Practice Question
A nurse is caring fora 6-month-old-infant. Which of the following findings should indicate to the nurse that the client is experiencing pain following a procedure?
Answer Choices:
Correct Answer:
Increased crying episodes
Rationale:
🟢 In infants, pain assessment relies on behavioral and physiological cues because they cannot verbally express discomfort. One of the most consistent behavioral indicators is increased crying, especially if it is high-pitched, inconsolable, or occurs more frequently than usual.
🟢 Pain in infants may also be accompanied by changes in facial expressions (grimacing), body movements (pulling legs toward the abdomen), and irritability.
🟢 Unlike adults, infants may not show reliable changes in vital signs such as respiratory or heart rate for all types of pain, making behavioral observation a primary tool.
🟢 Recognizing increased crying as a pain response ensures timely intervention, such as comfort measures, analgesics, or both, to prevent prolonged distress and potential physiological stress.
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This question is from Custom: NUR 223 G Pediatric Final August 4 Final which contains 68 questions.
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From Exam
Custom: NUR 223 G Pediatric Final August 4 Final
68 Questions
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- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Pediatrics
- Answer Choices: 4