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

Answer and Explanation

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.

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Correct Answer is D

Explanation

A. Insulin should not be stored in the freezer, as freezing it can cause it to lose potency. Unopened insulin should be stored in the refrigerator.

B. The target blood glucose for a school-age child with type 1 diabetes is typically between 90 and 130 mg/dL, but this answer does not directly relate to management practices.

C. Insulin requirements may actually increase during illness, and skipping insulin can lead to dangerous hyperglycemia or diabetic ketoacidosis.

D. Eating a snack before physical activity is crucial to prevent hypoglycemia, especially in a child with type 1 diabetes. This response shows an understanding of managing blood glucose during exercise.

A. Cooperates in doing simple chores B. Separates easily from primary care giver for short periods of time C. Explains the difference between right and wrong D. Prints letters and numbers

Correct Answer is A

Explanation

A. Toddlers are beginning to cooperate in simple chores and tasks, which aligns with their developmental stage.

B. Toddlers often struggle with separation anxiety and do not separate easily from their caregivers.

C. Understanding the difference between right and wrong is a skill that develops later, typically around age 4 or older.

D. Printing letters and numbers is beyond the developmental capabilities of a toddler and is expected later in early childhood.

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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?

Nursing Test Bank

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