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 A
Explanation
Choice A reason: This is the most appropriate action because it respects the youth's autonomy and maturity, and allows for timely and necessary intervention. Assent is the agreement of a minor to participate in a medical decision, and it is usually sufficient in emergency situations when parental consent is not available.
Choice B reason: This is not the most appropriate action because it may delay the surgery and put the youth at risk of further complications. Another relative may not have the legal authority to consent for the youth, and may not be reachable in time.
Choice C reason: This is not the most appropriate action because it does not address the underlying problem of the injury. Pain medications may provide temporary relief, but they may also mask the symptoms and interfere with the surgery.
Choice D reason: This is not the most appropriate action because it may jeopardize the youth's health and safety. Waiting for parents to obtain consent may result in irreversible damage or even death. The youth's best interest should be the priority in this case.
Correct Answer is D
Explanation
Choice A reason: The child has a high fever is not a correct answer because fever is not a specific sign of croup. Fever can occur in many respiratory infections, such as bronchiolitis, pneumonia, or tonsillitis.
Choice B reason: Wheezing is heard audibly is not a correct answer because wheezing is not a characteristic feature of croup. Wheezing is more common in asthma or bronchiolitis, which affect the lower airways.
Choice C reason: It is bacterial in nature is not a correct answer because croup is usually caused by a virus, such as parainfluenza, adenovirus, or respiratory syncytial virus. Bacterial croup is rare and more severe, requiring hospitalization and antibiotics.
Choice D reason: It has a harsh, barking cough is the correct answer because it is the most distinctive symptom of croup. The cough is caused by the inflammation and narrowing of the larynx and trachea, which produce a sound similar to a seal's bark.
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