11. Answer: B. Client complaints of chest pain, dyspnea, or abdominal pain Show
Client complaints about chest pain, dyspnea, or abdominal pain are considered part of the review of body systems. This potion of the assessment elicits subjective information on the client's perceptions of major body system functions, including cardiac, respiratory, and abdominal. The client's name, address, age, and phone number are biographical data. A brief statement about what brought the client to the health care provider is the chief complaint. Information about the client's sexual performance and preference addresses past health status. What term would the nurse use to document pain at one site that is perceived in other site?23. Which term would the nurse use to document pain at one site that is perceived in other site? Referred pain is pain occurring at one site that is perceived in another site.
Which physiological responses would be present if a client suddenly experiences pain?Physiological responses of sympathetic activation (tachycardia, increased respiratory rate, and hypertension) may indicate pain is present. Behaviors that may indicate pain include splinting, grimacing, moaning or grunting, distorted posture, and reluctance to move.
Which intervention should the nurse include as a non pharmacological pain relief intervention for chronic pain?Non-Pharmacological Interventions for Pain
Cognitive behavioral interventions can include guided imagery, relaxation, hypnosis and distraction. Physical measures include the use of heat or cold, massage, acupuncture, and aromatherapy.
For which time period would the nurse notify the health care provider that the client had no bowel sounds?To completely determine that bowel sounds are absent, the nurse must auscultate each of the four quadrants for at least 5 minutes; 2, 3, or 4 minutes is too short a period to arrive at this conclusion.
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When evaluating a client’s adaptation to pain, which behavior indicates appropriate adaptation?
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