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

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. Encouraging large amounts of fluids may not be effective in preventing nausea and vomiting and can worsen dehydration if the child is unable to keep fluids down.

B. Administering an antiemetic 30 minutes to 1 hour before chemotherapy is the most effective strategy for preventing nausea and vomiting. This proactive approach helps to prevent the symptoms before they occur.

C. NPO until symptoms subside is not appropriate because it can lead to dehydration and malnutrition.

D. Administering an antiemetic after symptoms begin is reactive rather than proactive, and it is more effective to prevent symptoms from occurring.

A. Obtain culture specimens. B. Administer an antipyretic. C. Prepare for intubation. D. Insert an IV catheter.

Correct Answer is C

Explanation

A. While obtaining culture specimens is important, the priority in this case is managing the child’s airway, as drooling and difficulty swallowing suggest potential airway obstruction.

B. Administering an antipyretic is not the priority; airway management is more urgent in this situation.

C. The priority is to prepare for intubation, as the child’s symptoms suggest possible epiglottitis, which can cause rapid airway obstruction. Securing the airway is critical.

D. Inserting an IV catheter is important for hydration and medication administration, but airway management is the immediate priority.

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A nurse is assessing the pain level of a 3-year old toddler. Which of the following pain assessment scales should the nurse use?

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Naxlex Comprehensive Predictor Exams

Which is the most beneficial nursing action to prevent or minimize chemotherapy associated nausea and vomiting?

Correct Answer is B

Explanation

The parents of a 7-year-old child bring her to the emergency department. They tell the nurse that she awoke with a tympanic temperature of 39.2 (102.2°), an extremely sore throat, drooling, and difficulty swallowing. Which of the following actions is the nurse's priority?

Correct Answer is C

Explanation

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