AIIMS Rishikesh & Jodhpur NO - 2017
Medical & Surgical Nursing
Easy

Pain scale used for the assessment of pain in postoperative patients is?

Appeared in: AIIMS Rishikesh & Jodhpur NO - 2017

Explanation

  • The Visual Analog Scale (VAS) is a validated, unidimensional tool for quantifying pain intensity.
  • It is particularly useful in acute pain settings, such as for postoperative patients, because it is quick and easy to administer.
  • The scale consists of a horizontal line, typically 100 mm (10 cm) in length, anchored by 'no pain' at one end and 'worst imaginable pain' at the other.
  • The patient marks the line at the point that represents their pain intensity. The score is measured from the 'no pain' end to the patient's mark, providing a numerical value for pain.
  • This allows the nurse to track changes in pain levels over time and assess the effectiveness of analgesics and other pain management interventions.

Why Other Options Were Wrong

  • Option B: VAP is not a pain assessment scale. In a clinical context, VAP is the acronym for Ventilator-Associated Pneumonia, a type of hospital-acquired lung infection.
  • Option C: AVP is not a standard or recognized acronym for any pain assessment tool used in clinical nursing practice.
  • Option D: VSP is not a standard or recognized acronym for any pain assessment tool used in clinical nursing practice.

Related Visual

Visual explanation — Related Visual
Clinical Relevance
  • Nursing practice connection: Use the key finding related to Postoperative Pain Assessment Tools to guide bedside assessment, documentation, and the next nursing action.
  • Accurate pain assessment using a validated tool like the VAS is a fundamental nursing responsibility and is often referred to as the 'fifth vital sign'.
  • Effective pain management based on regular assessment improves patient outcomes by promoting early mobilization, reducing the risk of complications like deep vein thrombosis (DVT) and pneumonia, and decreasing patient anxiety.
  • A consistent pain score helps the healthcare team to titrate analgesic medications appropriately and evaluate the effectiveness of the prescribed pain management plan.
How to Approach the Question
  • First, analyze the question to identify the key concepts: 'pain scale' and 'postoperative patients'. This is a direct recall question.
  • Recall the common pain assessment tools used in nursing. Think about the different acronyms for these scales.
  • Evaluate the given options. 'VAS' stands for Visual Analog Scale, a well-known pain assessment tool.
  • Consider the other acronyms. 'VAP', 'AVP', and 'VSP' are not standard acronyms for pain scales. Recognize that 'VAP' stands for Ventilator-Associated Pneumonia, which is a distractor from a different clinical area.
  • Based on this elimination process, conclude that VAS is the only correct and relevant pain scale among the choices for the specified patient population.
Concept Tested & Keywords
  • Concept Tested: Postoperative Pain Assessment Tools
  • Stem keywords: pain scale, assessment, postoperative patients
  • Lead-in keywords: is
  • Negative lead-in flag: false

Question ID

Qg41No000XkzUu0zD-R5YQ

Reference Book

E6 Nursing Vital Signs pp. 134-136, 133-135

E6 Nursing Fundamentals Potter Perry 12e Part 5 p. 145-147

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