Nursing Care of Children ATI
FACES - ANSThe nurse should use the FACES pain rating scale for pediatric clients who are 3
years old and older. This scale allows the toddler to point to the face that depicts their current
level of pain. The nurse can then determine the need for pain management.
Numeric - ANSThe nurse should use the numeric pain rating scale when assessing the need for
pain management in pediatric clients who are 8 years old and older. The nurse should identify
that a 3-year-old toddler does not yet possess a concept of numbers and numerical value to
eectively use this pain rating scale.
CRIES - ANSThe nurse should use the CRIES pain assessment scale when assessing the
need for pain management in infants who are less than 40 weeks of age.
A nurse is providing teaching to the parents of a preschooler who has heart failure and a new
prescription for digoxin twice daily. Which of the following instructions should the nurse include
in the teaching? - ANS"Brush the child's teeth after giving the medication."
The nurse should instruct the parents to brush the child's teeth after administering digoxin to
prevent tooth decay caused by the medication, which comes as a sweetened liquid to enhance
the taste.
A nurse is teaching a school-age child and their parent about postoperative care following
cardiac catheterization. Which of the following instructions should the nurse include? - ANSWait
3 days before taking a tub bath." The child should keep the site clean and dry for at least 3 days
to reduce the risk of infection. Tub baths should be avoided for 3 days to avoid immersion of the
incision in water.
Hemophilia A
Guardian reports that the toddler fell at home while playing with toys. Since the fall, the toddler
has been very irritable, crying uncontrollably, and grabbing at their left knee. The toddler can
walk but insists on being picked up
1115: Toddler is alert during the exam. Extremities are warm and dry to touch. Decreased
movement of the left leg observed. Tenderness noted with palpation of the left knee joint. Pain
level assessed as 6 on a scale of 0 to 10 using the FLACC scale. 1145: Toddler is fussy and
crying. Pain assessed as 8 on scale of 0 to 10 using the FLACC scale. Left knee observed to be
ecchymotic and edematous.
1115: Temperature 36.9° C (98.4° F) Heart rate 110/min Respiratory rate 28/min Oxygen
saturation 98% on room air
Potential Prescriptions
Administer factor VIII.
Apply ice packs to the affected joints.
Administer morphine PRN pain.
FACES - ANSThe nurse should use the FACES pain rating scale for pediatric clients who are 3
years old and older. This scale allows the toddler to point to the face that depicts their current
level of pain. The nurse can then determine the need for pain management.
Numeric - ANSThe nurse should use the numeric pain rating scale when assessing the need for
pain management in pediatric clients who are 8 years old and older. The nurse should identify
that a 3-year-old toddler does not yet possess a concept of numbers and numerical value to
eectively use this pain rating scale.
CRIES - ANSThe nurse should use the CRIES pain assessment scale when assessing the
need for pain management in infants who are less than 40 weeks of age.
A nurse is providing teaching to the parents of a preschooler who has heart failure and a new
prescription for digoxin twice daily. Which of the following instructions should the nurse include
in the teaching? - ANS"Brush the child's teeth after giving the medication."
The nurse should instruct the parents to brush the child's teeth after administering digoxin to
prevent tooth decay caused by the medication, which comes as a sweetened liquid to enhance
the taste.
A nurse is teaching a school-age child and their parent about postoperative care following
cardiac catheterization. Which of the following instructions should the nurse include? - ANSWait
3 days before taking a tub bath." The child should keep the site clean and dry for at least 3 days
to reduce the risk of infection. Tub baths should be avoided for 3 days to avoid immersion of the
incision in water.
Hemophilia A
Guardian reports that the toddler fell at home while playing with toys. Since the fall, the toddler
has been very irritable, crying uncontrollably, and grabbing at their left knee. The toddler can
walk but insists on being picked up
1115: Toddler is alert during the exam. Extremities are warm and dry to touch. Decreased
movement of the left leg observed. Tenderness noted with palpation of the left knee joint. Pain
level assessed as 6 on a scale of 0 to 10 using the FLACC scale. 1145: Toddler is fussy and
crying. Pain assessed as 8 on scale of 0 to 10 using the FLACC scale. Left knee observed to be
ecchymotic and edematous.
1115: Temperature 36.9° C (98.4° F) Heart rate 110/min Respiratory rate 28/min Oxygen
saturation 98% on room air
Potential Prescriptions
Administer factor VIII.
Apply ice packs to the affected joints.
Administer morphine PRN pain.
