When developing a plan of care for a 4-year-old preoperative client, the nurse selects which of the following appropriate outcomes for this client?
1. The client points to the FACES pain scale and utilizes it each time there is pain.
2. The client states understanding of the plan of care.
3. The client states understanding of the use of a PCA.
4. The client verbalizes why an indwelling catheter is needed.
The client points to the FACES pain scale and utilizes it each time there is pain.
Rationale: A 4-year-old is capable of utilizing the FACES pain scale. A 4-year-old will not be capable of understanding of the plan of care, the use of a PCA, or why an indwelling catheter is needed. The plan of care and expected outcomes must be individualized for each client.
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