Exhibits The nurse determines the client is in pain. Which pain scales would be appropriate for this client? Select all that apply.
Explanation & Rationale
A. Riley Infant Pain Scale: This tool is appropriate for infants and nonverbal children, assessing behaviors such as facial expression, body movement, and cry to determine pain intensity—ideal for a 4-month-old postoperative infant. B. Numeric: The numeric pain scale requires the child to understand and verbalize pain intensity on a scale from 0–10, which is not developmentally suitable for an infant. C. Poker Chip Tool: This tool is designed for preschool- or school-age children who can conceptualize quantity, not for infants who lack symbolic understanding. D. Visual Analog Scale: The visual analog scale requires abstract reasoning and the ability to compare line length to pain intensity, making it inappropriate for an infant. E. FLACC Postoperative Pain Scale: The FLACC scale (Face, Legs, Activity, Cry, Consolability) is reliable for assessing postoperative pain in infants and young children who cannot verbalize pain, making it an appropriate choice. F. FACES: The FACES scale requires the child to point to a facial expression that represents their pain level, suitable for children around 3 years or older, not for infants.