A nurse is assessing the pain of a postoperative client who is alert and oriented. The client is lying still in bed and watching television but reports a pain level of 8/10 on the numeric rating scale. Which action should the nurse take first?
Document that the client's self-reported pain is inconsistent with their observed behavior.
Encourage the client to use deep breathing exercises since they do not appear to be in distress.
Re-assess the client's pain in 30 minutes, noting the discrepancy between their behavior and report.
Administer the prescribed analgesic for the client's reported pain level.
The client's self-report is the most reliable indicator of their pain experience. Even if a client's behavior, such as watching television, does not seem to align with a high pain score, the nurse's priority is to treat the reported pain. Delaying medication or encouraging non-pharmacological methods as a first-line substitute dismisses the client's report and can lead to inadequate pain management. While documenting the discrepancy is important, it is not the priority action. The priority is to provide the prescribed intervention for the client's reported pain level.
Ask Bash
Bash is our AI bot, trained to help you pass your exam. AI Generated Content may display inaccurate information, always double-check anything important.
Why is a client's self-report considered the most reliable indicator of pain?
Open an interactive chat with Bash
Why might a client with an 8/10 pain level appear relaxed or not distressed?
Open an interactive chat with Bash
When should non-pharmacological methods like deep breathing be used for pain management?
Open an interactive chat with Bash
NCLEX RN
Physiological Integrity
Your Score:
Report Issue
Bash, the Crucial Exams Chat Bot
AI Bot
Loading...
Loading...
Loading...
Pass with Confidence.
Nursing and Medical Assistants Package
You have hit the limits of our free tier, become a Premium Member today for unlimited access.
Military, Healthcare worker, Gov. employee or Teacher? See if you qualify for a Community Discount.
Monthly
$9.99
$9.99/mo
Billed monthly, Cancel any time.
3 Month Pass
$14.99
$4.99/mo
One time purchase of $14.99, Does not auto-renew.
BEST DEAL
Lifetime Pass
$29.99
One time purchase, Good for life.
What You Get
All Nursing and Medical Assistants Package plans include the following perks and exams .