A nurse is providing care to an infant who is unable to communicate verbally.
Which pain assessment tool would be most suitable for this infant?
FLACC Scale.
Wong-Baker FACES Pain Rating Scale.
Numeric Rating Scale (NRS)
Visual Analog Scale (VAS)
The Correct Answer is A
Choice A rationale:
The FLACC Scale (Face, Legs, Activity, Cry, Consolability) is the most suitable pain assessment tool for infants who are unable to communicate verbally.
It takes into account facial expressions, leg movement, activity, cry, and consolability, which are important indicators of pain in non-verbal infants.
Choice B rationale:
The Wong-Baker FACES Pain Rating Scale is designed for children aged 3 years and older who can use facial expressions to indicate their pain level.
It is not the best choice for infants, as they may not yet have the ability to convey pain using these facial expressions effectively.
Choice C rationale:
The Numeric Rating Scale (NRS) requires assigning a numerical value to pain, which is not appropriate for infants who cannot understand or use numbers for pain assessment.
Choice D rationale:
The Visual Analog Scale (VAS) is also not suitable for infants as it requires marking pain on a line, which is beyond the capability of non-verbal infants.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
We're going to do everything we can to help you feel better.”..
Choice A rationale:
Offering pain medication immediately is not appropriate without proper assessment and a healthcare provider's order.
It's essential to assess the child's pain properly before administering any medication.
Choice B rationale:
Dismissing the child's pain and telling them it's not that bad is not appropriate.
Pain is subjective, and the child's perception of pain is real.
It's essential to acknowledge their pain and provide appropriate care.
Choice C rationale:
Assuming the child is just scared and telling them not to cry is not the right approach.
Pain should be assessed and addressed appropriately, and the child's feelings should be validated.
Choice D rationale:
This is the correct choice.
The nurse acknowledges the child's pain, expresses empathy, and assures them that everything will be done to alleviate their pain.
This approach is comforting and therapeutic.
Correct Answer is A
Explanation
Choice A rationale:
If the child rates their pain as 3 on the Numeric Rating Scale (NRS), this numerical value represents mild pain.
The NRS typically uses a scale from 0 to 10, with 0 indicating no pain and 10 indicating the worst pain imaginable.
A rating of 3 falls on the lower end of the scale, signifying mild discomfort or pain.
Choice B rationale:
An NRS rating of 3 is not considered moderate pain.
It is more in the range of mild pain.
Moderate pain would typically be rated higher on the scale, such as 4 to 6.
Choice C rationale:
An NRS rating of 3 is not indicative of severe pain.
Severe pain would typically be rated much higher on the scale, around 7 or higher.
Choice D rationale:
An NRS rating of 3 does not represent no pain.
It indicates the presence of pain, albeit at a relatively mild level.
A rating of 0 on the NRS would signify the absence of pain.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.