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NU435 FINAL EXAM WITH 100%
CORRECT SOLUTIONS
Question : Wong-Baker FACES scale
Correct answer: - For ages 3 years and older, most
commonly used with children.
Point to the face that best describes the pain.
Question : FLACC
Correct answer: - Face, legs, activity, crying,
consolability
for infants to 2 years of age
Question : CRIES
Correct answer: - Crying, Requires oxygen to maintain
saturation, Increased vital signs, Expression, and Sleeplessness
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Question : NIPS
Correct answer: - Neonatal infant pain scale
Facial expression, cry, breathing, arms, legs, alertness
Question : Nonpharmacologic Pain Management
Correct answer: - kangaroo care
swaddling
heat/cold application
message
distraction (age appropriate toys)
guided imagery (adolescents)
Question : Isotonic Dehydration
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Correct answer: - water loss = sodium loss (equal losses
of sodium and water)
cause: vomiting & diarrhea
treatment: NS, lactated ringers, D5W, D5 0.225% NS
Question : Hypotonic Dehydration
Correct answer: - water loss is LESS than sodium loss
more sodium INSIDE than outside = fluid is pushed INTO cells
cause: severe, prolonged vomiting & diarrhea, burns, or
diluted formula
treatment: NaCL, D5LR, D10W, D5NS, D5 0.45% NS
Question : Hypertonic Dehydration
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Correct answer: - water loss is GREATER than sodium
loss
more sodium outside than inside of cells = fluid pULLED OUT of cells
SEVER -> can trigger shock quickly
cause: DI, concentrated formula
treatment: 0.45% NS
Question : Mild Dehydration Symptoms
Correct answer: LOC: alert, restless