An older patient has been brought into the emergency department with injuries caused by suspected physical abuse. Which tools could the nurse use to assess this patient's injuries? Standard Text: Select all that apply.
1. Indicators of abuse screen
2. AMA assessment protocol
3. Adult protective services report
4. Brief abuse screen for the elderly
5. Hwalek-Sengstock elder abuse screening test
Question 2
The nurse is caring for a 78-year-old client who has been admitted for repair of a hip fracture. The client has speech deficits from a stroke in prior years. The client is lying silently in bed and not moving.
In gathering assessment data regarding pain response, the nurse would consider which of the following to determine the client's response to pain?
A) family or caregiver reports of changes in client's function indicating pain
B) no indication that the client is in pain
C) the injury will produce pain, but the degree cannot be determined
D) alternative measures may be more effective than narcotics in treating this client's pain
Effects of nursing rounds on patient safety
Patient teaching: lung assessment
Position of patient to assess jugular vein distention
Patient teaching: vascular assessment
Abnormalities Caused by Cardiac Pathology
System of a patient in shock