A 66-lb child complains of mild pain after a procedure. What action by the nurse is best?
A.
Administer 0.3 mg of naloxone (Narcan) every 4 hours orally if needed.
B.
Administer 300 mg of acetaminophen (Tylenol) orally and provide a movie to watch.
C.
Administer 450 mg of acetaminophen (Tylenol) orally every 3 hours as requested.
D.
Administer morphine sulfate (Astromorph) 9 mg orally every 4 hours if needed.
ANS: B
For mild pain, acetaminophen and other mild analgesics work well along with a distraction or other comfort measures. The most appropriate choice is 300 mg of acetaminophen (within the dose range of 10-15 mg/kg every 4-6 hours) and a movie to distract the child. Naloxone (Narcan) is a reversal agent for opioid analgesics and is not warranted in this situation. A dose of 450 mg of acetaminophen is appropriate, but the frequency is wrong. Morphine (Astromorph) would not be used for mild discomfort.
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