The nurse is admitting an 8-year-old Vietnamese child who hit a parked car while riding a bike. The child has a fracture of the left radius and femur in addition to a fractured orbit
The child is stoic and denies pain. An appropriate action by the nurse is which of the following?
(Select all that apply.)
1. Use the FLACC scale to determinethe child's pain level.
2. Tell the child to ring the call bell ifthe leg starts hurting.
3. Administer pain medication now andcontinue on a regular basis.
4. Ask the child's parents to notifythe nurse if the child complains of pain.
Answer:1,3,4
Rationale:Based on the type of injuries the child has,pain will be present. Analgesics should be given on a scheduled basis so that the pain does not get out of control. The FLACC scale is the most appropriate tool to use with an 8-yearold. The child's stoic expression is likely to be culturally related,and the child may not admit hurting. While asking the parents to call the nurse is not inappropriate,it is not the most appropriate initial action.
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