A nurse is assessing a client's pain using a pain scale. Which pain scale is commonly used for children who are too young to verbalize their pain intensity?

Numeric Rating Scale (NRS)

Visual Analog Scale (VAS)

Faces Pain Scale - Revised (FPS-R)

Wong-Baker FACES Pain Rating Scale

Answer and Explanation

The Correct Answer is D

Answer: c. Faces Pain Scale - Revised (FPS-R) Explanation: The Faces Pain Scale - Revised (FPS-R) is commonly used for children who are too young to verbalize their pain intensity. It consists of a series of faces depicting different levels of pain intensity.

a. The Numeric Rating Scale (NRS) and Visual Analog Scale (VAS) require verbal or numerical expression of pain intensity, which may not be possible for young children.

d. The Wong-Baker FACES Pain Rating Scale is also commonly used for children and includes a series of faces to assess pain intensity, but the FPS-R is more widely used.

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Correct Answer is D

Explanation

Explanation: A respiratory rate of 8 breaths per minute is significantly below the normal range (12-20 breaths per minute), indicating potential respiratory distress. The nurse should perform a thorough respiratory assessment to gather more information and determine appropriate interventions.

a. Administering oxygen may be necessary, but the nurse should first assess the client's respiratory status before initiating any interventions.

b. Placing the client in a supine position is not indicated and may worsen respiratory distress in some situations.

c. Reassessing after 1 hour is not appropriate when a client is experiencing abnormal vital signs; immediate action is needed.

A. Respiratory rate B. Blood pressure C. Heart rate D. Oxygen saturation

Correct Answer is C

Explanation

Explanation: Heart rate reflects the number of times the heart beats per minute and is an essential vital sign in assessing cardiovascular function.

a. Respiratory rate measures the number of breaths per minute, not heartbeats.

b. Blood pressure is the force of blood against the walls of arteries and is measured in mmHg, not heartbeats per minute.

d. Oxygen saturation measures the percentage of hemoglobin that is saturated with oxygen, not heartbeats per minute.

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A nurse is assessing a client's pain using a pain scale. Which pain scale is commonly used for children who are too young to verbalize their pain intensity?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client's respiratory rate and finds it to be 8 breaths per minute. What action should the nurse take first?

Correct Answer is D

Explanation

A nurse is assessing a client's vital signs. Which vital sign reflects the number of times the heart beats per minute?

Correct Answer is C

Explanation

A nurse is assessing a client's pulse oximetry reading and notices that the waveform is irregular and inconsistent. What action should the nurse take?

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A nurse is assessing a client's body temperature using a temporal artery thermometer. How should the nurse use the temporal artery thermometer?

A nurse is assessing a client's pain using a pain scale. Which pain scale is commonly used for children who are too young to verbalize their pain intensity?

During a physical assessment, the nurse observes that a client's blood pressure is 160/100 mmHg. What action should the nurse take?

A nurse is assessing a client's blood pressure using a manual sphygmomanometer and a stethoscope. What action should the nurse take to obtain an accurate blood pressure reading?