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The Nurse Is Assessing a Patient Who Is Unable to Supply

Question 24

Multiple Choice

The nurse is assessing a patient who is unable to supply a self-report of pain. What should the nurse do to assess the patient's pain?


A) Use a surrogate pain rating from the family or caregiver.
B) Document that the client cannot scale the pain.
C) Document the client's pain using a numeric rating scale.
D) Use the McGill pain questionnaire to assess the pain.

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