A nurse is planning care for 2-month-old infant following a surgical procedure. Which of the following pain rating scales should the nurse plan to use to determine the infant's level of pain?
FLACC scale
FACES scale
OUCHER scale
PANAD scale
The Correct Answer is A
A. The FLACC scale (Face, Legs, Activity, Cry, Consolability) is designed for infants and young children who cannot verbally communicate their pain, making it suitable for a 2-month-old.
B. The FACES scale is used for older children who can point to or choose faces that represent their pain level and is not suitable for a 2-month-old.
C. The OUCHER scale is used for children aged 3 to 13 years and includes pictures representing pain, so it is not appropriate for a 2-month-old.
D. The PANAD scale is not a standard pain rating scale used for infants and is less commonly used than the FLACC scale.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. A low-protein diet may be appropriate for chronic conditions but is not specifically indicated for acute glomerulonephritis with edema.
B. A regular diet with no added salt might not be sufficient for managing acute glomerulonephritis, especially with significant edema and reduced urine output.
C. A low-carbohydrate, low-protein diet is not specifically indicated for managing acute glomerulonephritis.
D. A low-sodium, fluid-restricted diet is important in managing edema and fluid retention associated with acute glomerulonephritis.
Correct Answer is ["A","B","C"]
Explanation
A. Removing objects from the bed is necessary to prevent injury during the seizure.
B. Placing the client in a side-lying position helps to maintain an open airway and reduces the risk of aspiration.
C. Assessing airway patency is crucial to ensure the client can breathe adequately during and after the seizure.
D. Placing a tongue depressor or any object in the client's mouth is contraindicated, as it can cause injury or obstruct the airway.
E. Restraining the client is also contraindicated because it can cause harm or increase agitation during a seizure.
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