Author Question: A nurse is assessing the pain of a client who is in hospice. Which of the following is the most ... (Read 35 times)

Coya19@aol.com · **on:** Jul 16, 2018

A nurse is assessing the pain of a client who is in hospice. Which of the following is the most reliable indicator of pain?

A) Vital signs
B) Patient cues
C) Patient self-report
D) Inability to sleep

Question 2

A nurse is conducting the admission interview of a client who is complaining of warts in
the vaginal area. The interview reveals that the client has been sexually active. The nurse
suspects a sexually transmitted infection.

What information should the nurse group
together with the above data to form a data cluster?
A) Instances of unprotected sex
B) Instances of blood transfusions
C) Client's vaccination history
D) Client's dietary habits

jasonq · **Reply #1 on:** Jul 16, 2018

Answer to Question 1

C
Feedback:
The nurse should assess pain frequently as the fifth vital sign and listen to the client's self-report, which is considered the most reliable indicator of pain. Only the client knows how the pain feels, what measures make it worse, and which give relief. Pain and its level of interference with activities, rest, and general comfort are evaluated.

Answer to Question 2

A