A nurse is assessing a client's pain level. Which pain assessment tool is commonly used for self-reporting pain in adults?
Wong-Baker FACES Pain Rating Scale
FLACC Pain Assessment Scale
PAINAD Scale
Numeric Rating Scale
The Correct Answer is D
Answer: d. Numeric Rating Scale
Explanation: The Numeric Rating Scale is commonly used for self-reporting pain in adults. It involves asking the client to rate their pain on a scale from 0 to 10, with 0 being no pain and 10 being the worst pain imaginable.
a. The Wong-Baker FACES Pain Rating Scale uses a series of facial expressions to assess pain in children, but it is not commonly used for self-reporting pain in adults.
b. The FLACC Pain Assessment Scale is used to assess pain in nonverbal or preverbal individuals, such as infants and young children.
c. The PAINAD Scale is used to assess pain in individuals with advanced dementia who may have difficulty self-reporting pain.
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Related Questions
Correct Answer is C
Explanation
Answer: c. Provide non-pharmacological pain relief measures.
Explanation: The client's grimacing, guarding, and high pain rating indicate significant pain. The nurse should initiate non-pharmacological pain relief measures, such as positioning, relaxation techniques, heat or cold therapy, or distraction, to help alleviate the pain.
a. Documenting the findings and reassessing the pain in 30 minutes may delay appropriate pain relief measures if the client is experiencing significant pain.
b. Administering the maximum prescribed dose of pain medication should be based on a comprehensive pain assessment and healthcare provider's order.
d. Initiating a consultation with a physical therapist may be appropriate in certain cases, but immediate non-pharmacological pain relief measures should be provided first.
Correct Answer is C
Explanation
Answer: c. Infants and young children
Explanation: The FLACC Pain Assessment Scale is primarily designed for assessing pain in infants and young children who may not be able to self-report pain. It assesses facial expression, leg movement, activity, cry, and consolability.
a. Pain assessment tools designed for adults, such as the Numeric Rating Scale or Wong-Baker FACES Pain Rating Scale, are more appropriate for assessing pain in adults.
b. There are specific pain assessment tools for older adults that take into account age-related changes in pain perception, but the FLACC scale is not primarily designed for this population.
d. Individuals with cognitive impairment may require pain assessment tools specific to their condition, such as the PAINAD Scale, but the FLACC scale is primarily used for infants and young children.
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