The greatest barrier to a 3-year-old client's ability to self-assess her pain is:
1. A limited vocabulary
2. Increased separation anxiety
3. Reluctance to talk to strangers
4. Inability to grasp the concept of pain
ANS: 1
Young children who have not developed full vocabularies have difficulty verbally describing and expressing pain to parents or caregivers. Toddlers and preschoolers are unable to recall explana-tions about pain or associate pain with experiences that occur in various situations. The remaining options may have an effect on self-assessment of pain, but only to a limited degree.
You might also like to view...
A volume of 390 mL is started at 7:09 a.m. at a rate of 35 mL/hr. Calculate the infusion time and the completion time
What will be an ideal response?
How would a nurse assess a patient for pupillary accommodation?
A) Using an ophthalmoscope, check the red reflex. B) Ask the patient to focus on a finger and move the patient's eyes through the six cardinal positions of gaze. C) Ask the patient to focus on an object as it is brought closer to the nose. D) Ask the patient to read the smallest possible line of letters on the Snellen chart.
An infant was born with hemolytic disease of the fetus and newborn (HDFN). What treatment does the healthcare professional anticipate for this baby?
a. Administration of intravenous fluids to dilute the blood b. Replacement transfusion of Rh-positive blood not contaminated with anti-Rh antibodies c. Performance of a splenectomy to prevent the destruction of abnormal erythrocytes d. Replacement transfusion of Rh-negative erythrocytes
In preparing to meet the nutritional needs of a client following the Jewish food pattern, the nurse is aware that the word "kosher" refers to:
A. Ritual processing of allowed animal meats for maximum blood drainage. B. Avoiding the combination of meat and carbohydrates in the same meal. C. Special seasoning to avoid use of salt. D. Special cooking of food to ensure purity.