A 2-year-old child has been returned to the nursing unit after an ...

[geoffrey]

A 2-year-old child has been returned to the nursing unit after an inguinal hernia repair. Which pain assessment tool should the nurse use to assess this child for the presence of pain?
 
  a. FACES pain rating tool
  b. Numeric scale
  c. Oucher scale
  d. FLACC tool

Question 2

Place in correct sequence, the assessment examination techniques used when performing an abdominal assessment. Begin with the first technique and end with the last. Provide answer using lowercase letters separated by commas (e.g., a, b, c, d).
 
  a. Auscultation
  b. Palpation
  c. Inspection
  d. Percussion

[medine]

Answer to Question 1

ANS: D
A behavioral pain tool should be used when the child is preverbal or doesn't have the language skills to express pain. The FLACC (face, legs, activity, cry, consolability) tool should be used with a 2-year-old child. The FACES, numeric, and Oucher scales are all self-report pain rating tools. Self-report measures are not sufficiently valid for children younger than 3 years of age because many are not able to accurately self-report their pain.

Answer to Question 2

ANS:
c, a, d, b
The correct order of abdominal examination is inspection, auscultation, percussion, and palpation. Palpation is always performed last because it may distort the normal abdominal sounds.