The nurse is caring for a patient who only speaks a foreign ...

[K@]

The nurse is caring for a patient who only speaks a foreign language. What is the best method for the nurse to assess the patient's pain level?
 
  a. Perform a pain assessment using a translator.
  b. Check the patient's vital signs and pulse oximetry.
  c. Check the patient's respiratory rate, depth, and rhythm.
  d. Look to see if the patient appears to be resting comfortably.

Question 2

Which assessment question helps the nurse determine the character of the patient's pain?
 
  a. What does the pain feel like, i.e. stabbing, burning or throbbing?
  b. When did the pain first start?
  c. What interventions make the pain better?
  d. Is there any pattern to when the pain occurs?

[FergA]

Answer to Question 1

ANS: A
The best method to determine pain in a patient who speaks only a foreign language is to use an interpreter. The Universal Pain Assessment Tool is available with foreign-language phrases that may also be used. Measuring vital signs and seeing if the patient is resting comfortably are not accurate pain assessment techniques.

Answer to Question 2

ANS: A
Pain character should be assessed using questions to learn more about what the pain feels like. Examples like stabbing, aching, burning may be used so that patients can understand what the nurse is requesting. Onset is determined by asking when the pain started. Exacerbating/relieving factors are determined by asking which interventions make the pain better. Time course is determined by asking if there is a pattern to when the pain occurs.

[K@]

TYSM

[tandmlomax84]

Excellent