The nurse is caring for a client with acute pain and uses the FLACC pain assessment. Which clinical scenario does the nurse recognize as least appropriate for use of the FLACC pain assessment?
A. Situations where clients self-report pain.
B. Situations requiring rapid pain assessment.
C. Clients who are asleep.
D. Clients who are children.
Answer: B
You might also like to view...
A nurse is caring for a patient on a cardiac monitor and whose rhythm suddenly changes. There are no P waves; instead she observes wavy lines. The QRS complexes measure 0.08 second and are irregular
The patient's heart rate is 120 beats/minute. The nurse interprets that this rhythm is: A) Sinus tachycardia B) Atrial fibrillation C) Ventricular tachycardia D) Ventricular fibrillation
A college student who attempted suicide by overdose was treated in the emergency department and,
because she had no available social supports, was hospitalized. An outcome related to the client's risk for self-directed violence is that the client will a. exercise suicide self-restraint by refraining from making gestures or attempts to kill self. b. verbalize a will to live by the end of the second hospital day. c. describe two new coping mechanisms she can use by the end of the third hospital day. d. accurately delineate personal strengths by the end of first week of hospitalization.
The health care facility is implementing a new evidence-based nursing protocol. What is necessary to ensure successful implementation?
a. Tools to evaluate the protocol are valid and reliable. b. Support from the nurses implementing the protocol is present. c. Recommendations for the protocol are obtained from senior administrators. d. The evidence-based protocol is cost-effective for the facility.
Prior to starting a blood transfusion, it is essential for the nurse to
a. check the patient's intake and output b. question the patient about any allergies c. take the patient's vital signs, including tem-perature d. determine if the patient has had any previous transfusions