A nurse is assessing pain on a confused older client who has difficulty with verbal expression. What pain assessment tool would the nurse choose for this assessment?
a. Numeric rating scale
b. Verbal Descriptor Scale
c. FACES Pain Scale-Revised
d. Wong-Baker FACES Pain Scale
ANS: C
All are valid pain rating scales; however, some research has shown that the FACES Pain Scale-Revised is preferred by both cognitively intact and cognitively impaired adults.
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You are admitting a patient from China with a diagnosis of cancer to your medical-surgical unit. During the patient's assessments, the patient speaks of her naturalistic beliefs related to health care and the importance of the yin/yang theory
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1. restrict fluids 2. keep on bed rest 3. administer proton pump inhibitor 4. assess arterial blood gases
A nurse in the PICU is caring for a 7-year-old child with burns on more than 30 percent of the body. Which statement made by the parents indicates an understanding of the severity of the burns?
1. "I'm glad that he doesn't have any burns on his face.". 2. "I feel so bad that he got burned.". 3. "When do you think he will be out of the ICU?" 4. "Nurse, is he going to make it?"