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Pain Assessment: The Fifth Vital Sign Jarvis: Physical Examination & Health Assessment

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1. During assessment of a patients pain, the nurse is aware that certain nonverbal behaviors are associated with chronic pain. Which of these behaviors are associated with chronic pain? Select all that apply. Sleeping Moaning Diaphoresis Bracing Restlessness Rubbing - A, D, F 1. When evaluating a patients pain, the nurse knows that an example of acute pain would be: a. Arthritic pain. b. Fibromyalgia. c. Kidney stones. d. Low back pain. - Kidney stones. Acute pain is short-term and dissipates after an injury heals 2. During an admission assessment of a patient with dementia, the nurse assesses for pain because the patient has recently had several falls. Which of these are appropriate for the nurse to assess in a patient with dementia? Select all that apply. Ask the patient, Do you have pain? Assess the patients breathing independent of vocalization. Note whether the patient is calling out, groaning, or crying. Have the patient rate pain on a 1-to-10 scale. Observe the patients body language for pacing and agitation. - B, C, E

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