Which prescription should the nurse clarify with the provider prior to administration?

Choice A rationale

A secure grip is important for safety, but it does not directly influence the biomechanical effectiveness of cane use. Teaching specific techniques for effective cane use is a priority in client education.

Choice B rationale

Holding the cane on the stronger side increases stability and reduces the risk of falls by redistributing weight to compensate for the weaker side during ambulation.

Choice C rationale

A slight elbow flexion allows for shock absorption and optimal mechanical leverage while using the cane, minimizing strain on the joints and enhancing control during ambulation.

Choice D rationale

Advancing the cane and weaker leg together ensures coordination and stability by aligning the center of gravity, which helps maintain balance and prevent falls during movement.

Choice E rationale

While a quad cane offers more support, its use is dependent on the client’s condition and specific needs. It is not a universal requirement for all cane users, making it less relevant for general instructions.

Choice A rationale

Numerical pain scales rely on the client’s ability to quantify pain verbally, which is often impractical or unreliable in dementia clients due to cognitive and communication impairments.

Choice B rationale

Verbal descriptions require clear articulation and comprehension, which can be challenging for clients with dementia; alternative non-verbal assessments are more effective in evaluating their pain levels.

Choice C rationale

The FACES scale is primarily used for children or cognitively intact clients who can associate facial expressions with pain intensity, making it less reliable for non-verbal dementia clients.

Choice D rationale

Behavioral indicators, such as grimacing or restlessness, provide observable, objective measures of pain in dementia clients who cannot communicate effectively, ensuring accurate pain assessment and appropriate management.