To assess the quality of an adult client's pain, which approach should the nurse use?

Identify effective pain relief measures.

Provide a numeric pain scale.

Ask the client to describe the pain.

Observe body language and movement.

Answer and Explanation

The Correct Answer is C

C. Asking the client to describe their pain allows the nurse to gather subjective information directly from the client, which can provide valuable insight into the quality, intensity, location, and duration of the pain.

A. This option focuses on pain management rather than pain assessment. While identifying effective pain relief measures is important, it does not directly address the need to assess the quality of the client's pain.

B. While numeric pain scales can be useful for quantifying pain intensity, they do not capture the quality or characteristics of the pain.

D. Observing body language and movement can provide valuable information about the client's pain experience, such as grimacing, guarding, or difficulty moving. However, this approach primarily assesses pain behaviors rather than the quality of the pain itself.

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Correct Answer is D

Explanation

D. Vancomycin is primarily excreted by the kidneys, and monitoring serum creatinine levels helps assess renal function. Impaired renal function can affect vancomycin clearance and increase the risk of toxicity.

A. Measuring oxygen saturation is not directly related to the administration of vancomycin for Clostridium difficile infection.

B. Assessing body temperature may not be the most pertinent action before administering vancomycin for Clostridium difficile infection.

C. Auscultating bowel sounds is also not directly related to the administration of vancomycin for Clostridium difficile infection.

A. Refer the client to the healthcare provider at the clinic to obtain a medication prescription. B. Advise the client that once symptoms occur it is too late to receive an influenza vaccination. C. Instruct the client that over-the-counter medications are sufficient to manage influenza symptoms. D. Explain to the client that antibiotics are not useful in treating viral infections such as Influenza.

Correct Answer is A

Explanation

A. Refer the client to the healthcare provider at the clinic to obtain a medication prescription is appropriate because it acknowledges the client's interest in taking oseltamivir to treat their influenza symptoms.
B. Advising the client that once symptoms occur it is too late to receive an influenza vaccination is not relevant to the client's question about taking oseltamivir to treat their existing influenza symptoms. It addresses the timing of influenza vaccination, which is typically recommended before the onset of flu season or at the beginning of flu season, rather than during an active infection.
C. Instructing the client that over-the-counter medications are sufficient to manage influenza symptoms is not accurate because while over-the-counter medications can help relieve some influenza symptoms such as fever, cough, and congestion, they do not directly treat the underlying viral infection.
D. Explaining to the client that antibiotics are not useful in treating viral infections such as influenza is true but does not address the client's specific question about taking oseltamivir to treat their influenza symptoms.

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To assess the quality of an adult client's pain, which approach should the nurse use?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The client with Clostridium difficile in the stool receives a prescription for vancomycin PO. Which action should the nurse take before administering the first dose?

Correct Answer is D

Explanation

A client with symptoms of influenza that started the previous day asks the clinic nurse about taking oseltamivir to treat the infection. Which response should the nurse provide?

Correct Answer is A

Explanation

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