A nurse is completing a pain assessment on an infant. Which of the following pain scales should the nurse use?
FACES
Oucher
FLACC
Non-communicating children's pain checklist
The Correct Answer is C
Choice A reason: The FACES scale is not typically used for infants as they cannot verbally express or select a face that correlates with their pain level.
Choice B reason: The Oucher scale requires a child to point to a face that shows how much pain they are feeling, which is not suitable for infants who cannot communicate their pain verbally.
Choice C reason: The FLACC scale is appropriate for infants as it assesses pain based on five categories of behavior: Facial expression, Leg movement, Activity, Cry, and Consolability.
Choice D reason: The Non-communicating children's pain checklist is designed for children with cognitive impairments and is not the best choice for assessing pain in infants.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Positioning a child supine after a tonsillectomy is not recommended due to the risk of respiratory complications. Elevating the head of the bed is preferred to prevent aspiration and facilitate breathing.
Choice B reason: Administering analgesics on a schedule is crucial for effective pain management. It helps maintain consistent pain relief, which is important for encouraging fluid intake and preventing dehydration.
Choice C reason: Encouraging a child to blow their nose gently after a tonsillectomy is not advised because it can increase the risk of bleeding. Instead, gentle mouth breathing and avoiding nose blowing are recommended.
Choice D reason: Offering orange juice after a tonsillectomy is not ideal as acidic beverages can irritate the throat. It's better to provide non-acidic fluids like water or apple juice to keep the child hydrated.
Correct Answer is B
Explanation
Choice A reason: Administering an antidiuretic would be counterproductive in the treatment of a UTI as it would decrease urine output, potentially allowing bacteria to remain in the urinary tract.
Choice B reason: Encouraging frequent voiding helps to flush out bacteria from the urinary tract, which is beneficial in the management of a UTI.
Choice C reason: While evaluating a child's self-esteem is important, it is not directly related to the care of a child with a UTI.
Choice D reason: Restricting fluids is not advisable for a UTI as it would reduce urine flow and hinder the flushing out of bacteria.
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