A nurse is planning care for 2-month-old infant following a surgical procedure. Which of the following pain rating scales should the nurse plan to use to determine the infant's level of pain?

FLACC scale

FACES scale

OUCHER scale

PANAD scale

Answer and Explanation

The Correct Answer is A

A. The FLACC scale (Face, Legs, Activity, Cry, Consolability) is designed for infants and young children who cannot verbally communicate their pain, making it suitable for a 2-month-old.

B. The FACES scale is used for older children who can point to or choose faces that represent their pain level and is not suitable for a 2-month-old.

C. The OUCHER scale is used for children aged 3 to 13 years and includes pictures representing pain, so it is not appropriate for a 2-month-old.

D. The PANAD scale is not a standard pain rating scale used for infants and is less commonly used than the FLACC scale.

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Correct Answer is B

Explanation

A. Nausea and vomiting are more commonly associated with hyperglycemia, not hypoglycemia.

B. Shakiness is a common symptom of hypoglycemia, indicating that the parents understand the signs of low blood glucose levels.

C. The onset of hypoglycemia is typically rapid, not slow, which is why quick intervention is necessary.

D. Sweating is a common symptom of hypoglycemia, not hyperglycemia.

A. Budesonide B. Albuterol C. Fluticasone D. Montelukast

Correct Answer is B

Explanation

A. Budesonide is an inhaled corticosteroid used for long-term control, not for acute attacks.

B. Albuterol is a short-acting beta agonist (SABA) used as a first-line treatment for immediate relief during an acute asthma attack.

C. Fluticasone is an inhaled corticosteroid for long-term control and prevention, not for acute relief.

D. Montelukast is a leukotriene receptor antagonist used for long-term control and prevention, not for acute asthma attacks.

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A nurse is planning care for 2-month-old infant following a surgical procedure. Which of the following pain rating scales should the nurse plan to use to determine the infant's level of pain?

Nursing Test Bank

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