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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Assuming the child is tired and will be fine in a little while is not appropriate when the child has a high pain score.
It's important to address the child's pain promptly.
Choice B rationale:
This is the correct choice.
When a non-verbal child with difficulty breathing scores high on the FLACC Scale, it indicates significant pain.
Administering pain medication promptly is necessary.
Choice C rationale:
Acknowledging the child's pain and expressing a commitment to help them feel better is a good approach, but it doesn't address the urgency of the situation.
The child's high pain score requires immediate action.
Choice D rationale:
Assuming the child is scared and there's no need to worry is not appropriate when the child has a high pain score.
Pain needs to be managed effectively.
Correct Answer is A
Explanation
Choice A rationale:
The FLACC Scale (Face, Legs, Activity, Cry, Consolability) is a pain assessment tool specifically designed for children who cannot effectively communicate their pain verbally.
It assesses various aspects, including facial expression, leg movement, activity, cry, and consolability.
It is particularly suitable for infants and young children who may not be able to describe their pain in words.
Choice B rationale:
The Wong-Baker FACES Pain Rating Scale is designed for children aged 3 years and older and is based on facial expressions to assess pain intensity.
While it is suitable for this age group, it may not be the most appropriate choice for a 4-year-old child who has just undergone surgery, as it may not accurately capture the child's pain experience.
Choice C rationale:
The Numeric Rating Scale (NRS) requires the child to assign a numerical value to their pain, typically on a scale from 0 to 10.
This may not be the most appropriate tool for a 4-year-old child, as they may have difficulty using numbers to describe their pain, especially immediately after surgery.
Choice D rationale:
The Visual Analog Scale (VAS) requires the child to mark their pain level on a line, which may also be challenging for a 4-year-old child.
This tool is typically used for older children and adults who can better understand and use a visual representation of pain.
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