A nurse is assessing the pain level of a 3-year old toddler. Which of the following pain assessment scales should the nurse use?
CRIES pain assessment scale
FACES Rain rating scale
Noncommunicating children's pain checklist
Numeric pain rating scale
The Correct Answer is B
A. The CRIES scale is used for neonates and infants, not toddlers.
B. The FACES pain rating scale is appropriate for children aged 3 years and older, allowing them to express their pain visually through faces showing different expressions.
C. The Noncommunicating children's pain checklist is used for older children with communication impairments.
D. The Numeric pain rating scale is more suitable for older children and adults who can understand and use numbers to rate pain.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"A"},"F":{"answers":"A"},"G":{"answers":"B"}}
Explanation
|
Assessment Finding |
Improved |
No change |
|
Dyspnea |
✅ |
|
|
Heart rate |
✅ |
|
|
Blood pressure |
✅ |
|
|
Oxygen saturation |
✅ |
|
|
Respiratory rate |
✅ |
|
|
Oral intake |
✅ |
|
|
Lung sounds |
✅ |
Rationale:
Improved:
Heart rate and blood pressure are slightly improved by 1930, likely due to the medications (furosemide, enalapril) helping manage fluid retention and blood pressure.
Oral intake has improved, but monitoring of this is critical given the recent lack of eating for several days.
No change:
Dyspnea remains unchanged, since the adolescent is still dyspneic with activity.
Lung sounds remain unchanged, indicating that there may still be some wheezing or fluid buildup in the lungs.
Correct Answer is B
Explanation
A. Fluid intake should not be decreased; adequate hydration is important for burn patients.
B. A high-protein diet is necessary for wound healing in burn patients as protein is essential for tissue repair and immune function.
C. A lower-calorie diet is not appropriate for burn patients, who often have increased metabolic needs.
D. While carbohydrates are important for energy, protein is the primary focus for wound healing.
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