A 5-year-old is hospitalized with a fractured femur. Which of the following assessment tools are appropriate for this age child? Select all that apply
1. Faces pain scale
2. Oucher scale
3. Visual analog scale
4. CRIES scale
5. Poker chip tool
1; 2; 5
Rationale:
1. A 5-year-old should be able to use the Faces pain scale to choose which face best matches his pain level.
2. A 5-year-old should be able to use the Oucher scale to choose which face best matches his pain level.
3. A 5-year-old is not old enough to use the visual analog scale.
4. The CRIES scale was developed for preterm and full-term neonates.
5. A 5-year-old should be able to count and understand the concepts of the poker chip tool.
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While turning a patient in bed, the nurse notes a considerable amount of the patient's hair is on the pillow. The nurse realizes this could indicate which of the following nutritional disorders?
1. protein-calorie malnutrition 2. Marasmus 3. Kwashiorkor 4. obesity
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a. Service b. Sociability c. Justice d. Community
Which assessment information obtained by the nurse indicates that a patient with an exacerbation of rheumatoid arthritis (RA) is experiencing a side effect of prednisone (Deltasone)?
a. The patient has joint pain and stiffness.
b. The patient's blood glucose is 165 mg/dL.
c. The patient has experienced a recent 5-pound weight loss.
d. The patient's erythrocyte sedimentation rate (ESR) has increased.