A nurse is caring for an older adult client who has a cognitive impairment and is postoperative. Which of the following actions should the nurse take?

A. Use the Crying, Requires Oxygen, Increases Vital Signs, Expression, Sleeplessness (CRIES) pain scale.
B. Reassure family members that older adult clients have a decreased ability to sense pain.
C. Evaluate the client for pain by observing their behavior.
D. Assign a pain scale number based on the FACES pain scale.

Assessing pain in older adults with cognitive impairments involves using specific pain scales, observing behaviors, and considering the client's typical pain levels.

Explanation:

Assessing pain in older adult clients with cognitive impairments:

Use the CRIES pain scale: This scale is specifically designed to assess pain in individuals who may have difficulty communicating their pain verbally.
Evaluate client for pain behavior: Observing behaviors can provide clues as to whether the client is experiencing pain.
Consider usual pain experience: Understanding the client's typical pain levels is crucial in guiding pain management interventions.

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