Pain Assessment
Pain Assessment ( 5 Questions)
A nurse is assessing a client's pain and notes that the client is grimacing, guarding the affected area, and rating their pain as 8 out of 10. What action should the nurse take?
Documenting the findings and reassessing the pain in 30 minutes may delay appropriate pain relief measures if the client is experiencing significant pain.
Administering the maximum prescribed dose of pain medication should be based on a comprehensive pain assessment and healthcare provider's order.
The client's grimacing, guarding, and high pain rating indicate significant pain. The nurse should initiate non-pharmacological pain relief measures, such as positioning, relaxation techniques, heat or cold therapy, or distraction, to help alleviate the pain.
Initiating a consultation with a physical therapist may be appropriate in certain cases, but immediate non-pharmacological pain relief measures should be provided first.
Answer: c. Provide non-pharmacological pain relief measures.
Explanation: The client's grimacing, guarding, and high pain rating indicate significant pain. The nurse should initiate non-pharmacological pain relief measures, such as positioning, relaxation techniques, heat or cold therapy, or distraction, to help alleviate the pain.
a. Documenting the findings and reassessing the pain in 30 minutes may delay appropriate pain relief measures if the client is experiencing significant pain.
b. Administering the maximum prescribed dose of pain medication should be based on a comprehensive pain assessment and healthcare provider's order.
d. Initiating a consultation with a physical therapist may be appropriate in certain cases, but immediate non-pharmacological pain relief measures should be provided first.