A nurse is collecting data from a 5-month-old infant who is postoperative following umbilical hernia repair. Which of the following measures should the nurse use to evaluate the infant's pain level?
FLACC pain rating scale
COMFORT pain rating scale
FACES pain rating scale
CRIES pain rating scale
The Correct Answer is A
A. The FLACC pain rating scale is appropriate for infants and young children, assessing pain based on Face, Legs, Activity, Cry, and Consolability, making it suitable for a 5-month-old infant.
B. The COMFORT pain rating scale is generally used for children who are unable to communicate their pain, typically in older children or adolescents, and is less suitable for this age group.
C. The FACES pain rating scale is designed for children aged 3 and older who can identify facial expressions but is not appropriate for a 5-month-old infant.
D. The CRIES pain rating scale is also used for infants but is more specific to neonates (0-6 months) and measures crying, oxygen requirement, increased vital signs, and facial expressions, making it less applicable than the FLACC scale for this specific postoperative context.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A) Providing pain medication on a schedule helps maintain comfort and manage pain effectively in a terminally ill adolescent.
B) Limiting visits from siblings may not be necessary unless the adolescent prefers limited visitors or the siblings are unwell.
C) The parent's presence should be based on their preferences and the adolescent's needs, rather than leaving solely when the child needs to rest.
D) The decision to allow the child to die at home should be based on the family's preferences, the adolescent's wishes, and the availability of appropriate support and resources.
Correct Answer is B
Explanation
Rationale:
A) While empathetic, this response does not provide information or reassurance about the child's bedwetting in the hospital setting.
B) Regression, including bedwetting, is a common response to stress or disruption in routine, such as hospitalization, and is often temporary.
C) Dismissing the parent's concern may increase their anxiety and is not appropriate.
D) While it's important to consider potential medical implications, the nurse should first address the parent's concerns and offer reassurance about the temporary nature of the bedwetting.
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