A nurse is educating a group of nursing students about pediatric pain assessment tools and scales.
Which of the following should be included in the teaching? (Select all that apply)

FLACC Scale.

B. Wong-Baker FACES Pain Rating Scale.

Choice A rationale:

The FLACC Scale, which stands for Face, Legs, Activity, Cry, and Consolability, is a suitable pain assessment tool for a 6-year-old child.

It uses observable behaviors to assess pain, making it appropriate for young children who may not be able to express their pain verbally.

The scale assigns scores to each of these categories, and the total score indicates the level of pain.

Choice B rationale:

The Wong-Baker FACES Pain Rating Scale is another appropriate tool for assessing pain in a 6-year-old child.

It uses a series of faces with different expressions, ranging from a happy face to a crying face, to help the child express their pain level.

This visual scale is effective for young children who can point to the face that best represents their pain.

Choice C rationale:

The Numeric Rating Scale (NRS) and

Choice D rationale:

the Visual Analog Scale (VAS) are typically not suitable for a 6-year-old child.

These scales require a level of cognitive and numerical understanding that may be beyond the capabilities of most 6-year-olds.

NRS involves rating pain on a scale from 0 to 10, and VAS involves marking a point on a line to indicate pain severity, which may be too abstract for a child of this age.

Choice E rationale:

The McGill Pain Questionnaire is a more complex and detailed tool designed for older children and adults.

It involves a list of descriptive words and phrases to assess various aspects of pain, making it unsuitable for a 6-year-old child.

Choice A rationale:

I will observe your facial expression.”..

This statement is not appropriate for assessing pain in a non-verbal child using the FLACC Scale because it does not address the five behavioral indicators the scale measures.

The FLACC Scale assesses facial expression, leg movement, activity level, cry, and consolability.

Choice B rationale:

I will watch how you move your legs.”..

This statement is also not appropriate for using the FLACC Scale as it only focuses on one of the five behavioral indicators.

While leg movement is assessed, it's crucial to evaluate all indicators for a comprehensive pain assessment.

Choice C rationale:

I will note your activity level.”..

This statement is partially correct, as the FLACC Scale does assess activity level.

However, it does not cover all the indicators, and it's essential to mention the other components for a complete assessment.

Choice D rationale:

I will listen to your cry and observe your consolability.”..

This statement is the most appropriate choice.

The FLACC Scale rates five behavioral indicators, and this statement acknowledges two of them: cry and consolability.

A comprehensive assessment should include all five indicators for an accurate pain evaluation in non-verbal children.