A Nurse Is Caring for a 35-Year-Old Client Who Is

question 18

Multiple Choice

A nurse is caring for a 35-year-old client who is 12 hours post mastectomy.The care assistant reports that the client is crying.Which of the following responses by the nurse best reflects the use of analysis regarding this client's care needs?

• A) "That surgery is painful.I'll get her pain medication ready."
• B) "She was sleeping when I checked 15 minutes ago.I'll go back in right now."
• C) "I'll be responsible for her PM care so I can spend some uninterrupted time with her."
• D) "A mastectomy is a blow to a woman's self image.I'll notify her provider that she is depressed."

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Definitions:

Nonpharmacological Pain-Relief

Methods for reducing pain without the use of medication, including physical therapy, relaxation techniques, and acupuncture.

Massage Therapy

A therapeutic technique involving the manipulation of body tissues by hands, fingers, elbows, knees, and sometimes devices to relieve tension or pain.

Confused

A state of being perplexed or unclear, often due to a lack of understanding or clear thinking.

Provocative Factors

Specific conditions or activities that trigger or worsen symptoms in various medical conditions.