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NCLEX-RN

Category - Reduction of Risk

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A nurse assesses the peripheral response to pain of an unconscious client. The nurse uses which of the following techniques?

Squeezing the clavicle
Using sternal rub
Application of upward pressure on the orbital rim
Applying pressure on nail bed

Explanation

Answer - D - Applying pressure on the nail bed is used to stimulate an unconscious client’s peripheral response to pain. The other options stimulate the cerebral response or generalized responses.

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