While providing the client with morning medications, the client reports new abdominal pain. What assessment question should the nurse ask next?

"Would you like me to get you pain medication?"

"What were you doing when you first noticed the pain?"

"Do you think you might be constipated?"

"Can you remember what you had for dinner last evening?"

Answer and Explanation

The Correct Answer is B

A. "Would you like me to get you pain medication?": Offering medication addresses symptom relief but does not provide information about the cause of new abdominal pain. Immediate assessment is needed before interventions to ensure safe and appropriate treatment.

B. "What were you doing when you first noticed the pain?": Asking about the onset and circumstances of the pain helps the nurse gather critical information to determine potential causes, severity, and urgency. This guides further assessment and intervention, ensuring the client’s safety.

C. "Do you think you might be constipated?": This question assumes a specific cause without a thorough assessment. While constipation may be relevant, it should not be the first inquiry when evaluating new abdominal pain, as other urgent causes must be ruled out.

D. "Can you remember what you had for dinner last evening?": Dietary history can be part of assessment, but it is less immediate than understanding the onset and characteristics of the pain. Initial priority is identifying factors related to the pain’s sudden onset.

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Free Nursing Study Resources

Correct Answer is D

Explanation

A. Request that handouts be prepared for the client: While handouts can supplement teaching, simply providing written materials may not ensure understanding, especially if the client has limited literacy or language proficiency. Handouts alone are insufficient for accurate comprehension.

B. Provide information with graphics and photographs: Visual aids can enhance understanding, but they may not fully convey complex medical information or instructions. Relying solely on visuals can lead to misinterpretation without proper translation.

C. Ask a family member to translate instructions: Using a family member for translation can risk inaccurate or incomplete communication and may compromise confidentiality. Medical terminology may be misunderstood, which can affect safe care.

D. Use a trained medical interpreter for translation: A trained medical interpreter ensures accurate, culturally appropriate communication and helps the client fully understand the teaching. This approach supports informed decision-making and patient safety.

A. "Have you ever had any surgeries?" B. "What type of health insurance do you have?" C. "Have you ever smoked tobacco products?" D. "What illnesses did you have as a child?" E. "Have you had any reactions to your medications?"

Correct Answer is ["A","C","D","E"]

Explanation

A. "Have you ever had any surgeries?": Asking about past surgeries provides important health history that may influence current care, indicate risk factors, and guide future interventions. Surgical history is essential for a comprehensive health assessment.

B. "What type of health insurance do you have?": Health insurance information is administrative rather than clinical data. While it is important for billing and access to services, it does not contribute to the client’s medical assessment or care planning.

C. "Have you ever smoked tobacco products?": Inquiring about tobacco use identifies risk factors for cardiovascular, respiratory, and other chronic diseases. This information is relevant to the client’s current health status and preventive care planning.

D. "What illnesses did you have as a child?": Childhood illnesses can have long-term health implications, including immunity status, chronic conditions, or complications that may affect current care. Documenting this helps create a thorough health history.

E. "Have you had any reactions to your medications?": Knowing about previous medication reactions is critical for preventing adverse drug events and ensuring safe prescribing and administration. This information is essential for client safety.

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While providing the client with morning medications, the client reports new abdominal pain. What assessment question should the nurse ask next?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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