A nurse is caring for a client who is postoperative. The nurse should recognize that which of the following methods is the most reliable source when determining the intensity of the client's pain?

Vital sign measurement

Nature of invasiveness of the surgical procedure

Visual observation for nonverbal signs of pain

Client's self-report of pain

Answer and Explanation

The Correct Answer is D

A.   While changes in vital signs, such as increased heart rate and blood pressure, may indicate pain, they are not specific to pain and can be influenced by other factors.
B.   The type of surgery can provide some clues about the potential for pain, but it does not accurately reflect the individual's pain experience.
C.   Nonverbal cues like grimacing, guarding, or restlessness can suggest pain, but they are not always reliable indicators. Some clients may not exhibit obvious signs of pain, even if they are experiencing significant discomfort.
D.   This is the most reliable source of information about a client's pain intensity. Only the client can accurately describe their own pain experience, including its location, severity, and quality.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

A. This statement describes an action taken by the client and is considered objective information. It reports a measurable action rather than the client’s personal experience or feelings about their condition.
B. This is an objective finding, as it is a measurable and observable fact obtained through assessment. It
does not reflect the client’s perspective or self-reported symptoms.
C. It describes observable signs noted during the assessment and does not include any information shared by the client about how they feel.
D. It reflects the client’s personal experience of pain and provides context for the symptom, including the activity that triggered it. This type of information is essential in understanding the client’s condition from their perspective.

A. Same day access to client health record B. Decrease in coordination of client care C. Portal that allows clients to interact with providers D. Increase of duplicate tests performed on client

Correct Answer is A

Explanation

A. Electronic health records (EHRs) allow for immediate access to a patient's health information, improving coordination of care and enabling timely decision-making.
B. EHRs actually improve coordination of care by providing real-time access to patient information for multiple healthcare providers.
C. While some EHR systems offer patient portals, this is not a core advantage of electronic documentation itself.
D. EHRs can help reduce duplicate testing by providing access to previous test results and preventing unnecessary procedures.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is caring for a client who is postoperative. The nurse should recognize that which of the following methods is the most reliable source when determining the intensity of the client's pain?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is documenting in a client's health record using the subjective, objective, assessment, and plan (SOAP) charting model. Which of the following information should be included in the subjective component?

Correct Answer is D

Explanation

A charge nurse is reinforcing teaching with a newly licensed nurse about the advantages of electronic documentation. Which of the following information should the nurse include in the teaching?

Correct Answer is A

Explanation

A nurse is caring for a client who reports a decrease in central vision. The nurse should identify that this is a manifestation of which of the following visual impairments?

A nurse is caring for a client who reports chronic pain. Which of the following actions by the nurse uses holistic nursing?

When showering a patient, which of the following actions should the nurse take to ensure patient safety?

A nurse is caring for a client who had radiation therapy and is experiencing painful dermatitis. The nurse should identify the client is experiencing which of the following types of pain?

A nurse is assisting with the care of a client. Exhibits A nurse in a provider's office is assisting with the review of fall risk data collected on a client. Which of the following findings places the client at risk for a fall? Select all that apply.

A nurse is assisting with teaching a newly licensed nurse about pain. Which of the following is an example of acute pain?

What is an important strategy for fall prevention in older adults?

A nurse is caring for a client who reports frequent headaches. Which of the following statements by the nurse uses holistic nursing?