1. A 2-year-old child has been returned to the nursing unit : 1361467

1. A 2-year-old child has been returned to the nursing unit : 1361467.

1. A 2-year-old child has been returned to the nursing unit after an inguinal hernia repair. Which pain assessment tool should the nurse use to assess this child for the presence of pain?

a.FACES pain rating tool

b.Numeric scale

c.Oucher scale

d.FLACC tool

2. The nurse is caring for a 6-year-old girl who had surgery 12 hours ago. The child tells the nurse that she does not have pain, but a few minutes later she tells her parents that she does. Which should the nurse consider when interpreting this?

a.Truthful reporting of pain should occur by this age.

b.Inconsistency in pain reporting suggests that pain is not present.

c.Children use pain experiences to manipulate their parents.

d.Children may be experiencing pain even though they deny it to the nurse.

3. A nurse is gathering a history on a school-age child admitted for a migraine headache. The child states, “I have been getting a migraine every 2 or 3 months for the last year.” The nurse documents this as which type of pain?

a.Acute

b.Chronic

c.Recurrent

d.Subacute

4. Physiologic measurements in children’s pain assessment are:

a.the best indicator of pain in children of all ages.

b.essential to determine whether a child is telling the truth about pain.

c.of most value when children also report having pain.

d.of limited value as sole indicator of pain.

5. Nonpharmacologic strategies for pain management:

a.may reduce pain perception.

b.make pharmacologic strategies unnecessary.

c.usually take too long to implement.

d.trick children into believing they do not have pain.

6. Which drug is usually the best choice for patient-controlled analgesia (PCA) for a child in the immediate postoperative period?

a.Codeine

b.Morphine

c.Methadone

d.Meperidine

7. A lumbar puncture is needed on a school-age child. The most appropriate action to provide analgesia during this procedure is to apply _____ before the procedure.

a.TAC (tetracaine-adrenaline-cocaine) 15 minutes

b.transdermal fentanyl (Duragesic) patch immediately

c.EMLA (eutectic mixture of local anesthetics) 1 hour

d.EMLA (eutectic mixture of local anesthetics) 30 minutes

8. The nurse is caring for a child receiving intravenous (IV) morphine for severe postoperative pain. The nurse observes a slower respiratory rate, and the child cannot be aroused. The most appropriate management of this child is for the nurse to:

a.administer naloxone (Narcan).

b.discontinue IV infusion.

c.discontinue morphine until child is fully awake.

d.stimulate child by calling name, shaking gently, and asking to breathe deeply.

9. The nurse is completing a pain assessment on a 4-year-old child. Which of the depicted pain scale tools should the nurse use with a child this age?

a.

b.

c.

d.

 

 

1. A 2-year-old child has been returned to the nursing unit : 1361467

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