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.
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Related Questions
Correct Answer is "{\"xRanges\":[93.828125,113.828125],\"yRanges\":[223,243]}"
Explanation
A. Lateral aspect: The preferred location for performing a heel stick on a neonate is the lateral (outer) aspect of the heel, avoiding the central area and the arch of the foot. This area contains fewer nerve endings and less tissue, making it safer and less painful for the infant. It also minimizes the risk of injury to the underlying bones, blood vessels, and nerves.
B. Heel: The heel is not recommended as a puncture site because it contains fat, bone, and nerves, and puncturing the heel could cause injury or complications such as osteochondritis (bone infection). This site also carries a higher risk of injury to blood vessels and tendons.
C. Medial aspect: The medial (inner) aspect of the heel is also not recommended because it is near the medial plantar artery and nerves. Puncturing this area could result in damage to these structures, leading to complications. The lateral aspect is a safer, preferred location.
Correct Answer is A
Explanation
A. Wooden building blocks are appropriate for an 18-month-old child, as they promote motor skills development, coordination, and creativity. At this age, children engage in parallel play and are developing their ability to manipulate objects.
B. Stringing beads requires more advanced fine motor skills that an 18-month-old child is not yet ready for. This activity is more appropriate for older children.
C. Colored paper and safety scissors could be a choking hazard for an 18-month-old child, and using scissors requires more advanced fine motor skills than most toddlers possess.
D. Alphabet flash cards are more suitable for older children, typically those who are 3 years and older, as they are better able to understand letters and begin to form associations with words.
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