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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Related Questions
Correct Answer is C
Explanation
A. The nurse should reinforce that the client should avoid twisting at the waist when lifting or reaching. Instead, they should pivot with their feet and keep their back straight to minimize strain on the lower back.
B. Prolonged bed rest is generally not recommended for acute lower back pain. While resting is important, clients are usually encouraged to engage in light activity and movement as tolerated to prevent stiffness and promote healing. Staying in bed for extended periods can lead to more problems.
C. Ice packs can help reduce inflammation and numb the pain in the initial stages of injury. Applying ice intermittently for 15-20 minutes at a time can be beneficial during the first 48 hours after an acute injury.
D. This option is not advisable for a client experiencing acute lower back pain. Strengthening exercises should be introduced gradually and only after the acute pain has subsided. Initially, the focus should be on gentle stretching and movement rather than adding weights, which could exacerbate the injury.
Correct Answer is D
Explanation
A. While it's important to be flexible and anticipate interruptions, planning for them can lead to inefficient time management. It's better to focus on completing tasks and addressing disruptions as they arise.
B. While helping colleagues is important, taking on additional tasks can overload your workload and hinder your own time management.
C. Skipping meals is not a sustainable solution for time management. It can lead to fatigue, decreased productivity, and potential health problems.
D. This strategy helps to build momentum and a sense of accomplishment, making it easier to tackle more challenging tasks later. It also helps to reduce stress and procrastination.
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