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 B

Explanation

B. This ensures that the tracheostomy tube remains stable and reduces the risk of the tube becoming dislodged during the process.
A. Tying knots close to the tracheostomy tube can increase the risk of pressure ulceration and irritation to the skin around the stoma.
C. A disposable, soft foam collar with self-adhesive fastening may be used for additional support and comfort, but it does not replace the need for securing the tracheostomy ties.
D. Placing knots laterally may not provide adequate support and can increase the risk of accidental displacement of the tracheostomy tube.

A. Until the excess pressure is reduced. B. Until a smaller angle can be restored. B. For long-term control of normal eye pressure. C. For long-term control of pain and swelling. D. For long-term control of pain and swelling.

Correct Answer is B

Explanation

C. In open-angle glaucoma, the goal of treatment is to achieve and maintain normal intraocular pressure (IOP) to prevent further damage to the optic nerve and preserve vision. Eye drops are typically prescribed as a long-term therapy to control IOP and prevent progression of the disease.

A. While reducing intraocular pressure (IOP) is indeed a primary goal of glaucoma treatment, the use of eye drops for glaucoma is typically long-term to maintain normal eye pressure, not just until the excess pressure is reduced.

B. Eye drops are prescribed for long-term use to maintain normal IOP and prevent further damage to the optic nerve.

C. Open-angle glaucoma is typically painless, and swelling is not a common symptom.

D. Glaucoma is not primarily associated with pain and swelling; rather, it is characterized by increased intraocular pressure and damage to the optic nerve, which can lead to vision loss if left untreated.

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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

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Correct Answer is B

Explanation

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Correct Answer is B

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