護理師評估病人的疼痛程度。病人表示：「有一種刺痛感，斷斷續續出現。」護理師應如何記錄此描述？
A nurse is assessing a client’s pain level. The client states, 'It feels like a stabbing sensation that comes and goes.' How should the nurse document this finding?
- AClient pain is localized and severe病人疼痛局限且嚴重
- BClient is experiencing chronic pain病人經歷慢性疼痛
- CClient has neuropathic pain syndrome病人患有神經病變性疼痛症候群
- DClient reports sharp, intermittent pain✓ 正解病人報告有尖銳、間歇性疼痛
在進行護理紀錄時，護理師應使用客觀、精確的醫學術語來描述病人的主訴，以確保醫療團隊間的溝通準確。病人描述的「刺痛」對應醫學上的「銳利（sharp）」，「斷斷續續」對應「陣發性（intermittent）」。將主觀描述轉化為專業用語，有助於後續的疼痛評估與治療選擇。其他選項如慢性疼痛、神經病變或嚴重程度，皆屬於醫護人員的診斷與評估範疇，而非病人原始描述的客觀紀錄。
When documenting, the nurse should use objective, precise medical terminology to describe the client's report, ensuring accurate communication among the health care team. The client's description of "stabbing" corresponds to the medical term "sharp," and "comes and goes" corresponds to "intermittent." Translating subjective descriptions into professional terms aids subsequent pain assessment and treatment selection. The other options, such as chronic pain, neuropathic pain, or severity, fall under the realm of clinician diagnosis and assessment rather than objective documentation of the client's original report.