The nurse is educating parents of a child with a cleft palate.
What should the nurse instruct the parents to report immediately?

Choice A rationale

Calculating the safe dosage is a crucial step in administering medication to a toddler. This ensures that the child receives the appropriate amount of medication based on their weight and age.

Choice B rationale

Identifying the toddler by asking the caregiver is an important step to ensure that the correct medication is given to the correct child.

Choice C rationale

Telling the caregiver to administer the medication is not recommended. As a nurse, it is your responsibility to administer the medication to ensure it is done correctly.

Choice D rationale

Offering juice after the medication can help mask any unpleasant taste and make the medication administration process more tolerable for the toddler.

Choice E rationale

Asking the toddler to pick a toy to hold during administration can serve as a distraction and make the process less stressful for the child.

Choice A rationale

The FACES pain scale is typically used for children who are at least 3 years old. It requires the child to compare their pain to a series of faces ranging from smiling to crying.

Choice B rationale

The Word-Graphic Rating Scale is typically used for older children and adolescents who can read and understand the descriptive words associated with each level of pain.

Choice C rationale

The FLACC pain scale, which stands for Face, Legs, Activity, Cry, and Consolability, is appropriate for assessing pain in a 3-month-old infant. It is often used for children under 3 years old or those who are unable to verbally communicate their pain.

Choice D rationale

The Oucher pain scale is typically used for children aged 3 to 13 years. It includes a series of photographs of children’s faces and a numerical scale for older children.