A nurse cares for a laboring client at 4 cm dilation experie…
A nurse cares for a laboring client at 4 cm dilation experiencing moderate contraction pain rated 6/10. The client has an epidural consent signed but states, “I really want to avoid medications if possible and try natural methods first.” The client appears anxious and is breathing rapidly during contractions. Which intervention best demonstrates clinical judgment in selecting pain management approaches?
Read DetailsA nurse assesses an 82-year-old client with advanced dementi…
A nurse assesses an 82-year-old client with advanced dementia who cannot verbally communicate. The client has been increasingly restless, moaning during care, and pulling at bed linens. Family reports this is unusual behavior. Which actions demonstrate appropriate clinical judgment in pain assessment? Select all that apply.
Read DetailsA home health nurse evaluates a client two days post-dischar…
A home health nurse evaluates a client two days post-discharge following abdominal surgery. The client reports pain averaging 3-4/10 (goal ?4=4), takes prescribed opioids only at bedtime, uses heating pad and relaxation techniques during the day, and independently performs light activities including meal preparation. The client states, “I’m managing pretty well but worry about when to call if something changes.” Which evaluation findings indicate successful pain management outcomes? Select all that apply.
Read DetailsA client receiving chemotherapy for breast cancer reports ne…
A client receiving chemotherapy for breast cancer reports new-onset pain in the right shoulder and upper back, rated 7/10, described as “deep and aching.” The client denies trauma and states the pain is constant and worse with deep breathing. Vital signs are stable, and the surgical mastectomy site appears healing appropriately. Which pain assessment consideration is the priority?
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