« previous next »

Author Question: A nurse is caring for an unconscious patient. What objective assessments does the nurse use to help ... (Read 69 times)

jessicacav

  • Hero Member
  • *****
  • Posts: 558
on: Jul 23, 2018
A nurse is caring for an unconscious patient. What objective assessments does the nurse use to help evaluate pain in this patient? (Select all that apply.)
 
  a. Agitation
  b. Restlessness
  c. Sighing
  d. Vital signs
  e. Shivering

Question 2

Which parameters does the nurse include when assessing pain? (Select all that apply.)
 
  a. Facial expression
  b. Muscle spasms
  c. Shallow respirations
  d. Immobility
  e. Temperature


amy.lauersdorf90

  • Sr. Member
  • ****
  • Posts: 327
Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: A, B, D
The American Society for Pain Management in Nursing's position paper states that for the unconscious, intubated, dementia, or pre-verbal pediatric patient objective assessments of agitation, restlessness, irritation, and changes in vital signs can be used to help assess pain.

Answer to Question 2

ANS: A, C, D
Some objective observations can be helpful in indicating pain, although they are not as reliable as the patient's report. These include facial expression, shallow or rapid respirations, increases in respiratory and pulse rate, and increased blood pressure. The patient may also be reluctant to move if he/she is in pain. Temperature is not affected.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
« previous next »
 

Did you know?

Allergies play a major part in the health of children. The most prevalent childhood allergies are milk, egg, soy, wheat, peanuts, tree nuts, and seafood.

Did you know?

There are approximately 3 million unintended pregnancies in the United States each year.

Did you know?

The first monoclonal antibodies were made exclusively from mouse cells. Some are now fully human, which means they are likely to be safer and may be more effective than older monoclonal antibodies.

Did you know?

Asthma attacks and symptoms usually get started by specific triggers (such as viruses, allergies, gases, and air particles). You should talk to your doctor about these triggers and find ways to avoid or get rid of them.

Did you know?

Signs and symptoms that may signify an eye tumor include general blurred vision, bulging eye(s), double vision, a sensation of a foreign body in the eye(s), iris defects, limited ability to move the eyelid(s), limited ability to move the eye(s), pain or discomfort in or around the eyes or eyelids, red or pink eyes, white or cloud spots on the eye(s), colored spots on the eyelid(s), swelling around the eyes, swollen eyelid(s), and general vision loss.

Nurses possess a wide variety of experiences which they take into each patient encounter. Nurses possess a wide variety of experiences which they take into each patient encounter.
Sharing patient information with colleagues is an important nursing role Sharing patient information with colleagues is an important nursing role
A nurse communicates with her non–English-speaking patient through an interpreter A nurse communicates with her non–English-speaking patient through an interpreter
Patient teaching - eye assessment Patient teaching - eye assessment
Each patient is greeted by the receptionist. Each patient is greeted by the receptionist.
Toxoplasma gondii in the heart of an HIV patient. Toxoplasma gondii in the heart of an HIV patient.
Video: Otitis Media

For a complete list of videos, visit our video library