A nurse is assessing the pain level of a 4-year-old child who has undergone a surgical procedure.
Which pain assessment tool would be most appropriate for this child?

Choice A rationale:

The nurse should not state that the FLACC Scale is the best pain assessment tool for all children because pain assessment tools should be age-appropriate.

The FLACC Scale is typically used for infants and young children who cannot effectively communicate their pain verbally.

It assesses facial expression, leg movement, activity, cry, and consolability.

However, it may not be suitable for older children who can use self-reporting pain scales.

Choice B rationale:

This is the correct answer.

The Wong-Baker FACES Pain Rating Scale is designed for children aged 3 years and older.

It uses a series of faces to represent different levels of pain intensity, making it a useful tool for children who may not be able to describe their pain in words.

The scale is widely recognized and accepted for this age group.

Choice C rationale:

The Numeric Rating Scale (NRS) is typically used for older children and adults.

It requires the child to assign a numerical value to their pain, usually on a scale from 0 to 10, with 0 representing no pain and 10 being the worst pain possible.

It may not be the best choice for younger children, especially those under the age of 5, as they may have difficulty using numbers to describe their pain.

Choice D rationale:

The Visual Analog Scale (VAS) is a pain assessment tool that requires a child to mark their pain level on a line, with one end indicating no pain and the other end indicating the worst pain imaginable.

It is often used for older children and adults.

Children aged 8 years and older may be able to use the VAS effectively, but it may not be the best choice for younger children, as it requires the ability to understand and use a visual representation of pain.

Choice A rationale:

The FLACC Scale (Face, Legs, Activity, Cry, Consolability) is the most suitable pain assessment tool for infants who are unable to communicate verbally.

It takes into account facial expressions, leg movement, activity, cry, and consolability, which are important indicators of pain in non-verbal infants.

Choice B rationale:

The Wong-Baker FACES Pain Rating Scale is designed for children aged 3 years and older who can use facial expressions to indicate their pain level.

It is not the best choice for infants, as they may not yet have the ability to convey pain using these facial expressions effectively.

Choice C rationale:

The Numeric Rating Scale (NRS) requires assigning a numerical value to pain, which is not appropriate for infants who cannot understand or use numbers for pain assessment.

Choice D rationale:

The Visual Analog Scale (VAS) is also not suitable for infants as it requires marking pain on a line, which is beyond the capability of non-verbal infants.