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Question
question 9
the nurse provides care for an adult client following surgery to repair a broken femur. the client is restless, perspiring, and grimaces when trying to move in the bed.
which action does the nurse take first?
- darkens the room and encourages the client to rest.
- assesses the clients pain level using a numerical scale.
- assists the client to turn to the unaffected side.
- determines when the client was last medicated for pain.
In nursing, the first step in addressing a client's pain - related concerns (the client here has signs of pain like restlessness, perspiring, and grimacing) is to assess the pain level. Using a numerical scale for pain assessment is a standard initial step to understand the intensity of pain, which guides further interventions. Darkening the room and encouraging rest (option 1) does not address the underlying pain. Assisting to turn (option 3) or checking last medication (option 4) should come after assessing the pain level.
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- Assesses the client's pain level using a numerical scale.