An older patient with a speech deficit from a previous stroke is admitted for a repair of a hip fracture. Which techniques will the nurse use to assess this patient's pain level? Standard Text: Select all that apply
1. Ask to describe the level of pain.
2. Observe for tense body posturing.
3. Listen for sounds such as groaning.
4. Notice changes in appetite or sleep.
5. Observe facial expressions such as grimacing.
2,3,4,5
Rationale: The patient is unable to speak, so verbally asking the patient to describe the level of pain will not provide the nurse with any information about the patient's current level of pain.
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