A nurse is caring for an 18-month-old infant who is 12 hr postoperative following a myringotomy. Which of the following pain rating scales should the nurse use?
Poker Chip Tool
Color tool
Numeric scale
FLACC scale
The Correct Answer is D
A. The Poker Chip Tool is used to assess pain in children who can understand the concept of "a few" to "lots" of pain, typically in older children. It is not appropriate for infants or toddlers.
B. The Color tool is used for children who can associate color with pain intensity, but it is generally for older children who can understand this system, not for infants.
C. The Numeric scale is designed for children who are old enough to understand and use numbers (typically older than 8 years). An 18-month-old would not be able to understand this scale.
D. The FLACC (Face, Legs, Activity, Cry, Consolability) scale is specifically designed to assess pain in infants and nonverbal children. It uses behavioral indicators to rate pain intensity and is appropriate for an 18-month-old toddler.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. A high-fat, low-protein diet is not appropriate for a toddler with cystic fibrosis. The body’s increased need for protein due to malabsorption requires a higher protein intake to support growth and repair.
B. A low carbohydrate, high-fat diet is not ideal for a child with cystic fibrosis. The child requires a balanced diet to meet their energy needs, with adequate carbohydrates, fats, and proteins.
C. A moderate protein, low-calorie diet would not meet the nutritional needs of a toddler with cystic fibrosis. The child needs a high-calorie diet to compensate for the malabsorption of nutrients.
D. A high-protein, high-calorie diet is the recommended diet for children with cystic fibrosis, as they have increased metabolic demands and require more calories and protein to support growth and prevent malnutrition.
Correct Answer is C
Explanation
A. Removing outer clothing can be uncomfortable or distressing for toddlers, so it is often better to do this gradually, allowing the child to feel more at ease.
B. Allowing the toddler to sit in the parent's lap can provide comfort and security during the examination.
C. Allowing the toddler to inspect the stethoscope is an effective way to reduce anxiety and establish trust with the child.
D. Traumatic procedures, such as immunizations or blood draws, should be done last to avoid causing unnecessary distress during the examination.
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