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A nurse is caring for a 6-month-old infant who is postoperative following a myringotomy. Which of the following pain scales should the nurse use to determine the infant’s pain level?

A.

Visual Analog Scale.

B.

FLACC.

C.

Oucher.

D.

Faces.

Answer and Explanation

The Correct Answer is B

Choice A rationale

 

The Visual Analog Scale is used for older children and adults who can understand and communicate their pain level.

 

Choice B rationale

 

The FLACC scale (Face, Legs, Activity, Cry, Consolability) is specifically designed for assessing pain in infants and young children who are unable to communicate their pain verbally.

 

Choice C rationale

 

The Oucher scale is used for children aged 3 to 12 years and involves matching facial expressions to a pain level.

 

Choice D rationale

 

The Faces scale is used for children aged 3 years and older who can point to a face that best represents their pain level.

 


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View Related questions

Correct Answer is D

Explanation

Choice A rationale

Itching is a common symptom after cataract surgery, and the client should be reminded not to rub or place pressure on the eyes. This comment does not indicate a serious complication.

Choice B rationale

Sensitivity to bright light is also common after cataract surgery. The client can be advised to wear sunglasses to reduce discomfort. This comment does not indicate a serious complication.

Choice C rationale

Fear of falling is a valid concern, especially if the client has impaired vision or depth perception due to the eye patch. However, this comment does not indicate a serious complication that needs immediate reporting.

Choice D rationale

Severe pain in the eye after cataract surgery can indicate a complication such as increased intraocular pressure, infection, or hemorrhage. This comment should be reported to the provider immediately for further evaluation and intervention.

Correct Answer is D

Explanation

Choice A rationale

A productive cough is not a typical finding in early-stage Hodgkin’s lymphoma. Respiratory symptoms are more commonly associated with other conditions.

Choice B rationale

Bone and joint pain are not typical findings in early-stage Hodgkin’s lymphoma. These symptoms are more commonly associated with other conditions such as metastatic cancer or rheumatoid arthritis.

Choice C rationale

Intermittent hematuria is not a typical finding in early-stage Hodgkin’s lymphoma. Hematuria is more commonly associated with urinary tract infections or kidney conditions.

Choice D rationale

Enlarged lymph nodes are a common finding in early-stage Hodgkin’s lymphoma. This condition is characterized by the presence of Reed-Sternberg cells in the lymph nodes, leading to their enlargement.

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