The nurse is working with a 3-year-old child in Bryant's traction for a fractured femur. A pain assessment scale such as the Oucher Scale can be useful to the nurse caring for this child because use of a pain assessment scale:

1. Provides continuity and consistency in assessing and monitoring the child's pain.
2. Decreases anxiety in the child.
3. Increases the child's comfort level.
4. Reduces the child's fear of painful procedures.


1
Rationale:
1. Pain assessment scales are used to assess and monitor pain.
2. Using an assessment scale cannot reduce the child's anxiety or fear, or increase the child's comfort level.
3. Using an assessment scale cannot reduce the child's anxiety or fear, or increase the child's comfort level.
4. The nurse can reduce anxiety or fear and increase the child's comfort level by implementing appropriate nursing interventions based on assessment scale data.

Nursing

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When assessing the oral cavity of a 2.5-year-old toddler, which finding is expected?

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Which of the following responses made by the parents of a child recovering from a myringotomy for acute otitis media would indicate the instruction provided on home management was effective?

1. Ear irrigations should be placed on the wall of the external canal, and not on the tympanic membrane. 2. Air travel and sudden barometric shifts will not affect the surgical procedure. 3. Sterile cotton-tipped swabs can be used to clean the ear drainage. 4. Shampooing and swimming are not restricted after a couple of weeks.

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A 79-year-old man has been admitted with benign prostatic hyperplasia. What is most appropriate to include in the nursing plan of care?

a. Limit fluid intake to no more than 1000 mL/day. b. Leave a light on in the bathroom during the night. c. Ask the patient to use a urinal so that urine can be measured. d. Pad the patient's bed to accommodate overflow incontinence.

Nursing