When obtaining subjective assessment data, the nurse recognizes ...

[folubunmi]

When obtaining subjective assessment data, the nurse recognizes which of the following client scenarios as being the most likely to produce accurate, credible information?
 
  1. A 50-year-old in the ED reporting chest pain
  2. A 70-year-old admitted with fever of unknown origin
  3. A 81-year-old receiving follow-up treatment for a hip replacement
  4. A 22-year-old being treated at a clinic for a sexually transmitted disease

Question 2

The nurse is performing a problem-focused assessment when the client reports pain in his left shoulder. Which of the following nursing questions has priority when determining the nature of the pain?
 
  1. What makes the pain worse?
  2. When did you first notice the pain?
  3. What do you do to lessen the pain?
  4. Can you rate your pain using the pain scale that we've discussed?

[fromAlphatoOmega22]

Answer to Question 1

ANS: 3
This option where the 81-year-old is receiving follow-up treatment for a hip replacement presents a client who is not necessarily experiencing pain, embarrassment, guilt, or any other emo-tion/factor that would inhibit the free communication of subjective symptom data. The 50-year-old client is experiencing pain; this is likely to inhibit the communication process. The 70-year-old client is febrile; this could interfere with the communication process, especially for an older adult because it may cause confusion and the 22-year-old client may be experiencing guilt and/or embarrassment; both may interfere with the communication process.

Answer to Question 2

ANS: 4
Once you complete the assessment, you thoroughly analyze the extent and nature of the client's problem so you are able to later develop a care plan. Identifying the degree of pain the client is experiencing has priority over the other options. While this option is an appropriate pain assess-ment question, it is more directed towards identifying contributing factors than the characteris-tics (nature) of the pain. While this option is an appropriate pain assessment question regarding the nature of the pain, it does not have priority over the degree of pain because that represents an issue that requires immediate intervention. While this option is an appropriate pain assessment question, it is more directed towards identifying effective self-treatment rather than the charac-teristics (nature) of the pain.

[folubunmi]

TYSM

[bigsis44]

Excellent