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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The normal range for FLACC Scale is 0-2, and for Wong-Baker FACES Pain Rating Scale is 0-10.
Choice A rationale:
The normal range for both the FLACC Scale and the Wong-Baker FACES Pain Rating Scale is not 0-10.
The FLACC Scale typically ranges from 0 to 2, and the Wong-Baker FACES Pain Rating Scale ranges from 0 to 10.
Therefore, choice A is not accurate.
Choice B rationale:
Similarly, the normal range for both scales is not 0-2.
While the FLACC Scale has a range of 0 to 2, the Wong-Baker FACES Pain Rating Scale covers a range from 0 to 10.
Choice B is not the correct answer.
Choice C rationale:
The FLACC Scale is designed to assess pain in infants and young children and ranges from 0 to 2.
The Wong-Baker FACES Pain Rating Scale is used for older children and adults, ranging from 0 to 10.
Therefore, choice C is the correct answer as it accurately represents the normal ranges for these pain assessment scales.
Choice D rationale:
Choice D provides incorrect information about the normal ranges for both pain assessment scales.
It states that the FLACC Scale has a range of 0-10, which is not accurate, and the Wong-Baker FACES Pain Rating Scale has a range of 0-2, which is also incorrect.
Correct Answer is B
Explanation
Choice A rationale:
If the child marked a point close to "worst pain imaginable" on the Visual Analog Scale (VAS), it would indicate severe pain, not mild pain.
The child's indication suggests that they are experiencing a high level of pain.
Choice B rationale:
This is the correct answer.
When a child marks a point close to "worst pain imaginable" on the VAS, it indicates severe pain.
The VAS is a linear scale, with one end representing no pain and the other end representing the most severe pain.
Therefore, a mark close to the extreme end of severe pain suggests that the child's pain intensity is high.
Choice C rationale:
If the child marked a point close to "worst pain imaginable," it would not indicate that the child is pain-free.
It would actually suggest the opposite, that the child is in significant pain.
Choice D rationale:
The child's pain level can be determined from the given information.
By marking a point close to "worst pain imaginable" on the VAS, the child is indicating a high level of pain, which is consistent with the scale's interpretation.
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