Author Question: A nurse is using the FLACC scale to evaluate pain in a preverbal child. The nurse makes the ... (Read 54 times)

shofmannx20 · **on:** Jun 28, 2018

A nurse is using the FLACC scale to evaluate pain in a preverbal child. The nurse makes the following assessment: Face: occasional grimace; Leg: relaxed; Activity: squirming, tense; Cry: no cry; Consolability: content, relaxed.

The nurse records the FLACC assessment as which number? (Record your answer as a whole number.)
What will be an ideal response?

Question 2

A dose of oxycodone (OxyContin) 2 mg/kg has been ordered for a child weighing 33 lb. How many milligrams of OxyContin should the nurse administer? (Record your answer as a whole number.)

What will be an ideal response?

raenoj · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS:
2
The FLACC scale is recorded per the following table:
0 1 2
Face No particular expression or smile Occasional grimace or frown, withdrawn, disinterested Frequent to constant frown, clenched jaw, quivering chin
Legs Normal position or relaxed Uneasy, restless, tense Kicking or legs drawn up
Activity Lying quietly, normal position, moves easily Squirming, shifting back and forth, tense Arched, rigid, or jerking
Cry No cry (awake or asleep) Moans or whimpers, occasional complaint Crying steadily, screams or sobs, frequent complaints
Consolability Content, relaxed Reassured by occasional touching, hugging, or talking to; distractible Difficult to console or comfort
Because the child has a grimace and is squirming and tense, 2 total points are given. Relaxed legs, no cry, and content and relaxed consolability get 0 points.

Answer to Question 2

ANS:
30
The child's weight is divided by 2.2 to get the weight in kilograms. Kilograms in weight are then multiplied by the prescribed 2 mg. 33 lb/2.2 = 15 kg. 15 kg 2 mg = 30 mg.