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?
FLACC Scale.
Wong-Baker FACES Pain Rating Scale.
Numeric Rating Scale (NRS)
Visual Analog Scale (VAS)
The Correct Answer is A
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D"]
Explanation
Choice A rationale:
The FLACC Scale is appropriate for assessing pain in non-verbal children, particularly those with limited communication abilities or cognitive impairments.
Choice B rationale:
The Wong-Baker FACES Pain Rating Scale is suitable for children who can use a simple visual scale to indicate their pain level.
It's especially helpful for children who can express themselves through drawings or symbols.
Choice C rationale:
The Numeric Rating Scale (NRS) is a reliable tool for assessing pain in children who can understand and use numbers.
It allows children to rate their pain on a numerical scale.
Choice D rationale:
The Visual Analog Scale (VAS) is another tool for older children who can comprehend and use a visual representation to indicate their pain level.
It involves marking a point on a line to represent pain severity.
The Pediatric Pain Questionnaire (PPQ) is not a commonly used pain assessment tool for children, and its effectiveness may be limited.
Therefore, it's not one of the recommended options for pain assessment in children.
Correct Answer is A
Explanation
Choice A rationale:
If the child rates their pain as 3 on the Numeric Rating Scale (NRS), this numerical value represents mild pain.
The NRS typically uses a scale from 0 to 10, with 0 indicating no pain and 10 indicating the worst pain imaginable.
A rating of 3 falls on the lower end of the scale, signifying mild discomfort or pain.
Choice B rationale:
An NRS rating of 3 is not considered moderate pain.
It is more in the range of mild pain.
Moderate pain would typically be rated higher on the scale, such as 4 to 6.
Choice C rationale:
An NRS rating of 3 is not indicative of severe pain.
Severe pain would typically be rated much higher on the scale, around 7 or higher.
Choice D rationale:
An NRS rating of 3 does not represent no pain.
It indicates the presence of pain, albeit at a relatively mild level.
A rating of 0 on the NRS would signify the absence of pain.
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.