A nurse is caring for a 6-month-old infant who is postoperative following a myringotomy. Which of the following pain scales should the nurse use to determine the infant's pain level?
Oucher
FLACC
FACES
Visual Analog Scale
The Correct Answer is B
Choice A: The Oucher pain scale is not suitable for a 6-month-old infant, as it is designed for children aged 3 to 13 years who can point to pictures of faces that match their pain level. A 6-month-old infant cannot communicate verbally or point to pictures.
Choice B: The FLACC pain scale is suitable for a 6-month-old infant, as it is designed for infants and children aged 2 months to 7 years who cannot verbalize their pain. The FLACC pain scale assesses five behavioral indicators of pain: face, legs, activity, cry, and consolability. Each indicator is scored from 0 to 2 based on the observation of the nurse. The total score ranges from 0 to 10, with higher scores indicating more pain.
Choice C: The FACES pain scale is not suitable for a 6-month-old infant, as it is designed for children aged 3 years and older who can select a face that matches their pain level. A 6-month-old infant cannot communicate verbally or select a face.
Choice D: The Visual Analog Scale (VAS) is not suitable for a 6-month-old infant, as it is designed for adults and older children who can mark a point on a line that represents their pain level. A 6-month-old infant cannot communicate verbally or mark a point on a line.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A: Lice cannot survive for more than 48 hours away from the host. This statement is false and should not be included in the teaching, as it can cause unnecessary anxiety or confusion.
Choice B: Washing your child's hair daily will not prevent lice, as lice do not depend on hair cleanliness or hygiene.
This statement is false and should not be included in the teaching, as it can create a false sense of security or stigma.
Choice C: Lice cannot jump or fly from one child to another, as they only crawl. This statement is false and should not be included in the teaching, as it can cause unnecessary fear or panic.
Choice D: Encouraging your child to avoid sharing hats with other children can prevent lice, as lice can be transmitted by direct contact or by sharing personal items. This statement is true and should be included in the teaching, as it can help prevent lice infestation or spread.
Correct Answer is D
Explanation
Choice A: Polyuria is not a finding of nephrotic syndrome, but rather a finding of diabetes mellitus or diabetes insipidus. Polyuria means excessive urination, which can cause dehydration and electrolyte imbalance.
Choice B: Smoky brown urine is not a finding of nephrotic syndrome, but rather a finding of acute glomerulonephritis or hemolytic uremic syndrome. Smoky brown urine means that there is blood in the urine, which can indicate damage to the glomeruli, the filtering units of the kidneys.
Choice C: Hypertension is not a finding of nephrotic syndrome, but rather a finding of chronic kidney disease or renal artery stenosis. Hypertension means high blood pressure, which can cause damage to the blood vessels and organs.
Choice D: Facial edema is a common finding of nephrotic syndrome, as nephrotic syndrome is a condition in which the kidneys leak large amounts of protein into the urine, causing low blood protein levels and fluid retention. Facial edema means swelling of the face, especially around the eyes, which can occur due to gravity and fluid shifts.
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