Question

The nurse is completing a CRIES Scale for a child who had surgery a few hours ago. Which elements will be included in the assessment? Select all that apply.

a) Crying
b) Respiratory rate
c) Facial expression
d) Blood pressure

Answer 1

The CRIES scale measures infant pain post-surgery, but the Apgar score assessment aligns more closely with the elements mentioned: crying, respiratory rate, facial expression, and heart rate; blood pressure is not included in the Apgar score.

Step-by-step explanation:

The CRIES scale is a tool used to assess pain in infants, and it includes measurements for Crying, Requires oxygen for saturation greater than 95%, Increased vital signs, Expression, and Sleeplessness. However, the elements mentioned in the question—crying, respiratory rate, facial expression, and blood pressure—are more indicative of the Apgar score, which is a quick test performed on a newborn baby at 1 minute and 5 minutes after birth. This test checks a baby's heart rate, respiration, muscle tone, reflex response, and color, providing a quick assessment of the baby's general condition and whether they need immediate medical care.