A nurse is caring for a 2 year old child in the immediate postoperative period. Which pain assessment tool is most appropriate for this client?
Poker chip tool
Faces pain rating scale
FLACC pain scale
Duchar scale
The Correct Answer is C
a) Poker chip tool: Typically used for older children who can understand and articulate pain levels.
b) Faces pain rating scale: Also used for older children who can express themselves using facial expressions.
c) FLACC pain scale: Designed for non-verbal or pre-verbal children, assessing facial expressions, leg movement, activity, cry, and consolability.
d) Duchar scale: There isn't a widely recognized pain assessment tool known as the "Duchar scale" in pediatric pain management
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
a) Aortic stenosis, ventricular septal defect, overriding aorta, right ventricular hypertrophy: Does not describe the specific combination seen in tetralogy of Fallot.
b) Pulmonary stenosis, ventricular septal defect, aortic hypertrophy, left ventricular hypertrophy: Incorrect combination of defects for tetralogy of Fallot.
c) Pulmonary stenosis, ventricular septal defect, overriding aorta, right ventricular hypertrophy: Accurately describes the four structural defects characterizing tetralogy of Fallot.
d) Aortic stenosis, ventricular septal defect, overriding aorta, left ventricular hypertrophy: Left ventricular hypertrophy is not typically part of tetralogy of Fallot.
Correct Answer is B
Explanation
a) Side lying: Unlikely to improve oxygenation significantly during a Tet spell.
b) Knees to chest: This position can help improve oxygenation by increasing systemic vascular resistance and decreasing right-to-left shunting in Tetralogy of Fallot during a Tet spell.
c) Prone: May not be ideal as it might interfere with breathing in a child experiencing a Tet spell.
d) Back: While the supine position is generally recommended for most situations, in a Tet spell, knee-to-chest positioning might be more beneficial for oxygenation.
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