A 3-year-old child is admitted to the hospital with a diagnosis of pneumonia.
The child is non-verbal and has difficulty breathing.
The nurse uses the FLACC Scale to assess the child's pain.
The child scores a 9/10 on the FLACC Scale.
Which of the following statements by the patient is appropriate?
"The child is probably just tired. They'll be fine in a little while.”..
"We need to give the child some pain medication right away.”..
"The child is in a lot of pain. We need to do everything we can to help them feel better.”..
"The child is probably just scared. There's no need to worry.”..
The Correct Answer is B
Choice A rationale:
Assuming the child is tired and will be fine in a little while is not appropriate when the child has a high pain score.
It's important to address the child's pain promptly.
Choice B rationale:
This is the correct choice.
When a non-verbal child with difficulty breathing scores high on the FLACC Scale, it indicates significant pain.
Administering pain medication promptly is necessary.
Choice C rationale:
Acknowledging the child's pain and expressing a commitment to help them feel better is a good approach, but it doesn't address the urgency of the situation.
The child's high pain score requires immediate action.
Choice D rationale:
Assuming the child is scared and there's no need to worry is not appropriate when the child has a high pain score.
Pain needs to be managed effectively.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
If the child marked a point close to "worst pain imaginable" on the Visual Analog Scale (VAS), it would indicate severe pain, not mild pain.
The child's indication suggests that they are experiencing a high level of pain.
Choice B rationale:
This is the correct answer.
When a child marks a point close to "worst pain imaginable" on the VAS, it indicates severe pain.
The VAS is a linear scale, with one end representing no pain and the other end representing the most severe pain.
Therefore, a mark close to the extreme end of severe pain suggests that the child's pain intensity is high.
Choice C rationale:
If the child marked a point close to "worst pain imaginable," it would not indicate that the child is pain-free.
It would actually suggest the opposite, that the child is in significant pain.
Choice D rationale:
The child's pain level can be determined from the given information.
By marking a point close to "worst pain imaginable" on the VAS, the child is indicating a high level of pain, which is consistent with the scale's interpretation.
Correct Answer is B
Explanation
Choice A rationale:
The nurse should not state that the FLACC Scale is the best pain assessment tool for all children because pain assessment tools should be age-appropriate.
The FLACC Scale is typically used for infants and young children who cannot effectively communicate their pain verbally.
It assesses facial expression, leg movement, activity, cry, and consolability.
However, it may not be suitable for older children who can use self-reporting pain scales.
Choice B rationale:
This is the correct answer.
The Wong-Baker FACES Pain Rating Scale is designed for children aged 3 years and older.
It uses a series of faces to represent different levels of pain intensity, making it a useful tool for children who may not be able to describe their pain in words.
The scale is widely recognized and accepted for this age group.
Choice C rationale:
The Numeric Rating Scale (NRS) is typically used for older children and adults.
It requires the child to assign a numerical value to their pain, usually on a scale from 0 to 10, with 0 representing no pain and 10 being the worst pain possible.
It may not be the best choice for younger children, especially those under the age of 5, as they may have difficulty using numbers to describe their pain.
Choice D rationale:
The Visual Analog Scale (VAS) is a pain assessment tool that requires a child to mark their pain level on a line, with one end indicating no pain and the other end indicating the worst pain imaginable.
It is often used for older children and adults.
Children aged 8 years and older may be able to use the VAS effectively, but it may not be the best choice for younger children, as it requires the ability to understand and use a visual representation 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.