The nurse is assessing the pain intensity of a client who does not speak the same language fluently. The most useful tool for the nurse in this situation is:
1. A 10-point pain intensity scale.
2. The Wong/Baker Faces rating scale.
3. Use of figure drawings.
4. Determining the pattern of pain.
2
Rationale: A 10-point pain intensity scale with word modifiers will not be the most useful tool with this client.
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The nurse explains that the purpose of a sitz bath is to reduce inflammation in the perineal and anal area. What is the least amount of time the nurse will instruct for a sitz bath?
a. 10 to 15 minutes b. 20 to 30 minutes c. 30 to 40 minutes d. 1 hour
The client has undergone a total colectomy with an ileoanal reservoir. What is the priority nursing intervention at this time?
A. Consulting with an enterostomal therapist B. Providing frequent perineal care C. Monitoring of urinary output D. Managing constipation
Because of a decline in the thermal regulatory system, older adults may experience hypothermia when taking anticholinergic drugs
Indicate whether the statement is true or false.
The nurse labels a patient an alcoholic because of his ethnicity. This is called:
1. Stereotyping 2. Prejudice 3. Racism 4. Ethnocentrism