Exhibits Which other assessment data would the nurse want to collect before implementing pain management strategies? Select all that apply.
Explanation & Rationale
A. Blood pressure: Pain can elevate blood pressure due to sympathetic nervous system activation. Assessing BP helps determine the physiological impact of pain and evaluate response to interventions. B. Parents’ religious affiliation: While important for holistic care, it does not influence immediate assessment or management of postoperative pain in an infant. C. Blood type: Blood type is unrelated to pain assessment and has no relevance in determining pain intensity or management needs. D. Deep tendon reflexes: Reflexes assess neurological integrity, not pain. They are unnecessary in routine pain evaluation for postoperative infants. E. Heart rate: Pain commonly causes tachycardia as part of the stress response. Monitoring heart rate helps validate behavioral cues of pain in nonverbal patients. F. Level of consciousness: Assessing alertness helps ensure that pain is not masked by excessive sedation or altered neurological status, guiding safe administration of analgesics. G. Hearing acuity: Hearing ability does not affect pain assessment in infants and is not relevant for evaluating or managing postoperative discomfort.