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A nurse is collecting data from an 18-month-old toddler who is postoperative. Which of the following rating scales should the nurse use to identify the toddler's pain level?

Color tool

FACES

Visual analog

FLACC

Answer and Explanation

The Correct Answer is D

Choice A reason:

The color tool is not a pain assessment tool; it is used to assess oxygen saturation levels.

Choice B reason:

The FACES scale is commonly used for children who are 3 years of age and older, but it may not be suitable for an 18-month-old toddler who may have limited ability to express pain through facial expressions.

Choice C reason:

The visual analog scale is typically used for older children and adults. It may not be effective for assessing pain in an 18-month-old toddler.

Choice D reason:

The FLACC scale (Face, Legs, Activity, Cry, Consolability) is a validated pain assessment tool for young children, including toddlers. It evaluates specific behaviors related to pain, making it suitable for this age group.

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Correct Answer is A

Explanation

Choice A reason:

Using a pacifier dipped in an oral sucrose solution can help provide comfort and alleviate pain during the procedure, making it a suitable option for blood specimen collection in preschoolers.

Choice B reason:

Applying a eutectic mixture of local anesthetics cream may not be the most appropriate option for blood specimen collection in preschoolers, as it may not provide sufficient pain relief for the procedure.

Choice C reason:

Kangaroo care involves skin-to-skin contact between an infant and a parent, which is beneficial for bonding and comfort but may not be directly applicable to a blood specimen collection procedure.

Choice D reason:

Placing the infant in a prone position for sleeping is not related to blood specimen collection and may not be appropriate immediately postoperatively.

A. Tinnitus B. Negative Kernig sign C. Vomiting D. Headache E. Seizures

Correct Answer is ["C","D","E"]

Explanation

Choice A reason:

Tinnitus - Tinnitus (ringing in the ears) is not typically associated with bacterial meningitis. The focus is on central nervous system symptoms and signs of meningeal irritation.

Choice B reason:

Negative Kernig sign - This is a classic sign of meningeal irritation. In bacterial meningitis, the Kernig sign will be positive, indicating resistance and pain upon extension of the knee after flexing the hip.

Choice C reason:

Vomiting - Nausea and vomiting are common symptoms of bacterial meningitis. They are caused by increased intracranial pressure and meningeal irritation.

Choice D reason:

Headache - Headache is a common symptom of bacterial meningitis, often severe and accompanied by other signs of meningeal irritation.

Choice E reason:

Seizures - Seizures can occur in bacterial meningitis due to the inflammation and irritation of the brain.

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A nurse is collecting data from an 18-month-old toddler who is postoperative. Which of the following rating scales should the nurse use to identify the toddler's pain level?

Nursing Test Bank

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