The client rings pain medication from the nurse. Upon assessment, the nurse finds the client sitting up in a chair, watching television with her husband. Vital signs are normal and the client's skin is warm and dry. Which nursing actions are appropriate? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
A) Ask the client to rate his pain on the pain scale.
B) Tell the client that he does not look as if he is in pain.
C) Have the client go back to bed and ask the visitor to leave.
D) Check to see when the client last received pain medication.
E) Have another nurse assess the client.
Correct Answer:
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