A 5-year-old is hospitalized with a fractured femur. Which ...

[Metfan725]

A 5-year-old is hospitalized with a fractured femur. Which assessment tool is appropriate for this child?
 
  1. Faces Pain Rating Scale
   2. SUN Scale
   3. PIPP Scale
   4. CRIES Scale

Question 2

A non-Spanish-speaking nurse is working with a seven-year-old client who is able to speak English but whose family speaks only Spanish. The nurse needs to give discharge instructions regarding the client's oral antibiotics.
 
  There are no Spanish-speaking interpreters available presently, but one will be able to come in about one hour. The nurse's most appropriate intervention would be: 1. To give the discharge instructions to the parents, with the child acting as interpreter.
  2. To give the discharge instructions to the child.
  3. To obtain an English/Spanish translation book and use this to aid in giving discharge instructions to the parents.
  4. To have the parents wait until an interpreter can be found to translate the discharge instructions.

[Jody Vaughn]

Answer to Question 1

1
Rationale:
1. A 5-year-old should be able to use the Faces Scale to choose which face best matches the child's pain level.
2. The SUN Scale was developed for use in newborns.
3. The PIPP Scale was developed for premature infants.
4. The CRIES Scale was developed for preterm and full-term neonates.

Answer to Question 2

4
Rationale 1: A child's translation might be more self-serving than truthful, and the child may not be able to understand the instructions completely.
Rationale 2: A seven-year-old should not be the only person receiving discharge instructions, as this is not legally or developmentally appropriate.
Rationale 3: Using a translation book leaves too much room for a potentially inadequate translation by the nurse.
Rationale 4: Even though the family might have to wait before they can be discharged, the information is too important to rely on anything or anyone other than a trained interpreter.
Global Rationale: