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Author Question: The appropriate tool(s) to assess pain in a 3-year-old child is the (select all that apply) a. ... (Read 83 times)

bobthebuilder

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The appropriate tool(s) to assess pain in a 3-year-old child is the (select all that apply)
 
  a. Visual Analogue Scale (VAS)
  b. Adolescent and pediatric pain tool
  c. Oucher tool
  d. Poker Chip Tool
  e. FACES pain rating scale

Question 2

A nurse is teaching parents about prevention of diaper dermatitis. Which should the nurse include in the teaching plan? Select all that apply.
 
  a. Clean the diaper area gently after every diaper change with a mild soap.
  b. Use a protective ointment to clean dry intact skin.
  c. Use a steroid cream after each diaper change.
  d. Use rubber or plastic pants over the diaper.
  e. Wash cloth diapers in hot water with a mild soap and double rinse.



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ngr69

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Answer to Question 1

C, D, E
Feedback
Correct The Oucher Tool can be used to assess pain in children 3 to 12 years of
age. The poker chip tool can be used to assess pain in children 4 to 12
years of age. The FACES pain rating scale can be used to assess pain for
children 3 years of age and older.
Incorrect The VAS is indicated for use with older school-age children and
adolescents. It can be used with younger school-age children, although less
abstract tools are more appropriate. The adolescent and pediatric pain tool
is indicated for use with children 8 to 17 years of age.

Answer to Question 2

A, B, E
Feedback
Correct Prompt, gentle cleaning with water and mild soap (e.g., Dove, Neutrogena
Baby Soap) after each voiding or defecation rids the skin of ammonia and
other irritants and decreases the chance of skin breakdown and infection.
A bland, protective ointment (e.g., A&D, Balmex, Desitin, zinc oxide) can
be applied to clean, dry, intact skin to help prevent diaper rash. If cloth
diapers are laundered at home, the parents should wash them in hot water,
using a mild soap and double rinsing.
Incorrect Occlusion increases the risk of systemic absorption of a steroid; thus
steroid creams are rarely used for diaper dermatitis because the diaper
functions as an occlusive dressing. Rubber or plastic pants increase skin
breakdown by holding in moisture and should be used infrequently. A
steroid cream is not recommended.





 

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