The nursing plan of care for a 4-year-old following a tonsillectomy should include which of the following concepts?
A) Analgesic dosing is based on year in school and weight.
B) Administer analgesics by the least painful route.
C) Administer analgesics only when the Wong-Baker FACES scale indicates a pain rating of 6 or higher.
D) Administer analgesics rectally.
B) Administer analgesics by the least painful route.
Explanation: A) Analgesic dosing must be based on the age and weight of the patient.
B) Analgesics should be administered to children by the simplest, most effective, and least painful route; oral formulations are the most convenient and usually the least expensive route of administration.
C) The WHO recommends that analgesics in pediatrics be administered at regular intervals, not as needed, with the addition of rescue doses for intermittent and breakthrough pain.
D) Rectal administration has an unreliable bioavailability.
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