*NURSING > ATI MEDICAL SURGICAL > ATI Medical Surgical Nursing, Pain, The Fifth Vital Sign (All)
ATI Medical Surgical Nursing, Pain, The Fifth Vital Sign
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Test Bank MULTIPLE CHOICE 1. The nurse is caring for a client who was medicated for pain 1 hour ago. The client states that the medication is not working and the pain is still present. What is t... he first action that the nurse will take? a. b. c. d. ANS: B Assess the client to determine a pain score. Believe the client’s report of pain. Wait until it is time for the next pain medication dose. Teach the client how to use guided imagery. Health care providers often do not believe the client’s report of pain. The nurse’s primary role in pain management is to advocate for the client by believing reports of pain. It is important to remember that self-reporting is always the most reliable indication of pain. After the clinician believes that the client is in pain, the client can be assessed to obtain a pain score and can be taught nonpharmacologic methods of relieving pain. The nurse needs to take action to alleviate the pain and should not wait until the next medication dosage is due. DIF: Cognitive Level: Application/Applying or higher REF: N/A TOP: Client Needs Category: Safe and Effective Care Environment (Management of Care—Advocacy) MSC: Integrated Process: Nursing Process (Analysis) [Show More]
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