Author Question: The nurse on a postoperative care unit is assessing the quality of the client's pain. To obtain this ... (Read 76 times)

jhjkgdfhk · **on:** Jul 22, 2018

The nurse on a postoperative care unit is assessing the quality of the client's pain. To obtain this specific information about the pain experience from the client, which of the following questions should the nurse ask?

a. What does your discomfort feel like?
b. What activities make the pain worse?
c. How much does it hurt on a scale of 0 to 10?
d. How much discomfort are you able to tolerate?

Question 2

In which of the following locations could the nurse best auscultate the point of maximum impulse (PMI) in an adult client?

a. Fourth intercostal space, left of the midclavicular line
b. Fifth intercostal space, medial to the left midclavicular line
c. Second intercostal space, right of the midclavicular line
d. Third intercostal space, right of the midclavicular line

fromAlphatoOmega22 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

A
To determine the quality of the client's pain the nurse might ask, What does your discomfort feel like?. It is more accurate to have clients describe the pain in their own words whenever possible.
Inquiring about what activities make the pain worse is a type of question directed at determining the pain pattern.
Having the client rate his or her pain on a pain scale is a method of measuring the intensity of pain.
To determine the client's expectations, the nurse may ask the client, How much discomfort are you able to tolerate?

Answer to Question 2

B
In the adult client, the PMI is located at the fifth intercostal space, medial to the left midclavicu-lar line.
The PMI of an 8-year-old child is more likely to be located at the fifth intercostal space, left of the midclavicular line.
The PMI is not located to the right of the midclavicular line.
The PMI of an infant is at the third or fourth intercostal space, left of the midclavicular line.