ATI NCLEX-PN Practice Questions Practice Question

Order

The client is complaining of acute abdominal pain, and the next pain medication is not due for two (2) hours. Which interventions should the nurse implement? List in order of priority.

Correct Answer: B,C,E,D,A

Rationale: Prioritizing interventions for a client with acute abdominal pain begins with assessing the situation. Auscultating for bowel sounds and palpating the abdomen (B) is essential to determine the cause of pain, guiding further actions. Next, instructing the client to visualize a pleasant memory (C) can help distract from pain and promote relaxation. Offering a therapeutic back massage (E) provides comfort and can alleviate stress. Turning on soft music (D) further aids in distraction and relaxation. Finally, notifying the healthcare provider (A) is appropriate but should follow immediate assessment and comfort measures, as it does not address the client's immediate needs.

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