A nurse is caring for a client who reports abdominal pain. The nurse asks the client to describe what the pain feels like. The nurse is using which of the following components of the PQRST mnemonic?
Precipitating cause
Region
Quality
Severity
The Correct Answer is C
A. This component refers to what triggered the pain or any factors that may have contributed to its onset. For example, a nurse might ask if the pain started after eating, exercising, or any other activity. This does not apply to the nurse asking about the quality of the pain.
B. This involves identifying the location of the pain. The nurse would ask the client where the pain is situated (e.g., upper abdomen, lower abdomen, etc.). While important, this is not what the nurse is asking when they inquire about the nature of the pain.
C. This component focuses on describing the nature of the pain itself. The nurse is asking the client to describe what the pain feels like, such as whether it is sharp, dull, throbbing, burning, or cramping. This is the correct choice in this scenario.
D. This refers to how intense the pain is, often measured on a scale (e.g., 0 to 10). The nurse would ask the client to rate their pain intensity. While this is an important aspect of pain assessment, it does not pertain to describing what the pain feels like.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. This condition affects the central portion of the retina, causing blurred vision in the center of the visual field.
B. A cataract is a clouding of the lens in the eye that affects vision. This clouding can cause blurred vision, sensitivity to light, and difficulty seeing at night.
C. This is a complication of diabetes that damages the blood vessels in the retina. It can cause blurred vision, floaters, and even blindness.
D. This is a condition that damages the optic nerve. It often causes a gradual loss of peripheral vision.
Correct Answer is B
Explanation
A. This is not one of the five rights of delegation. While ensuring that tasks are assigned in the appropriate environment is important, it is not a formal component of delegation principles.
B. This concept is critical in delegation but is not specifically one of the "Five Rights." Effective communication is necessary to ensure that the AP understands the task, its importance, and any specific instructions or expectations.
C. This is not one of the five rights of delegation. However, it does relate to when tasks should be delegated and ensuring that they are completed within a timeframe that is appropriate for patient care. The timing aspect is generally integrated into the context of the task rather than identified as a standalone right.
D. This is also not one of the five rights of delegation. While documentation is essential for maintaining accurate patient records and communication, it does not directly fall under the formal rights of delegation.
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