A nurse is planning care for a 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?
PANAD scale
OUCHER scale
FLACC scale
FACE Scale
The Correct Answer is C
The appropriate pain rating scale to use for a 2-month-old infant is the FLACC (Face, Legs, Activity, Cry, Consolability) scale. The FLACC scale is commonly used for infants and young children who are unable to self-report their pain. It assesses facial expression, leg movement, activity level, cry, and ability to be consoled. Each category is scored on a scale of 0 to 2, and the total score provides an indication of the infant's pain level.
The PANAD scale and OUCHER scale are more commonly used for older children, while the FACE scale is specific to assessing pain in individuals with cognitive impairments.

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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
a.Imaginary playmates are more common in the preschool years, typically around ages 3 to 5, rather than during the toddler stage.
b.Toddlers are in Erikson's stage of autonomy versus shame and doubt. During this stage, they strive for independence and autonomy, often exhibiting negative behaviors such as saying "no" frequently as they assert their independence. Theyare often in the stage of asserting their independence, leading to behaviors like tantrums, stubbornness, and defiance.
c.Sexual curiosity is more commonly seen in preschool and school-age children, not typically in toddlers.
d.This stage applies to preschool-aged children (approximately 3 to 6 years old), where they begin to assert power and control over their environment through directing play and other social interactions.
Correct Answer is C
Explanation
Correct answer: C
A. While distraction can sometimes work, it may inadvertently reinforce the tantrum if the child perceives that having a tantrum leads to getting attention or special activities.
B. Telling the child that temper tantrums are not acceptable may not be effective as toddlers may not fully comprehend or control their emotions yet. Ignoring the tantrums can also be challenging as it may reinforce the behavior or escalate the intensity.
C.When a tantrum does happen, parents should ignore itifitisn’t dangerous.When kids get attention for tantrums,they are more motivated to keep having them. Instead, give attention to yourchildwhen they do something good. Give lots of praise whenthey compromise,try to calm themselves downor do something difficult without a tantrum.
D. Physically restraining the child is not recommended as it can be distressing for the child and potentially cause harm. It is important to use positive and supportive strategies to manage and address temper tantrums in toddlers.
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