HESIRNCOMPREHENSIVEPREDICTOREXAM.HESIRNCOMPREHENSIVEPREDICTOREXAMAnorientedpatienthasrecentlyhadsurgery.Whichactionisbestforthenursetotaketoassessthispatient’spain?a.Assessthepatient’sbodylanguage.b.Askthepatienttoratethelevel ofpain.c.Observethecardiacmonitorforincreasedheartrate.d.Havethepatientdescribetheeffectofpainontheabilitytocope.ANS:BOne of the most subjective and therefore most useful characteristics forreporting pain is its severity. Therefore, the best way to assess a patient’s painis to ask the patient to rate the pain. Nonverbal communication, such as bodylanguage, is not as effective in assessing pain, especially when the patient isoriented. Heartrate sometimes increases when a patient is in pain, but this isnot a symptom that is specific to pain. Pain sometimes affects a patient’sabilitytocope,butassessingtheeffectofpainoncopingassessesthepatient’sabilitytocope; itdoesnotassessthepatient’spain.2.Anurseiscaring fora patientwhorecentlyhadabdominal surgeryandisexperiencingseverepain.Thepatient’sbloodpressureis110/60mmHg,and heart rate is 60 beats/min. Additionally, the patientdoes not appear tobeinanydistress.Whichresponsebythenurseismosttherapeutic?“Yourvitalsdonotshowthatyouarehavingpain;canyoudescribea.yourpain?”b.“OK,Iwillgogetyousomenarcoticpainrelieversimmediately.”c.“Whatwould youliketotrytoalleviateyourpain?”d.“Youdonotlooklikeyouareinpain.”ANS:CBesuPreview Mode
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