A nurse is caring for an 18-month-old infant who is 12 hr postoperative following a myringotomy. Which of the following pain rating scales should the nurse use?
Poker Chip Tool
Color tool
Numeric scale
FLACC scale
The Correct Answer is D
A. The Poker Chip Tool is used to assess pain in children who can understand the concept of "a few" to "lots" of pain, typically in older children. It is not appropriate for infants or toddlers.
B. The Color tool is used for children who can associate color with pain intensity, but it is generally for older children who can understand this system, not for infants.
C. The Numeric scale is designed for children who are old enough to understand and use numbers (typically older than 8 years). An 18-month-old would not be able to understand this scale.
D. The FLACC (Face, Legs, Activity, Cry, Consolability) scale is specifically designed to assess pain in infants and nonverbal children. It uses behavioral indicators to rate pain intensity and is appropriate for an 18-month-old toddler.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Grapes pose a choking hazard to toddlers due to their size and shape, and should be cut into small pieces or avoided for safety reasons.
B. Raw carrots are also a choking hazard and should not be recommended as a snack for toddlers. They should be cooked or cut into small pieces to make them safer.
C. A hard-boiled egg is a good snack for a toddler as it is nutritious and easy to eat when cut into small pieces. It provides protein and is safe to consume without choking risks.
D. Popcorn can be a choking hazard for toddlers and should not be recommended. It is difficult for toddlers to chew and digest properly.
Correct Answer is C
Explanation
A. Selecting a catheter that fits snugly is important for proper suctioning, but it is more important to ensure the catheter is the correct size for the infant’s tracheostomy tube and airway.
B. Instilling saline prior to suctioning is generally not recommended unless specified by the healthcare provider, as it can increase the risk of aspiration and discomfort.
C. Suctioning should be done in short 3 to 4 second increments to avoid injury to the airway and to minimize the infant’s distress. Prolonged suctioning can cause hypoxia and trauma to the mucosa.
D. Suctioning for infants with tracheostomies requires sterile technique to prevent infection, not clean technique.
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