Which is the most appropriate pain scale for the nurse to use when assessing pain in a 7-year-old developmentally disabled child?
A) Neonatal Infants Pain Scale (NIPS)
B) Faces, Legs, Activity, Crying, Consolability Scale (FLACC)
C) CRIES observational assessment tool
D) Wong-Baker FACES scale
C) CRIES observational assessment tool
Explanation: A) Assessment scales for pain in children younger than 1 year of age include the Neonatal Infants Pain Scale (NIPS), which assesses facial expression, cry, breathing pattern, muscle state of arms and legs, and state of arousal, and the Face, Legs, Activity, Crying, Consolability (FLACC) scale. The CRIES observational assessment tool for children younger than 3 years old can also be utilized for pain assessment of older developmentally disabled children. It assesses crying, oxygen requirement, increased vital signs, facial expression, and sleep. For children over the age of 3 years, the Wong-Baker FACES scale is used for pain assessment.
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