A pain scale of 1 to 10 is used by a nurse to assess a client's degree of pain. The client rates the pain as an 8 before receiving an analgesic and a 7 after being medicated. What conclusion should the nurse make regarding the client's response to pain medication?a. Client has a low pain tolerance.b. Medication is not adequately effective.c. Medication has sufficiently decreased the pain level.d. Client needs more education about the use of the pain scale.

1. A pain scale of 1 to 10 is used by a nurse to assess a client's degree of pain. The client rates the pain as an 8 before receiving an analgesic and a 7 after being medicated. What conclusion should the nurse make regarding the client's response to pain medication?

a. Client has a low pain tolerance.

b. Medication is not adequately effective.

c. Medication has sufficiently decreased the pain level.

d. Client needs more education about the use of the pain scale.


1

The correct dose is 1 mL. Use ratio and proportion to solve the problem.
C!

The aspirate should be returned to ensure that the gastric enzymes and acid-base balance are maintained. The amount of the aspirate returned should be subtracted from the volume to be administered in the next feeding. Withholding the feeding will compromise the infant's fluid and electrolyte balance, as will discarding the aspirate from the full feeding. Discarding the aspirate and adding an equal amount of normal saline solution to the feeding will compromise the infant's fluid and electrolyte balance.
B!

The expected effect should be more than a 1-point decrease in the pain level. Identifying whether a client has a low pain tolerance cannot be determined with the data available. The medication has not achieved an adequate response; pain generally is considered to be tolerable if it is 4 or below on a pain scale of 1 to 10. Determining that the client needs more education about the use of the pain scale cannot be determined with the data available.
A!

Alterations in oxygen saturation can provide information about impending complications, permitting early intervention. Although a low oxygen saturation may be altered in the presence of pain, it is not the most specific way to determine whether a client is experiencing pain. The nurse still should obtain the oxygen saturation level when performing an assessment of a client in the home. Nonprofessionals do not have the expertise to alter ventilator settings. Ventilator settings should be maintained as prescribed by the health care provider.