A patient reports severe abdominal pain, but the facial expression and vital signs do not support the report. What should the nurse do first?
Correct answer: B. Ask focused questions and reassess the patient
- A. Document the pain as exaggerated
- B. Ask focused questions and reassess the patient
- C. Ignore the report until vital signs change
- D. Record only the objective assessment findings
Explanation
Conflicting data should be validated by asking focused questions and repeating relevant assessments. Pain is subjective, so normal vital signs do not prove that the patient's report is false.
Report an error
The more specific you are, the faster it gets fixed. A source beats an opinion.
Prefer email? support@testustad.com
About Nursing Process and Health Assessment
Assessment gathers subjective and objective data through health history, physical examination and observation. The nursing process then uses nursing diagnoses, planning, implementation and evaluation to provide individualised care, while distinguishing a nursing diagnosis from a medical diagnosis and identifying priorities such as airway, breathing, circulation and safety.
Practise Nursing Process and Health Assessment
50 free Nursing Process and Health Assessment MCQs from Fundamentals of Nursing, each with the correct answer and an explanation. Unlimited attempts, no account needed.
Discussion
Stuck on an option, or know a faster way to get there? Ask or explain it here.
No comments yet. Be the first to explain this one.
Exams that ask Fundamentals of Nursing questions like this
Fundamentals of Nursing is on 9 papers prepared for on TestUstad, and all of them draw the same bank, so this question is worth knowing for every one of them.
More Nursing Process and Health Assessment questions
Which sequence correctly shows the main steps of the nursing process?
Which finding requires the nurse to assess immediately because it may indicate compromised breathing?
A nurse finds that a patient's expected outcome has not been achieved by the stated time. What is the most appropriate next action?
Which assessment approach is most appropriate for a patient attending a clinic for the first time with several health concerns?
Which statement is written in the correct form for an actual nursing diagnosis?
A patient is admitted after taking an unknown quantity of tablets. Which assessment information is most important to obtain immediately?