Question

2. A nurse is using the FLACC scale to evaluate pain in a preverbal child. The nurse makes the following assessment: Face: occasional grimace; Leg: relaxed; Activity: squirming, tense; Cry: no cry; Consolability: content, relaxed. The nurse records the FLACC assessment as which number? (Record your answer as a whole number.)

Answer 1

The FLACC pain assessment score for the preverbal child with the provided observations is 2, based on the scoring of individual criteria.

Step-by-step explanation:

The FLACC scale is a pain assessment tool used to evaluate pain levels in children who are unable to verbally communicate their pain. The scale assesses five criteria: Face, Legs, Activity, Cry, and Consolability, with each criterion being scored from 0 to 2. In this student's question, the assessments are: Face: occasional grimace (1 point), Leg: relaxed (0 points), Activity: squirming, tense (1 point), Cry: no cry (0 points), Consolability: content, relaxed (0 points). When these scores are added together, the FLACC assessment is recorded as 2.