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    Rn Hesi Pediatric And Women Health Proctored Exam
    Select All That Apply

    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.

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