Author Question: The nurse is interviewing a client who has been admitted to the hospital with severe abdominal pain. ... (Read 120 times)

debasdf · **on:** Jun 25, 2018

The nurse is interviewing a client who has been admitted to the hospital with severe abdominal pain.

The nurse is assessing the client's pain using the acronym OLDCART & ICE. Rank the following the statements by the nurse in order of the way they are normally assessed.
Sselect the correct choice from the list.
Response 1. How long have you had this pain?
Response 2. Would you please point to the location of your pain?
Response 3. How would you describe your pain? Is it sharp, dull, stabbing?
Response 4. Can you tell me when your pain first began?

Question 2

A client has been brought to the emergency department (ED) by a family member. The client is speaking incoherently. To obtain information about the client's current health status, what should the nurse do?

1. Call the client's healthcare provider.
2. Call the Medical Records department to obtain other records for the client.
3. Discuss the situation with the family member who brought the client to the hospital.
4. Conduct a thorough physical assessment and document the health history as unable to obtain.

kkenney · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 4, 2, 1, 3

Answer to Question 2

Correct Answer: 3

The primary and best source of information for the health assessment interview is the client. In some situations, the client might be unwilling or unable to provide information. The nurse should use another source of information if indicated. This client is incoherent and is accompanied by a family member. The nurse should talk with the family members. Phoning the healthcare provider or calling Medical Records for other admission information might be appropriate at a later time. The nurse should not document the health history as unable to obtain since family members are available to provide this information.