A nurse is assisting with the care of a 3-month-old infant following a surgical procedure.
Which of the following pain scales should the nurse use to determine the infant’s pain level?
FACES.
Word-Graphic Rating Scale.
FLACC.
Oucher.
The Correct Answer is C
Choice A rationale
The FACES pain scale is typically used for children who are at least 3 years old. It requires the child to compare their pain to a series of faces ranging from smiling to crying.
Choice B rationale
The Word-Graphic Rating Scale is typically used for older children and adolescents who can read and understand the descriptive words associated with each level of pain.
Choice C rationale
The FLACC pain scale, which stands for Face, Legs, Activity, Cry, and Consolability, is appropriate for assessing pain in a 3-month-old infant. It is often used for children under 3 years old or those who are unable to verbally communicate their pain.
Choice D rationale
The Oucher pain scale is typically used for children aged 3 to 13 years. It includes a series of photographs of children’s faces and a numerical scale for older children.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
The FACES scale is a valid tool for assessing pain in children aged 3 years and older. It uses a series of faces to help the child express their level of pain.
Choice B rationale
The Visual Analog Scale is typically used for adults and older children who can understand the concept of ranking their pain on a scale from 0 to 10. It may not be suitable for a 3-year-old child.
Choice C rationale
A color tool may not be effective for a 3-year-old child as they may not yet fully understand the concept of associating colors with different levels of pain.
Choice D rationale
A numeric scale is typically used for adults and older children who can understand the concept of ranking their pain on a scale from 0 to 10. It may not be suitable for a 3-year-old child.
Correct Answer is B
Explanation
Choice A rationale
A rear-facing car seat in the back passenger seat is the recommended position for a 6-month-old infant. This position provides the best protection for the infant’s head, neck, and spine in the event of a crash.
Choice B rationale
A front-facing car seat is not recommended for a 6-month-old infant. The American Academy of Pediatrics recommends that children remain in rear-facing car seats until they reach the highest weight or height allowed by their car seat’s manufacturer.
Choice C rationale
A snugly fastened harness and a securely anchored car seat are important for the safety of the infant. These measures ensure that the car seat will function as intended in the event of a crash.
Choice D rationale
Using an infant model car seat that is securely anchored is appropriate for a 6-month-old infant. Infant car seats are designed to provide appropriate support and protection for infants.
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