A nurse is evaluating a patient for signs of pain. Which of the following is an objective sign of pain?

The patient reports a burning sensation.

The patient grimaces when they move.

The patient rates their pain as an 8 on a scale of 0 to 10.

The patient states the pain is located in their abdomen.

Answer and Explanation

The Correct Answer is B

Choice A rationale
A patient reporting a burning sensation is a subjective sign of pain. It relies on the patient’s personal experience and verbal report.
Choice B rationale
A patient grimacing when they move is an objective sign of pain. It is observable and does not rely on the patient’s verbal report.
Choice C rationale

A patient rating their pain as an 8 on a scale of 0 to 10 is a subjective sign of pain. It relies on the patient’s personal experience and verbal report.
Choice D rationale
A patient stating the pain is located in their abdomen is a subjective sign of pain. It relies on the patient’s personal experience and verbal report.

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Correct Answer is D

Explanation

Choice A rationale
Parkinson’s disease is a neurodegenerative disorder that affects movement, but it is not a known risk factor for subarachnoid hemorrhage (SAH)10111213.
Choice B rationale
Alzheimer’s disease is a type of dementia that affects memory, thinking, and behavior, but it is not a known risk factor for SAH10111213.
Choice C rationale

Being male is not a specific risk factor for SAH. Both men and women can be affected by this condition.
Choice D rationale
Marfan’s syndrome is a genetic disorder that affects the body’s connective tissue. People with Marfan’s syndrome have a higher risk of developing aneurysms, including those in the brain, which can lead to SAH10111213. Cerebral edemaCerebral edema Explore

A. A nurse provides nonpharmacological pain interventions to each client equally. B. A nurse fulfills a promise to a client that they will return with their pain medication. C. A nurse administers a scheduled pain medication for a client who is having pain. D. A nurse gives a client the choice of when to take a pain medication.

Correct Answer is D

Explanation

Choice A rationale
Providing nonpharmacological pain interventions to each client equally is an example of justice, not autonomy. Justice in healthcare refers to treating all patients fairly and equitably.
Choice B rationale
Fulfilling a promise to a client that they will return with their pain medication is an example of fidelity, not autonomy. Fidelity refers to being faithful to commitments and promises.
Choice C rationale
Administering a scheduled pain medication for a client who is having pain is an example of beneficence, not autonomy. Beneficence refers to taking actions that are of benefit to the patient.
Choice D rationale
Giving a client the choice of when to take a pain medication is an example of autonomy. Autonomy in healthcare refers to the patient’s right to make decisions about their own care.

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A nurse is evaluating a patient for signs of pain. Which of the following is an objective sign of pain?

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