1An oriented patient has recently had surgery. Which
action is best for the nurseto take to assess this
a. Assess the patient’s body language.
b. Ask the patient to rate the level of pain.
c. Observe the cardiac monitor for increased heart rate.
d. Have the patient describe the effect of pain on the ability
One of the most subjective and therefore most useful
characteristics for reporting pain is its severity.
Therefore, the best way to assess a patient’s painis to
ask the patient to rate the pain. Nonverbal
communication, such as body language, is not as
effective in assessing pain, especially when the patient
is oriented. Heart rate sometimes increases when a
patient is in pain, but this is not a symptom that is
specific to pain. Pain sometimes affects a patient’s
ability to cope, but assessing the effect of pain on coping
assesses the patient’sability to cope; it does not assess
the patient’s pain.
2.A nurse is caring for a patient who recently had abdominal
surgery and is experiencing severe pain. The patient’s blood
pressure is 110/60 mm Hg,
and heart rate is 60 beats/min. Additionally, the
patient does not appear tobe in any distress. Which