A nurse is assessing a 4-year-old child following a surgical procedure. Which of the following pain rating scales should the nurse use?
Oucher pain rating scale
Word-Graphic rating scale
Numeric rating scale
Visual analog scale
The Correct Answer is A
A. Oucher pain rating scale: The Oucher pain rating scale uses pictures of children's faces to represent varying degrees of pain intensity. This scale is specifically designed for young children and can be effective in assessing pain in preschool-aged children who may not yet be able to accurately use verbal descriptors to express their pain.
B. Word-Graphic rating scale: This type of scale presents both words and pictures to represent different levels of pain intensity. While it may be suitable for older children who can understand and use words to describe their pain, it may be less effective for a 4-year-old child who is still developing language skills.
C. Numeric rating scale: Numeric rating scales typically ask the child to rate their pain on a scale from 0 to 10, with 0 representing no pain and 10 representing the worst pain imaginable. While this scale may be appropriate for older children, it may be challenging for a 4-year-old to understand and use numbers to describe their pain.
D. Visual analog scale: Visual analog scales typically consist of a line with endpoints labeled "no pain" and "worst pain imaginable," with the child asked to mark or point to the spot on the line that represents their pain level. While this scale may be suitable for older children and adults, it may be too abstract for a 4-year-old child to understand and use effectively.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "Honor the child's request if she holds her breath.": This instruction is incorrect and potentially dangerous. Giving in to the child's demands when they hold their breath during a temper tantrum can reinforce the behavior and may lead to more frequent and intense tantrums. It's important for parents to remain calm and not give in to unreasonable demands during tantrums.
B. "Establish a structured daily routine for the child.": This instruction is appropriate. A structured daily routine can help toddlers feel secure and provide predictability, which may reduce the likelihood of tantrums. Consistency in meal times, naptimes, and activities can help toddlers know what to expect and feel more in control of their environment.
C. "Place the child in her room alone until the temper tantrum ends.": While it may be necessary to remove a toddler from a potentially dangerous situation during a tantrum, isolating them in their room alone is not recommended. It's important for parents to stay nearby to ensure the child's safety and to provide comfort and support as needed.
D. "Comfort the child during the temper tantrum.": Providing comfort and reassurance to a child during a temper tantrum can be helpful, as long as it's done in a calm and supportive manner. Reassuring words and gentle touch can help the child feel secure and may help to de-escalate the tantrum more quickly.
Correct Answer is B
Explanation
A. "Expect the medication to cause constipation for the first few days of therapy.": This statement is incorrect. Metformin commonly causes gastrointestinal side effects such as diarrhea, abdominal discomfort, and nausea, especially when therapy is initiated. Constipation is not typically associated with metformin use.
B. "Take the medication at the same time each day.": This is a correct instruction. It is important for the adolescent to take metformin at the same time each day to maintain consistent blood levels of the medication and optimize its effectiveness.
C. "This medication is used for short-term therapy until your symptoms improve.": This statement is incorrect. Metformin is typically used for long-term management of type 2 diabetes mellitus to help control blood sugar levels. It is not intended for short-term therapy.
D. "Take this medication 1 hour before meals.": This statement is incorrect. While metformin can be taken with meals to reduce gastrointestinal side effects, it is not necessary to take it specifically 1 hour before meals. It can be taken with meals or shortly after meals.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today