A nurse is attending to a patient who is experiencing discomfort.
Which of the following patient statements should the nurse document in the initial pain assessment to describe the quality of the patient’s pain?

“I feel a dull ache in my stomach.”.

“I notice that the pain intensifies after I eat.”.

“The pain is causing me to feel nauseous.”.

“I’m experiencing mild pain.”.

Answer and Explanation

The Correct Answer is A

The quality of pain is a subjective description of what the pain feels like to the patient. The statement “I feel a dull ache in my stomach” provides a description of the quality of the patient’s pain.

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Correct Answer is A

Explanation

Choice A rationale

Pressing gently on the tragus of the ear after administering the medication can help the medication to reach the inner ear.

Choice B rationale

Packing a small piece of cotton deep into the patient’s ear canal is not recommended as it can cause damage to the ear.

Choice C rationale

Moving the patient’s auricle down and back towards their head is not necessary when administering otic medication.

Choice D rationale

Tilting the patient’s head backward for 5 minutes is not required when administering otic medication.

A. Use a bed exit alarm system. B. Raise four side rails while the patient is in bed. C. Apply one soft wrist restraint. D. Dim the lights in the patient’s room.

Correct Answer is A

Explanation

Choice A rationale

Using a bed exit alarm system is a common intervention to minimize the risk of injury in patients with dementia. These systems alert staff when a patient attempts to leave the bed, allowing for timely intervention to prevent falls.

Choice B rationale

Raising four side rails while the patient is in bed is not a recommended practice. This could be considered a form of restraint and could increase the risk of injury if the patient attempts to climb over the rails.

Choice C rationale

Applying one soft wrist restraint is not a recommended practice for patients with dementia. Restraints should be used as a last resort and only when necessary for the patient’s safety.

Choice D rationale

Dimming the lights in the patient’s room is not a recommended practice to minimize the risk of injury in patients with dementia. Adequate lighting can help prevent falls and other accidents.

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A nurse is attending to a patient who is experiencing discomfort. Which of the following patient statements should the nurse document in the initial pain assessment to describe the quality of the patient’s pain?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is A

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A nurse is attending to a patient who is experiencing discomfort.
Which of the following patient statements should the nurse document in the initial pain assessment to describe the quality of the patient’s pain?