An older resident with dementia has been pacing and holding his right arm up against his chest. What should the nurse do first to help this patient?
A) Notify the physician and get an order for an x-ray
B) Document the behavior and report it to the next shift
C) Check the resident's record for the history of this resident's behavior
D) Medicate the resident with acetaminophen that is available PRN in his record
C
Feedback:
A resident with cognitive impairment is not able to communicate pain in the most common way—verbally. It is important that caregivers document normal daily behavior so that any change can help staff-assess pain effectively. The nurse should not request an x-ray, document the behavior, or medicate the resident until pain has been assessed. The best way to do this is to check the record for the resident's behavior regarding pain.
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