The nurse is caring for a 2-year-old in the postoperative period. The pain assessment tool most appropriate for a 2-year-old is the:
FLACC Scale
Oucher Scale
Faces Numeric Scale
Faces Scale
The Correct Answer is A
Rationale:
A. The FLACC (Face, Legs, Activity, Cry, Consolability) Scale is the most appropriate for a 2-year-old because it is an observational tool used to assess pain in young children who are nonverbal or have limited verbal skills.
B. The Oucher Scale is used for children aged 3 years and older who can understand number and photo ratings.
C. The Faces Numeric Scale requires understanding of numbers, which is typically beyond the cognitive level of a 2-year-old.
D. The standard Faces Scale is better suited for children aged 3 and above who can self-report pain using facial expressions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D"]
Explanation
Rationale:
A. Popcorn is dry, small, and irregular in shape, making it a common choking hazard for young children.
B. Bread is soft and typically not considered a major choking risk when properly prepared.
C. Grapes are smooth, round, and slippery, which makes them easy to inhale if not cut into small pieces.
D. Hot dogs are one of the leading causes of food aspiration due to their cylindrical shape and texture; they should be sliced lengthwise and into small pieces.
E. Cheese, especially when soft and in small pieces, is generally safe and not a common aspiration risk.
Correct Answer is D
Explanation
Rationale:
A. While reading a story can provide comfort and education, it is less effective in addressing hands-on fears directly.
B. Watching a video may help with general understanding, but does not offer a way to express feelings or practice.
C. Observing a nurse draw up insulin may not be appropriate or engaging for a young child and could increase anxiety.
D. Playing with medical equipment on a doll is a form of medical play that helps children express their feelings, gain control, and reduce fear related to procedures like injections.
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