A nurse is caring for a group of children on a pediatric unit. The nurse is using a variety of pain assessment tools and scales to assess the children's pain. (Select all that apply).
The nurse should use which of the following pain assessment tools or scales?
FLACC Scale.
Wong-Baker FACES Pain Rating Scale.
Numeric Rating Scale (NRS).
Visual Analog Scale (VAS).
Pediatric Pain Questionnaire (PPQ).
Correct Answer : A,B,C,D
Choice A rationale:
The FLACC Scale is appropriate for assessing pain in non-verbal children, particularly those with limited communication abilities or cognitive impairments.
Choice B rationale:
The Wong-Baker FACES Pain Rating Scale is suitable for children who can use a simple visual scale to indicate their pain level.
It's especially helpful for children who can express themselves through drawings or symbols.
Choice C rationale:
The Numeric Rating Scale (NRS) is a reliable tool for assessing pain in children who can understand and use numbers.
It allows children to rate their pain on a numerical scale.
Choice D rationale:
The Visual Analog Scale (VAS) is another tool for older children who can comprehend and use a visual representation to indicate their pain level.
It involves marking a point on a line to represent pain severity.
The Pediatric Pain Questionnaire (PPQ) is not a commonly used pain assessment tool for children, and its effectiveness may be limited.
Therefore, it's not one of the recommended options for pain assessment in children.
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Correct Answer is C
Explanation
The normal range for FLACC Scale is 0-2, and for Wong-Baker FACES Pain Rating Scale is 0-10.
Choice A rationale:
The normal range for both the FLACC Scale and the Wong-Baker FACES Pain Rating Scale is not 0-10.
The FLACC Scale typically ranges from 0 to 2, and the Wong-Baker FACES Pain Rating Scale ranges from 0 to 10.
Therefore, choice A is not accurate.
Choice B rationale:
Similarly, the normal range for both scales is not 0-2.
While the FLACC Scale has a range of 0 to 2, the Wong-Baker FACES Pain Rating Scale covers a range from 0 to 10.
Choice B is not the correct answer.
Choice C rationale:
The FLACC Scale is designed to assess pain in infants and young children and ranges from 0 to 2.
The Wong-Baker FACES Pain Rating Scale is used for older children and adults, ranging from 0 to 10.
Therefore, choice C is the correct answer as it accurately represents the normal ranges for these pain assessment scales.
Choice D rationale:
Choice D provides incorrect information about the normal ranges for both pain assessment scales.
It states that the FLACC Scale has a range of 0-10, which is not accurate, and the Wong-Baker FACES Pain Rating Scale has a range of 0-2, which is also incorrect.
Correct Answer is ["B","C","D"]
Explanation
Choice A rationale:
The FLACC Scale (Face, Legs, Activity, Cry, Consolability) is typically used for infants and young children who cannot effectively communicate their pain through verbal means.
This tool is not suitable for children aged 5 years and older as they can often express their pain verbally and can use more appropriate pain assessment tools.
Choice B rationale:
The Wong-Baker FACES Pain Rating Scale is a suitable tool for children aged 5 years and older.
It uses a series of faces depicting various levels of pain, making it easier for children to express their pain intensity.
This tool is particularly useful for children who can understand and communicate their feelings but may have difficulty with numerical scales.
Choice C rationale:
The Numeric Rating Scale (NRS) is a suitable tool for children aged 5 years and older.
It asks the child to rate their pain on a scale from 0 to 10, with 0 representing no pain and 10 representing the worst pain imaginable.
Children in this age group can often understand and use numerical scales effectively.
Choice D rationale:
The Visual Analog Scale (VAS) is not typically recommended for children aged 5 years and older.
It requires the ability to mark a point on a line to indicate pain intensity, which can be challenging for young children.
Other tools like the Wong-Baker FACES Pain Rating Scale or the Numeric Rating Scale are more appropriate for this age group.
Choice E rationale:
None of the above" is not the correct choice, as options B, C, and D are suitable for children aged 5 years and older.
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