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)

The FLACC Scale is designed for infants and non-verbal children.

The Wong-Baker FACES Pain Rating Scale is utilized for children aged 3 years and older.

The Numeric Rating Scale (NRS) is suitable for children aged 5 years and older.

The FLACC Scale rates five behavioral indicators on a scale from 0 to 2, with a maximum score of 10.

The Wong-Baker FACES Pain Rating Scale consists of a series of faces with different expressions, representing different levels of pain intensity.

Answer and Explanation

Correct Answer : A,B

Choice A rationale:

The FLACC Scale is designed for infants and non-verbal children.”..

This is a correct statement.

The FLACC Scale is specifically designed for assessing pain in infants and non-verbal children who cannot self-report their pain.

Choice B rationale:

The Wong-Baker FACES Pain Rating Scale is utilized for children aged 3 years and older.”..

This is also a correct statement.

The Wong-Baker FACES Pain Rating Scale is suitable for children aged 3 years and older who can use it to express their pain intensity.

Choice C rationale:

The Numeric Rating Scale (NRS) is suitable for children aged 5 years and older.”..

This statement is incorrect.

The Numeric Rating Scale (NRS) is generally used for children aged 5 years and older who can understand and use numbers to rate their pain.

Choice D rationale:

The FLACC Scale rates five behavioral indicators on a scale from 0 to 2, with a maximum score of 10.”..

This statement is accurate and describes how the FLACC Scale rates pain based on five behavioral indicators, each scored from 0 to 2, resulting in a maximum score of 10.

Choice E rationale:

The Wong-Baker FACES Pain Rating Scale consists of a series of faces with different expressions, representing different levels of pain intensity.”..

This statement is correct and accurately describes the Wong-Baker FACES Pain Rating Scale, which uses facial expressions to represent various levels of pain intensity.

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Correct Answer is D

Explanation

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.

A. FLACC Scale. B. Wong-Baker FACES Pain Rating Scale. C. Numeric Rating Scale (NRS) D. Visual Analog Scale (VAS)

Correct Answer is A

Explanation

Choice A rationale:

The FLACC Scale (Face, Legs, Activity, Cry, Consolability) is the most suitable pain assessment tool for infants who are unable to communicate verbally.

It takes into account facial expressions, leg movement, activity, cry, and consolability, which are important indicators of pain in non-verbal infants.

Choice B rationale:

The Wong-Baker FACES Pain Rating Scale is designed for children aged 3 years and older who can use facial expressions to indicate their pain level.

It is not the best choice for infants, as they may not yet have the ability to convey pain using these facial expressions effectively.

Choice C rationale:

The Numeric Rating Scale (NRS) requires assigning a numerical value to pain, which is not appropriate for infants who cannot understand or use numbers for pain assessment.

Choice D rationale:

The Visual Analog Scale (VAS) is also not suitable for infants as it requires marking pain on a line, which is beyond the capability of non-verbal infants.

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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)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to assess a non-verbal child’s pain level using the FLACC Scale.The nurse knows that this scale rates five behavioral indicators.Which of the following statements would be appropriate for the nurse to say during this assessment?

Correct Answer is D

Explanation

A nurse is providing care to an infant who is unable to communicate verbally.Which pain assessment tool would be most suitable for this infant?

Correct Answer is A

Explanation

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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)