A nurse is collecting data on a client for manifestations of pain.
Which of the following findings is an objective indicator of pain?
The client reports a burning sensation.
The client states the pain is located in their abdomen.
The client grimaces when they move.
The client rates their pain as an 8 on a scale of 0 to 10.
The Correct Answer is C
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The correct answer is: D. Nonmaleficence.
Choice A rationale: Kindness is a positive trait and desirable in patient care, but it is not the ethical principle that addresses harm prevention.
Choice B rationale: Good manners refer to courteous behavior, not specifically to preventing harm.
Choice C rationale: Common courtesy involves polite behavior, which, while important, is not the ethical principle related to avoiding harm.
Choice D rationale: Nonmaleficence is the ethical principle that emphasizes not causing harm to others while providing care and striving for the best outcomes.
Correct Answer is A
Explanation
Answer is: A. The client is asleep.
Explanation:
- A. The client is asleep. This is the correct answer because a client who is asleep is likely to have less pain than a client who is awake and restless. Opioid narcotics can also cause sedation, which can indicate effective pain relief.
- B. The client has an elevated blood pressure. This is incorrect because an elevated blood pressure can indicate increased pain, stress, anxiety, or other factors that are not related to pain relief. Opioid narcotics can also cause hypotension, which can indicate overdose or adverse effects.
- C. The client has an increased respiratory rate. This is incorrect because an increased respiratory rate can indicate increased pain, anxiety, hypoxia, or other factors that are not related to pain relief. Opioid narcotics can also cause respiratory depression, which can indicate overdose or adverse effects.
- D. The client is diaphoretic. This is incorrect because diaphoresis can indicate increased pain, fever, infection, or other factors that are not related to pain relief. Opioid narcotics can also cause sweating, which can indicate withdrawal or adverse effects.
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