The patient tells the nurse about a burning sensation in the ...

[nramada]

The patient tells the nurse about a burning sensation in the epigastric area. How should the nurse describe this type of pain when documenting the findings?
 
  a. Referred
  b. Radiating
  c. Deep or visceral
  d. Superficial or cutaneous

Question 2

During the end-of-shift report, the nurse notes that the client had been very nervous and preoccupied during the evening and that no family visited.
 
  To determine the amount of anxiety that the client is experiencing, how should the nurse respond to the client? a. Would you like for me to call a family member to come and support you?
  b. Would you like to go down the hall and talk with another client who had the same surgery?
  c. How serious do you think your illness is?
  d. You seem worried about something. Would it help to talk about it?

[skipfourms123]

Answer to Question 1

C

Feedback
A Referred pain is felt in a part of the body separate from the source of pain, such as with a myocardial infarction, in which pain may be referred to the jaw, left arm, and left shoulder.
B Radiating pain feels like it is travelling down or along a body part, such as low back pain that is accompanied by pain radiating down the leg from sciatic nerve irritation.
C Deep or visceral pain is diffuse and may radiate in several directions. Visceral pain may be described as a burning sensation.
D Superficial or cutaneous pain is of short duration and is localized, as in a small cut.

Answer to Question 2

D
The nurse learns from the client both by asking questions and by making observations of non-verbal behaviour and the client's environment. To determine the amount of anxiety the client is experiencing, the nurse gathers information from the client's perspective.
Asking if the client desires for family to be called is not assessing the client's level of anxiety.
The nurse should first focus on developing a trusting relationship with the client. If the nurse takes the client to visit someone who had the same surgery, the nurse would not be able to assess the client's current level of anxiety.
How serious do you think your illness is? is not the best response. It does not assess the amount of anxiety the client is currently experiencing.

[nramada]

Excellent

[juliaf]

TYSM