A nurse is assessing a post-operative 3-month-old patient. The nurse knows pain assessment for an infant differs from older children. She should be assessing for which of the following?
1. Oxygen saturations
2. Tachypnea
3. Tachycardia
4. Movement of extremities
5. Parents' response to the infant
1, 2, 3, 4
Feedback
1. Oxygen requirements indicate pain.
2. An increased rate of breathing is an indicator of pain.
3. Increased heart rate can indicate pain.
4. Lack of movement or crying with movement can indicate pain.
5. The parental response can comfort the child, but does not physically indicate pain.
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