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

Answer and Explanation

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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Correct Answer is ["A","B","C","D"]

Explanation

A. Multiple health problems: Older adults often have multiple chronic health conditions, which can increase the risk of interactions between medications or exacerbate the effects of certain drugs.
B. Decreased renal function: As people age, their kidney function tends to decrease, which can affect the clearance of drugs from the body. Drugs that are primarily excreted through the kidneys may accumulate in older adults with reduced renal function.
C. Polypharmacy: Older adults are more likely to be taking multiple medications simultaneously. This increases the risk of drug interactions and adverse effects.
D. Decreased percentage of body fat: With age, there is a decrease in lean body mass and an increase in body fat. Fat-soluble drugs can accumulate in body fat, leading to prolonged drug effects and increased risk of toxicity.
E. Increased rate of absorption: Aging can lead to changes in gastrointestinal function, including reduced gastric motility and decreased blood flow to the gastrointestinal tract. These changes may result in delayed drug absorption rather than an increased rate of absorption.

A. The client has a history of a severe penicillin allergy. B. The client takes an aspirin daily. C. The client reports a history of nausea with cefuroxime. D. The client has a BUN level of 18 mg/dL

Correct Answer is A

Explanation

A. The client has a history of a severe penicillin allergy:
Correct Answer: This is the priority information for the nurse to report to the provider.
Explanation: Cefuroxime is a cephalosporin antibiotic. Individuals with a history of severe penicillin allergy may also have an increased risk of cross-reactivity with cephalosporin antibiotics. This potential cross-reactivity needs to be evaluated by the provider to determine the safety of prescribing cefuroxime for the client.
B. The client takes an aspirin daily:
Incorrect Explanation: While the daily use of aspirin should be considered when prescribing medications, it is not the priority in this scenario.
Explanation: Aspirin use might affect bleeding risk, but it is not directly related to the potential interaction with cefuroxime. The client's severe penicillin allergy takes precedence in terms of immediate concern.
C. The client reports a history of nausea with cefuroxime:
Incorrect Explanation: A history of nausea with cefuroxime is relevant but is not as critical as the severe penicillin allergy.
Explanation: While the nurse should consider the client's history of nausea with cefuroxime, it is not as urgent as addressing the potential cross-reactivity with penicillin.
D. The client has a BUN level of 18 mg/dL:
Incorrect Explanation: The BUN level is not the priority in this context.
Explanation: A BUN level of 18 mg/dL is within the normal range and is not immediately relevant to the decision about prescribing cefuroxime.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is A

Explanation

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