Which technique would be most appropriate for the nurse to implement when assessing a four (4)-year-old client in acute pain?

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Question 1 of 5

Which technique would be most appropriate for the nurse to implement when assessing a four (4)-year-old client in acute pain?

Correct Answer: C

Rationale: The FACES pain scale, where the child points to a face, is age-appropriate for a 4-year-old, who may not understand numerical scales or complex words.

Question 2 of 5

Which signs/symptoms should the nurse expect to find when assessing the client with an acoustic neuroma?

Correct Answer: D

Rationale: Acoustic neuromas typically present with unilateral hearing loss and tinnitus.

Question 3 of 5

The nurse is planning the care of a client diagnosed with Addison's disease. Which intervention should be included?

Correct Answer: A

Rationale: Addison's requires steroid replacement (e.g., hydrocortisone) to compensate for deficient adrenal hormones.

Question 4 of 5

Which client problem is the nurse's priority concern for the client diagnosed with acute pancreatitis?

Correct Answer: D

Rationale: Acute pancreatitis causes severe pain, making pain relief the immediate priority.

Question 5 of 5

The nurse is assisting to defibrillate a client in ventricular fibrillation. After placing the pad on the client's chest and before discharge, which intervention is a priority?

Correct Answer: D

Rationale: Confirming ventricular fibrillation ensures defibrillation is appropriate; synchronization is for cardioversion, not VF.

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