Ms. Green is an 85-year-old female patient with dementia who presents to the emergency department with her daughter because of a change in function. Which pain assessment scale would be the best choice?

a. Oucher Scale
b. Checklist for Nonverbal Pain Indicators
c. Wong/Baker Rating Scale
d. CRIES Scale


B
The Checklist for Nonverbal Pain Indicators is for nonverbal adults. The Oucher and Wong/Baker Rating Scales are pediatric scales. The CRIES Scale is for infants.

Nursing

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The health care provider has fit an older adult with a pessary to manage her cystocele. When providing information to the client, what information should be included?

1. The pessary may increase the risk for pelvic infections. 2. The pessary must be removed before sexual intercourse. 3. The pessary is hypoallergenic, eliminating the possibility of allergic reactions. 4. The pessary provides only minimal contraceptive protection.

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A group of local volunteers respond to a tornado

Volunteers have completed an emergency response course and are able to assist with triage of injured citizens. They also participate in local health fairs to teach residents how to react during tornadoes. The responders are members of the: a. Medical Reserve Corps (MRC). b. Metropolitan Medical Response System (MMRS). c. National Disaster Medical System (NDMS). d. Commissioned Corps Readiness Force (CCRF).

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At the end of her third 12-hour shift in a row, a nurse assists in the transfer of an obese client. Which of the universal skills did she need in order to perform this task?

A) Problem solving B) Physical stamina C) Leadership and/or persuasion D) Frequent contact with the public

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After teaching a woman with pelvic organ prolapse about dietary and lifestyle measures, which of the following statements would indicate the need for additional teaching?

A) "If I wear a girdle, it will help support the muscles in the area." B) "I should take up jogging to make sure I exercise enough." C) "I will try to drink at least 64 oz of fluid each day." D) "I need to increase the amount of fiber I eat every day."

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