While caring for a 4-year-old, the nurse uses which tool to assess pain?
APT
Numeric
FLACC
FACES
The Correct Answer is D
Choice A reason: APT stands for Acute Pain Team, which is a multidisciplinary team that provides pain management for patients. It is not a tool to assess pain.
Choice B reason: Numeric is a pain scale that uses numbers from 0 to 10 to rate the intensity of pain. It is not suitable for a 4-year-old child who may not understand the concept of numbers or have difficulty expressing their pain level.
Choice C reason: FLACC stands for Face, Legs, Activity, Cry, and Consolability. It is a pain scale that uses behavioral cues to assess pain in infants and young children who are unable to verbalize their pain. It is more appropriate for children under 3 years of age.
Choice D reason: FACES is a pain scale that uses facial expressions to indicate the level of pain. It is suitable for a 4-year-old child who can point to the face that matches their pain. It is a simple and easy way to assess pain in children.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: This is not a valid basis for the nurse's response, as it implies that the child sleeps with the parents because of a lack of attention during the day. This may not be the case, and it may also offend the parents by questioning their parenting skills.
Choice B reason: This is a valid basis for the nurse's response, as it acknowledges the diversity and variability of family practices and preferences. It also shows respect and sensitivity for the parents' and the child's needs and comfort.
Choice C reason: This is not a valid basis for the nurse's response, as it is false and exaggerated. Sleeping with one's children is not illegal or abusive, unless there is evidence of harm or neglect. It may also alarm and anger the parents by accusing them of a crime.
Choice D reason: This is not a valid basis for the nurse's response, as it is based on a rigid and arbitrary developmental milestone. There is no fixed age for separating from parents, and it may vary depending on the child's temperament, attachment, and environment. It may also pressure and guilt the parents by implying that they are delaying their child's growth.
Correct Answer is A
Explanation
Choice A reason: Stridor is a high-pitched, harsh sound that occurs during inspiration. It is caused by the narrowing of the upper airway due to inflammation and edema. Stridor is a characteristic sign of croup, also known as laryngotracheobronchitis.
Choice B reason: Wheezes are high-pitched, musical sounds that occur during expiration. They are caused by the narrowing of the lower airway due to bronchoconstriction or mucus. Wheezes are more common in asthma than in croup.
Choice C reason: Crackles are fine, crackling sounds that occur during inspiration. They are caused by the opening of collapsed or fluid-filled alveoli. Crackles are more common in pneumonia or heart failure than in croup.
Choice D reason: Rhonchi are low-pitched, snoring sounds that occur during expiration. They are caused by the vibration of mucus in the large airways. Rhonchi are more common in bronchitis or cystic fibrosis than in croup.
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