The nurse is admitting a school-age Vietnamese client who hit a parked car while riding a bike. The child has a fracture of the left radius and femur in addition to a fractured orbit. The child is stoic and denies pain. Which nursing actions are most appropriate in this situation? Select all that apply.

Question

Quizplus · Accepted Answer

A: The FLACC scale (Face, Legs, Activity, Cry, Consolability) is a pain assessment tool that can be used with children who may not be able to communicate their pain effectively. It uses observation of facial expressions, leg movement, activity level, cry, and ability to be consoled to rate pain level on a scale of 0-10.
C: Pain medication should be administered now and on a regular basis to manage the child's pain effectively, and prevent unnecessary suffering.
D: The nurse should ask the child's parents to notify them if the child complains of pain, as the child may be stoic and not verbalize their pain. The nurse should also ensure that the parents are educated about pain management and how to properly administer medications at home. 
B and E: Telling the child to ring the call bell if the leg starts hurting is not sufficient, as the child may not be able to communicate pain effectively or may be reluctant to ask for help. The NIPS scale (Neonatal Infant Pain Scale) is not appropriate for a school-age child.

The Nurse Is Admitting a School-Age Vietnamese Client Who Hit