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Global Rationale: Cognitive Level: AnalyzingClient Need: Health Promotion and MaintenanceClient Need Sub: Nursing/Integrated Concepts: Nursing Process: ImplementationLearning Outcome: 36-2Question 16Type: MCMA
A patient is reporting intermittent pain in the left upper abdomen. To best assess the characteristics of the pain, the nurse would ask which questions?Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.1. "Can you describe the pain for me?"2. "What do you think is causing the pain?"3. "When did you first notice the pain?"4. "Can you do anything that makes the pain go away?"5. "Does anything make the pain worse?"Correct Answer: 1,3,4,5Rationale 1: An interview regarding the characteristics of pain should include questions directed toward a description of how it feels.Rationale 2: While asking the patient’s opinion as to the cause of the pain is appropriate, it does not contribute to the understanding of the characteristics of the pain itself.Rationale 3: An interview regarding the characteristics of pain should include questions directed toward the onset and duration of the pain.Rationale 4: Actions that affect the pain (increase, decrease, or eliminate) are important to the interview.Rationale 5: Actions that affect the pain (increase, decrease, or eliminate) are important to the interview.Global Rationale: Cognitive Level: AnalyzingClient Need: Physiological IntegrityClient Need Sub: Physiological AdaptationNursing/Integrated Concepts: Nursing Process: AssessmentLearning Outcome: 36-2Question 17Type: MCSAWhen assessing a patient’s abdomen, the nurse recognizes the importance of reserving palpation as the last technique. What rationale would the nurse provide for this sequence?