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

Answer and Explanation

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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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.

A. "Placing your child on her back when sleeping will decrease the risk of SIDS.” B. "SIDS is directly correlated with the diphtheria, tetanus, and pertussis vaccines." C. "SIDS rates have been rising over the last 10 years." D. "Sleep apnea is the main cause of SIDS."

Correct Answer is A

Explanation

This is an evidence-based recommendation to reduce the risk of SIDS. The American Academy of Pediatrics (AAP) recommends placing infants on their back for sleep as the safest sleep position. This position has been shown to significantly reduce the incidence of SIDS. The nurse should emphasize the importance of following safe sleep practices, including placing the baby on their back, providing a firm and safe sleep surface, keeping the sleep area free of soft bedding or objects, and avoiding overheating.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

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Correct Answer is A

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