Author Question: The nurse is assessing the pain of a postoperative newborn. The nurse measures the infant's facial ... (Read 139 times)

kodithompson · **on:** Jun 27, 2018

The nurse is assessing the pain of a postoperative newborn. The nurse measures the infant's facial expression, body movement, sleep, verbal or vocal ability, consolability, and response to movements and touch.

Which behavioral assessment tool is being used by the nurse? A) Riley Infant Pain Scale
B) Pain Observation Scale for Young Children
C) CRIES Scale for Neonatal Postoperative Pain Assessment
D) FLACC Behavioral Scale for Postoperative Pain in Young Children

Question 2

Which patient's physical assessment finding of a school-age child should the nurse question as a potential indication of abuse?

A) A thin, tall appearance
B) A scald burn on the chest
C) A maculopapular rash on the buttocks
D) Linear abrasions on his ankles and wrists

hugthug12 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

A
Feedback:
The Riley Infant Pain Scale measures six parameters: facial expression, body movement, sleep, verbal or vocal ability, consolability, and response to movements and touch. The Pain Observation Scale for Young Children (POCIS) measures seven parameters: facial expression, cry, breathing, torso, arms and fingers, legs and toes, and state of arousal. The CRIES tool assesses five parameters: cry, oxygen required for saturation levels less than 95, increased vital signs, facial expression, and sleeplessness. The FLACC tool measures five parameters: facial expression, legs, activity, cry, and consolability.

Answer to Question 2

D
Feedback:
Abrasions or ecchymotic areas on the wrists or ankles may be present if the child was tied to a bed or against a wall. Being thin and tall is not an indication of abuse. A scald burn on the chest could have occurred while eating a meal at home. A rash on the buttocks is not an indication of physical abuse.