A client asks a nurse about the normal range for the FLACC Scale and Wong-Baker FACES Pain Rating Scale when assessing their infant’s and older child’s pain respectively.
How should the nurse respond?
The child is experiencing mild pain.
The child is pain-free.
The child is in severe pain.
The child's pain level cannot be determined from the given information.
The Correct Answer is C
The normal range for FLACC Scale is 0-2, and for Wong-Baker FACES Pain Rating Scale is 0-10.
Choice A rationale:
The normal range for both the FLACC Scale and the Wong-Baker FACES Pain Rating Scale is not 0-10.
The FLACC Scale typically ranges from 0 to 2, and the Wong-Baker FACES Pain Rating Scale ranges from 0 to 10.
Therefore, choice A is not accurate.
Choice B rationale:
Similarly, the normal range for both scales is not 0-2.
While the FLACC Scale has a range of 0 to 2, the Wong-Baker FACES Pain Rating Scale covers a range from 0 to 10.
Choice B is not the correct answer.
Choice C rationale:
The FLACC Scale is designed to assess pain in infants and young children and ranges from 0 to 2.
The Wong-Baker FACES Pain Rating Scale is used for older children and adults, ranging from 0 to 10.
Therefore, choice C is the correct answer as it accurately represents the normal ranges for these pain assessment scales.
Choice D rationale:
Choice D provides incorrect information about the normal ranges for both pain assessment scales.
It states that the FLACC Scale has a range of 0-10, which is not accurate, and the Wong-Baker FACES Pain Rating Scale has a range of 0-2, which is also incorrect.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
The FLACC Scale (Face, Legs, Activity, Cry, Consolability) is the most suitable pain assessment tool for infants who are unable to communicate verbally.
It takes into account facial expressions, leg movement, activity, cry, and consolability, which are important indicators of pain in non-verbal infants.
Choice B rationale:
The Wong-Baker FACES Pain Rating Scale is designed for children aged 3 years and older who can use facial expressions to indicate their pain level.
It is not the best choice for infants, as they may not yet have the ability to convey pain using these facial expressions effectively.
Choice C rationale:
The Numeric Rating Scale (NRS) requires assigning a numerical value to pain, which is not appropriate for infants who cannot understand or use numbers for pain assessment.
Choice D rationale:
The Visual Analog Scale (VAS) is also not suitable for infants as it requires marking pain on a line, which is beyond the capability of non-verbal infants.
Correct Answer is A
Explanation
Choice A rationale:
Please point to the face that best represents your pain.”..
This statement is appropriate for using the Wong-Baker FACES Pain Rating Scale.
The scale consists of faces with different expressions, and the child is asked to point to the one that best represents their pain intensity.
This choice aligns with the scale's methodology.
Choice B rationale:
Remember, the faces range from smiling to crying.”..
While this statement provides some information about the scale, it doesn't guide the child on how to express their pain level accurately.
It's essential to ask the child to point to the face that matches their pain, as mentioned in choice A.
Choice C rationale:
This scale is used to represent different levels of pain intensity.”..
This statement is informative but lacks the direct instruction for the child to choose a specific face.
To assess pain using the Wong-Baker FACES Pain Rating Scale, it's important to instruct the child explicitly.
Choice D rationale:
The face you choose will help us understand how much pain you are in.”..
This statement is informative but doesn't instruct the child to interact with the scale.
It's crucial to involve the child actively in the pain assessment by having them select the face that best represents their pain.
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