The nurse is assessing the pain of a postoperative newborn. The nurse measures the infant's facial expression, body movement, sleep, verbal or vocal ability, consolability, and response to movements and touch
Which behavioral assessment tool is being used by the nurse? A) Riley Infant Pain Scale
B) Pain Observation Scale for Young Children
C) CRIES Scale for Neonatal Postoperative Pain Assessment
D) FLACC Behavioral Scale for Postoperative Pain in Young Children
A
Feedback:
The Riley Infant Pain Scale measures six parameters: facial expression, body movement, sleep, verbal or vocal ability, consolability, and response to movements and touch. The Pain Observation Scale for Young Children (POCIS) measures seven parameters: facial expression, cry, breathing, torso, arms and fingers, legs and toes, and state of arousal. The CRIES tool assesses five parameters: cry, oxygen required for saturation levels less than 95%, increased vital signs, facial expression, and sleeplessness. The FLACC tool measures five parameters: facial expression, legs, activity, cry, and consolability.
You might also like to view...
The nurse is assessing a patient's blood pressure. Which of the following would increase the risk of inaccurate measurement?
1. using a noninvasive blood pressure machine 2. measuring the blood pressure in both arms 3. using a cuff where the bladder encircles the arm by 60 percent 4. measuring the blood pressure 10 minutes after exercising
Find the total volume to administer: ____________. Ordered: D5W @ 20 gtt/min over 6 h via 60 gtt/mL
tubing. Fill in the blank(s) with correct word
Which assessment finding for a patient in the community deserves priority intervention by the psychiatric nurse? The patient:
a. receives Social Security disability income plus a small check from a trust fund every month. b. was absent from two of six planned Alcoholics Anonymous meetings in the past 2 weeks. c. lives in an apartment with two patients who attend partial hospitalization programs. d. has a sibling who was recently diagnosed with a mental illness.
The nurse observes the repeated pattern of muscle contraction of a client's leg for 5 seconds followed by 2 seconds of relaxation. Which terminology should the nurse use to document the finding?
A. Clonic spasm B. Tonic spasm C. Spasticity D. Dystonia