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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Telling the child that temper tantrums are unacceptable may not be effective, as toddlers may not fully understand this concept.
B. Ignoring temper tantrums is often recommended because giving attention to the tantrum can reinforce the behavior. Consistently ignoring the tantrum can help decrease their frequency over time.
C. While distraction can sometimes be effective, it may not work in the middle of a tantrum when the child is already upset.
D. Physically restraining the child is not recommended as it can escalate the situation and lead to further distress.
Correct Answer is ["4"]
Explanation
To calculate the flow rate in gtt/min, the nurse should use the formula: (Volume in mL * Drop factor) / Time in minutes. In this case, the prescribed volume is 150 mL/hr. Since there are 60 minutes in an hour, the time for the infusion is 12 hours * 60 minutes/hour = 720 minutes. The drop factor is 20 gtt/mL. Plugging these values into the formula gives: (150 mL * 20 gtt/mL) / 720 minutes = 3000 gtt / 720 minutes = 4.1666 gtt/min. Rounding to the nearest whole number, the nurse should set the manual IV infusion to deliver 4 gtt/min.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.
