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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason:
Using a bulb syringe for suctioning is not the appropriate intervention for a choking infant. This may not effectively clear the airway obstruction.
Choice B reason:
Delivering back blows with the infant face down over the rescuer's arm is the recommended action for relieving a choking episode in an infant. This helps to dislodge the obstruction from the airway.
Choice C reason:
Placing the infant in a side-lying position and performing abdominal thrusts is the intervention for a conscious infant who is choking. This is not the appropriate action for an infant showing circumoral cyanosis.
Choice D reason:
Performing a head tilt and chin lift followed by giving rescue breaths is the procedure for providing rescue breaths in infant CPR. It is not the initial intervention for a choking infant.
Correct Answer is A
Explanation
Choice A reason:
Children with attention deficit hyperactivity disorder (ADHD) benefit from frequent breaks in activities. Short, focused periods of activity followed by breaks can help them maintain attention and focus.
Choice B reason:
While providing long-term goals is important for building self-esteem, it may not directly address the child's learning style associated with ADHD.
Choice C reason:
Administering medication at bedtime may not be the most effective timing for managing ADHD symptoms. The timing and dosing of ADHD medications should be discussed with the child's healthcare provider.
Choice D reason:
Children with ADHD benefit from consistent routines rather than constantly changing ones. A predictable routine can help them feel more organized and focused.
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