice A is not correct because it is not necessary to swab and shake the bottle before administering the drops.

Choice B is not correct because tilting the head upright would cause the medication to flow out of the ear canal instead of reaching the site of infection.

Choice C is not correct because lowering the edge of the dropper into the canal of the ear could cause injury or discomfort to the patient.

A. Ask the UAP to offer back rubs to the client. B. Reassess the client and the level of pain. C. Encourage the client to focus on taking deep breaths. D. Tell the client the medication needs more time to work.

Correct Answer is B

Explanation

The nurse should reassess the client’s pain level and determine if additional interventions are needed to manage the pain.

Choice A is not the answer because while a back rub may provide some temporary relief, it does not address the underlying cause of the pain.

Choice C is not the answer because while deep breathing can help with relaxation, it does not address the underlying cause of the pain.

Choice D is not the answer because telling the client that the medication needs more time to work does not address their current pain level or provide any immediate relief.

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An accident arrives at the emergency department (ED) with severe right lower quadrant abdominal pain. To assess the intensity of the client's pain, which approach should the nurse use?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

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An accident arrives at the emergency department (ED) with severe right lower quadrant abdominal pain.
To assess the intensity of the client's pain, which approach should the nurse use?