T2 - Pain (Josh)

Question 1

What age is FLACC used for?

What does it stand for?

Answer 1

2 mths - 7 yrs

Face
Legs
Activity
Cry
Consolability

Question 2

What numbers are used for each FLACC assessment?

Answer 2

0 (no pain)
1 (occasional)
2 (steady pain)

Question 3

When is self-report usually used?

Answer 3

older than 4 yrs

Question 4

When rating pain, should we include the parent/caregiver?

Answer 4

Yes

Question 5

FACES pain scale is used for what ages?

Answer 5

3 yrs and up

Question 6

NIPS stands for —

Answer 6

Neonatal Infant Pain Scale

Question 7

What is the max score for NIPS?

Answer 7

seven

• all others go to 10

Question 8

What is assessed with NIPS?

Answer 8

• Facial Expression
• Cry
• Breathing
• Arms
• Legs
• Alertness

Question 9

Ages for pain scales:

• FACES
• NIPS
• FLACC

Answer 9

FACES (3yrs and up)

NIPS (Neonate)

FLACC (2mths - 7yrs)

Question 10

Can a parent manage the child’s PCA pump?

Answer 10

Yes, if they are prescrived on a family-controlled anesthesia

Question 11

— and — are acceptable for mild to moderate pain.

Answer 11

Acetaminophen

NSAIDS

Question 12

— are acceptable for moderate to severe pain.

Answer 12

Opioids

Question 13

Combining a — and —- treats pain both peripherally and centrally.

Answer 13

nonopioid

opioid

Question 14

Oral meds take —- to reach peak effect.

Answer 14

1-2 hrs

Question 15

EMLA stands for —- and contains equal amounts of — and — in the form of a —-

Answer 15

Eutectic Mixture of Local Anesthesia

Lidocaine

Prilocaine

cream or disk

Question 16

Before any procedure requiring puncture, it helps to use a — 60 minutes prior to —- and 2.5 hrs prior to —-

Answer 16

EMLA

superficial puncture

deep puncture

Question 17

Fentanyl is used for children older than —

Answer 17

12 yrs

Question 18

Respiratory depression is treated w/

Answer 18

Naloxone

Question 19

—- are not recommended for pain control in children.

Answer 19

IM injections

Question 20

— are not recommended for children younger than 18.

Answer 20

Intranasal Medications

Question 21

A nurse is completing a pain assessment of an infant. Which of the following pain scales should she use?

a) FACES
b) FLACC
c) Oucher
d) Non-communicating children’s pain checklist

Answer 21

b) FLACC

Question 22

A nurse is planning care for a child following a surgical procedure. Which of the following interventions should be included in the plan of care?

a) Administer NSAIDs for pain greater than 7
b) Administer intranasal analgesics PRN
c) Administer IM analgesics for pain
d) Administer IV analgesics on a schedule

Answer 22

d) Administer IV analgesics on a schedule

Question 23

A nurse is assessing an infant. Which of the following are clinical manifestations of pain in an infant? (select all that apply)

a) Pursed lips
b) Loud cry
c) Lowered eyebrows
d) Rigid body
e) Pushes away stimulus

Answer 23

b) Loud cry
c) Lowered eyebrows
d) Rigid body

Question 24

A nurse is preparing a toddler for an IV catheter insertion using atraumatic care. Which of the following are appopriate interventions? (select all that apply)

a) Explain the procedure using the child’s favorite toy
b) Ask the parents to leave during the procedure
c) Perform the procedure w/ the child in his bed
d) Allow the child to make one choice regarding the procedure
e) Apply EMLA cream to three potential insertion sites.

Answer 24

a) Explain the procedure using the child’s favorite toy
d) Allow the child to make one choice regarding the procedure
e) Apply EMLA cream to three potential insertion sites.

Question 25

A nurse is planning care for an infant who is experiencing pain. Which of the following be included in the plan of care? (select all that apply)

a) Offer a pacifier
b) Use guided imagery
c) Use swaddling
d) Initiate a behavioral contract
e) Encourage kangaroo care

Answer 25

a) Offer a pacifier
c) Use swaddling
e) Encourage kangaroo care

Question 26

What is kangaroo care?

Answer 26

skin-to-skin contact b/t infants and parents