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?
"The child is probably just tired. They'll be fine in a little while.”..
"We need to give the child some pain medication right away.”..
"The child is in a lot of pain. We need to do everything we can to help them feel better.”..
"The child is probably just scared. There's no need to worry.”..
The Correct Answer is B
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.
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 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.
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