A nurse is caring for a 4-year-old child following an orthopedic procedure. When assessing the child for pain, which of the following pain scales should the nurse use?
FACES
Word-graphic
Numeric
CRIES
The Correct Answer is A
A. For assessing pain in a 4-year-old child following an orthopedic procedure, the nurse should use the FACES pain scale.
The FACES pain scale uses a series of faces with varying expressions, from smiling to crying, to help children express their level of pain. Children are asked to point to the face that best matches how they feel. This scale is particularly useful for young children who may not have the verbal skills to describe their pain accurately using words or numbers.
B. Word-graphic
Explanation: The word-graphic pain scale typically uses a combination of words and drawings to assess pain, making it more suitable for children who are slightly older and can understand simple words and concepts.
C. Numeric
Explanation: The numeric pain scale involves asking the child to rate their pain on a scale from 0 to 10. This scale is more appropriate for older children who can understand and assign numerical values to their pain intensity.
D. CRIES
Explanation: The CRIES pain scale is often used for assessing pain in newborns and infants up to 6 months old. It focuses on crying, oxygen saturation, vital signs, and facial expressions.
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Related Questions
Correct Answer is A
Explanation
A. Osteoporosis. A nurse is consulting a formulary about a client's new prescription for raloxifene. The medication raloxifene is used to treat osteoporosis. It is a selective estrogen receptor modulator (SERM) that helps to prevent and treat bone loss in postmenopausal women. It works by mimicking the effects of estrogen on bone tissue, helping to prevent bone breakdown and maintain bone density.
B. Urinary tract infection: UTIs are typically treated with antibiotics.
C. Hypothyroidism: Hypothyroidism is treated with thyroid hormone replacement.
D. Deep-vein thrombosis: DVT is typically treated with anticoagulant medications like heparin and warfarin.
Correct Answer is D
Explanation
A. "I should stay upright for at least 15 minutes after taking this medication.": This advice is usually given with medications like bisphosphonates to prevent esophageal irritation. It is not necessary for ferrous gluconate.
B. "I should take this medication with 8 ounces of milk.": Iron supplements should not be taken with milk or other dairy products because they can interfere with iron absorption.
C. "I should take an antacid with this medication to prevent stomach upset.": Antacids can also interfere with iron absorption and should be taken separately from iron supplements.
D. "I should notify my provider if my stools turn black."
Ferrous gluconate is an iron supplement used to treat iron deficiency anemia. One common side effect of iron supplementation is the darkening of stools, often to a black color. This is not harmful but is important for the client to be aware of. It is due to the reaction of iron with the acids and enzymes in the gastrointestinal tract.
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