Which assessment indicates to a nurse that a 2-year-old child is in need of pain medication?
a. The child is lying rigidly in bed and not moving.
b. The child's current vital signs are consistent with vital signs over the past 4 hours.
c. The child becomes quiet when held and cuddled.
d. The child has just returned from the recovery room.
A
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A Behaviors such as crying; distressed facial expressions; certain motor responses,
such as lying rigidly in bed and not moving; and interrupted sleep patterns are
indicative of pain in children.
B Current vital signs that are consistent with earlier vital signs do not suggest that
the child is feeling pain.
C Response to comforting behaviors does not suggest the child is feeling pain.
D A child who is returning from the recovery room may or may not be in pain.
Most times the child's pain is under adequate control at this time. The child may
be fearful or having anxiety because of the strange surroundings and having just
completed surgery.
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