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    ATI NUR209 Maternal Newborn Final Assessment Proctored Exam 2025

    A nurse is caring for a 5-year-old child who is postoperative following a tonsillectomy.Which of the following pain scales should the nurse use to determine the child's pain level?

    Explanation & Rationale

    Choice A rationaleThe Oucher scale uses photographic images or numerical scales and is appropriate for older children who can visually correlate their pain level with the provided scale. It is not ideal for younger children or those unable to understand numerical or photographic representations.Choice B rationaleThe Visual Analog Scale requires a more mature understanding of concepts such as gradients and is suitable for older children and adults. It is not an appropriate tool for a 5-year-old as their cognitive development may limit the accurate use of this scale.Choice C rationaleThe FLACC scale assesses pain based on behavioral observations and is ideal for non-verbal or very young children. However, a 5-year-old can generally articulate their pain or utilize pictorial representations, making other scales more suitable.Choice D rationaleThe FACES scale, featuring cartoonish faces representing varying pain levels, is a validated tool for children as young as 3 years old. Its simplicity and visual clarity make it an effective and age-appropriate method for a 5-year-old to communicate their pain level.

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