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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["C","D","E"]
Explanation
Head lag is not commonly noted in infants at age 6 months. By this age, infants should have developed good head control and should not exhibit significant head lag when pulled into a sitting position.
A 6-month-old infant typically has developed the ability to hold objects and grasp them with their hands, so they should not have trouble holding objects at this stage of development.
Correct Answer is C
No explanation
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