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A Client Is in the Emergency Department Reporting Severe Pressure

Question 23

Multiple Choice

A client is in the Emergency Department reporting severe pressure in the chest. When the nurse asks the client to rate the pain on a scale, the client states "I don't have pain." What is the best action for the nurse to take?


A) Use an observational tool instead.
B) Use the word "pressure" in the assessment.
C) Tell staff you aren't sure there really is pain.
D) Withhold medication until pain is quantified.

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