HESI Nutrition Exam Related

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An 85-year-old client complains of generalized muscle aches and pains. What should be the nurse's first action?

  • A. Assess the severity and location of the pain
  • B. Obtain an order for an analgesic
  • C. Reassure the client that this is not unusual for his age
  • D. Encourage the client to increase activity
Correct Answer: A

Rationale: The correct answer is to assess the severity and location of the pain. This is crucial because understanding the nature of the pain will guide the nurse in developing an appropriate pain management plan. Choice B is incorrect because administering analgesics should come after assessing the pain to ensure the right medication is given. Choice C is incorrect because dismissing the pain as a normal part of aging without proper assessment could overlook underlying issues. Choice D is incorrect as increasing activity without understanding the cause of pain may exacerbate the client's condition.