A nurse is assessing a client for acute postoperative pain. Which of the following actions should the nurse take first?

Provide an analgesic for pain.

Obtain a self-report from the client.

Observe the client's behaviors.

Develop a behavioral pain score.

Answer and Explanation

The Correct Answer is B

A. Provide an analgesic for pain. Administering medication is important but should be done after assessing the pain.
B. Obtain a self-report from the client. The client's self-report is the most reliable indicator of pain and should be obtained first.
C. Observe the client's behaviors. Observing behaviors is helpful but should follow the self-report to validate the client's experience.
D. Develop a behavioral pain score. This can be useful for non-verbal clients, but the self-report is the primary method of assessment for verbal clients.

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Correct Answer is B

Explanation

A. "This document will ensure that my health care wishes remain confidential." Advance directives are meant to be shared with healthcare providers and family members, not kept confidential.
B. "This document will tell others what care I want when I cannot speak for myself." This statement correctly reflects the purpose of advance health care directives.
C. "My attorney has to prepare this document for me." While an attorney can assist, the document can be prepared without one.
D. "My family can change the document if I become mentally incapacitated." The document cannot be changed by family members once the client is incapacitated.

A. Verapamil B. Lithium C. Sumatriptan D. Prednisone.

Correct Answer is C

Explanation

A. Verapamil Verapamil is used as a preventive treatment for cluster headaches, not for aborting an acute attack.
B. Lithium Lithium is used for cluster headache prevention, not for immediate pain relief.
C. Sumatriptan Sumatriptan is effective in aborting acute cluster headache attacks.
D. Prednisone Prednisone can be used as a short-term preventive measure but is not typically used to abort an acute headache.

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A nurse is assessing a client for acute postoperative pain. Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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