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)

Answer and Explanation

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.

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Correct Answer is B

Explanation

Choice A rationale:

Assuming the child is tired and will be fine in a little while is not appropriate when the child has a high pain score.

It's important to address the child's pain promptly.

Choice B rationale:

This is the correct choice.

When a non-verbal child with difficulty breathing scores high on the FLACC Scale, it indicates significant pain.

Administering pain medication promptly is necessary.

Choice C rationale:

Acknowledging the child's pain and expressing a commitment to help them feel better is a good approach, but it doesn't address the urgency of the situation.

The child's high pain score requires immediate action.

Choice D rationale:

Assuming the child is scared and there's no need to worry is not appropriate when the child has a high pain score.

Pain needs to be managed effectively.

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 a pain assessment tool specifically designed for children who cannot effectively communicate their pain verbally.

It assesses various aspects, including facial expression, leg movement, activity, cry, and consolability.

It is particularly suitable for infants and young children who may not be able to describe their pain in words.

Choice B rationale:

The Wong-Baker FACES Pain Rating Scale is designed for children aged 3 years and older and is based on facial expressions to assess pain intensity.

While it is suitable for this age group, it may not be the most appropriate choice for a 4-year-old child who has just undergone surgery, as it may not accurately capture the child's pain experience.

Choice C rationale:

The Numeric Rating Scale (NRS) requires the child to assign a numerical value to their pain, typically on a scale from 0 to 10.

This may not be the most appropriate tool for a 4-year-old child, as they may have difficulty using numbers to describe their pain, especially immediately after surgery.

Choice D rationale:

The Visual Analog Scale (VAS) requires the child to mark their pain level on a line, which may also be challenging for a 4-year-old child.

This tool is typically used for older children and adults who can better understand and use a visual representation of pain.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A 3-year-old child is admitted to the hospital with a diagnosis of pneumonia. The child is non-verbal and has difficulty breathing. The nurse uses the FLACC Scale to assess the child's pain. The child scores a 9/10 on the FLACC Scale. Which of the following statements by the patient is appropriate?

Correct Answer is B

Explanation

A nurse is assessing the pain level of a 4-year-old child who has undergone a surgical procedure.Which pain assessment tool would be most appropriate for this child?

Correct Answer is A

Explanation

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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?