一位慢性疼痛病人主訴疼痛程度為 8/10,護理師應優先採取什麼行動?
A client with a history of chronic pain reports pain level 8/10. Which action should the nurse take first?
- ACall the physician to increase the dose聯絡醫師以增加劑量
- BAsk the client to describe the pain characteristics✓ 正解請病人描述疼痛的特徵
- CAdminister the prescribed pain medication給予處方的止痛藥物
- DAttempt to distract the client with music嘗試用音樂分散病人注意力
護理程序的第一步是「評估」(Assessment)。當病人主訴疼痛時,護理師不能直接給藥,必須先確認疼痛的特徵(位置、性質、嚴重度、誘發因子)。慢性疼痛病人可能因耐受性改變而有不同表達方式,護理師需確認 8/10 的疼痛是慢性病的常態變化,還是有新的急性病理因素,這有助於決定後續的止痛策略是否需要調整。
The first step of the nursing process is assessment. When a client reports pain, the nurse cannot proceed directly to medication administration but must first determine the characteristics of the pain (location, quality, severity, precipitating factors). Clients with chronic pain may have altered tolerance and varied modes of expression; the nurse must determine whether 8/10 pain represents a baseline fluctuation of the chronic condition or a new acute pathological process, which guides whether subsequent analgesic strategies need adjustment.