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 B
Explanation
A. Measuring abdominal girth is important in monitoring for abdominal distension, but the passing of a normal brown stool suggests that the intussusception may have resolved.
B. Passing a normal stool is a potential indication that the intussusception has spontaneously reduced, and the healthcare provider should be notified to reassess the plan of care.
C. Moving forward with the procedure may not be necessary if the intussusception has resolved, as indicated by the normal stool.
D. Auscultating for bowel sounds is important but would not be the primary action in this situation, as the passing of stool is a more immediate clue.
Correct Answer is ["B","D","E"]
Explanation
A. DIC can affect children of all ages, not just school-age children.
B. Risk factors of DIC include cancer and chemotherapy, which can trigger DIC due to the activation of clotting factors.
C. Lyme disease is not typically associated with DIC.
D. The most common cause of DIC in children is sepsis, which leads to widespread clotting and hemorrhage.
E. Treating the underlying cause of DIC, such as sepsis or cancer, is essential to resolving DIC and stopping the clotting cascade.
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