A nurse is evaluating the pain level of a toddler who is cognitively impaired to a nonpharmacologic intervention. Which of the following pain scales should the nurse use to evaluate the toddler's pain level?

Visual analog

FACES

FLACC

CRIES

Answer and Explanation

The Correct Answer is C

Rationale:
A.   Visual analog scales rely on the child's ability to comprehend and interpret visual cues, which may be challenging for a cognitively impaired toddler.
B.   FACES scales require the child to identify their pain level based on facial expressions, which may also be challenging for a cognitively impaired toddler.
C.   FLACC (Face, Legs, Activity, Cry, Consolability) scales are specifically designed for non-verbal or cognitively impaired individuals, assessing pain based on observable behaviors such as facial expression, leg movement, activity level, cry, and ability to be consoled.
D.   CRIES scales are primarily used for assessing pain in newborns and infants and may not be as applicable for a cognitively impaired toddler.

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Correct Answer is C

Explanation

A. Examining the child for skin irritation at the cast edges is important to prevent complications, but it is not the priority over monitoring for circulation and potential complications.
B. Restricting strenuous activities is important for preventing damage to the cast, but it is not the priority over monitoring for circulatory compromise.
C. Monitoring for pallor or swelling in the child's affected hand is the priority because it indicates potential circulatory compromise, which is a critical concern following cast application.
D. Using a hair dryer on a cool setting to relieve itching is a helpful suggestion, but it is not the priority over monitoring for potential complications.

A. Creatinine 0.3 mg/dL (0.2 to 0.5 mg/dL) B. BUN 12 mg/dL (5 to 18 mg/dL) C. Creatinine 1.4 mg/dL (0.2 to 0.5 mg/dL) D. BUN 6 mg/dL (5 to 18 mg/dL) E. BUN 6 mg/dL (5 to 18 mg/dL)

Correct Answer is C

Explanation

A) The creatinine level is within the normal range.
B) The BUN level is within the normal range.
C) An elevated creatinine level suggests impaired kidney function, which could be a sign of nephrotoxicity from gentamicin.
D) The BUN level is within the normal range.

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A nurse is evaluating the pain level of a toddler who is cognitively impaired to a nonpharmacologic intervention. Which of the following pain scales should the nurse use to evaluate the toddler's pain level?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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