Question

Additional Cues Related to Pain

While assessing Mr. Stanton, the nurse links which assessment
cues to his level of pain? Select all that apply.
Request for more pain medicine before next dose can be g

Answer 1

The nurse can link Mr. Stanton's request for more medication, high heart rate, pain score of 6/10, and facial grimacing as assessment cues to his level of pain. Headache and normal respiration rate may not be as directly related to his pain assessment for the leg.

Step-by-step explanation:

While assessing Mr. Stanton, a nurse can link several assessment cues to his level of pain. The most indicative of these cues include:

• Request for more pain medicine before the next dose can be given, suggesting that the current level of pain management is insufficient.
• A heart rate of 117 bpm at rest, may indicate the body's stress response to pain.
• A pain score of 6/10, which is a moderate level of pain according to pain assessment scales.
• Facial grimacing each time he moves the casted leg, which is a nonverbal indicator of pain.

A headache mentioned by Mr. Stanton may not be directly related to the pain assessment for his leg but could be a contributing factor to his overall discomfort. Respiration at 14 per minute at rest is considered normal and may not necessarily indicate an increased level of pain.

Your question seems incomplete. The completed version should be:

While assessing Mr. Stanton, the nurse links which assessment cues to his level of pain? Select all that apply.

1. Request for more pain medicine before the next dose can be given
2. Heart rate 117 bpm at rest
3. Pain score 6/10
4. Facial grimacing each time he moves the casted leg
5. Mr. Stanton mentions having a headache
6. Respirations 14 per minute at rest