The nurse is caring for a 2-year-old child in the postoperative period. The pain-assessment tool most appropriate for assessment of pain intensity in a 2-year-old is the
1. FLACC Behavioral Pain AssessmentScale.
2. faces pain scale.
3. Oucher scale.
4. poker-chip tool.
Answer:1
Rationale: The FLACC scale is an appropriate tool for infants and young children who cannot self-report pain. The faces scale,Oucher scale,and poker-chip tool are all self-report scales.
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Laboratory results come back on a newly admitted patient. They are as follows: serum BUN, 64 mg/dL; serum creatinine, 2.4 mg/dL; urine osmolality, 210 mOsm/kg; specific gravity, 1.002; and urine sodium, 96 mEq/L
The urine output has been 120 mL since admission 2 hours ago. These values are most consistent with which of the following diagnoses? a. Prerenal failure c. Oliguric renal failure b. Postrenal failure d. Acute tubular necrosis
The clinic nurse has just accessed a client's chart on the computer. The resident comes over and asks her to stay logged on because he needs to add a note to that client's chart. She should say:
a. "No problem. Just log me off when you're done." b. "I'll put the note in for you. What do you want to say?" c. "Just make sure that you sign your note because it's under my password." d. "I'm sorry, but you will have to enter the information using your own password."
The nurse is reviewing the patient's arterial blood gas results. The PaO2 is 96 mm Hg, pH is 7.20, PaCO2 is 55 mm Hg, and HCO3 is 25 mEq/L. What might the nurse expect to observe on assessment of this patient?
a. Disorientation and tremors b. Tachycardia and decreased blood pressure c. Increased anxiety and irritability d. Hyperventilation and lethargy
Which of the following is most important for school nurses to master in order to prepare for health care delivery in the future?
a. Complementary and alternative therapies such as acupuncture b. Computer and technology use c. Psychoanalytical techniques d. Self-defense techniques