The nurse is teaching the parents of a child with idiopathic rheumatoid arthritis about chronic pain. Which statement by the parent indicates teaching has been successful?
1. "When children have chronic pain, they may not have the same behavior as those in acute pain."
2. "It is associated with a single event."
3. "Chronic pain can be managed successfully with NSAIDs."
4. "It is sudden and of short duration."
1
Rationale 1: Chronic pain is persistent, lasting longer than six months; it is often associated with a prolonged disease process, such as juvenile rheumatoid arthritis or cancer. Children with chronic pain do not show the physiological symptoms of pain that are associated with acute pain.
Rationale 2: Chronic pain is not associated with a single event.
Rationale 3: There are different levels of chronic pain just as there are different levels of acute pain. Pharmacologic treatment will be based on the needs of the child, not the type of pain.
Rationale 4: Chronic pain is not sudden and short in duration.
Global Rationale:
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Which response by the patient demonstrates an internal locus of control?
1) "My blood sugar wouldn't be out of control if my wife prepared better foods." 2) "I knew I shouldn't have come to this hospital; I'd be better if I hadn't." 3) "God must be getting even with me for my past behavior." 4) "I'm just glad to be alive; the accident could've been a lot worse."
A child who has cystic fibrosis is admitted to the pediatric unit with methicillin-resistant Staphylococcus aureus (MRSA) infection. The nurse recognizes that in addition to a private room, the child is placed on what precautions?
a. Droplet b. Contact c. Airborne d. Standard
After reviewing the database, the nurse discovers that the patient's vital signs have not been recorded by the nursing assistant. With this in mind, what clinical decision should the nurse make?
a. Administer scheduled medications assuming she would have been informed if the vital signs were abnormal. b. Have the patient transported to the radiology department for a scheduled x-ray, and review vital signs upon return. c. Ask the nursing assistant to record the patient's vital signs before administering medications. d. Omit the vital signs because the patient is presently in no distress.
An adolescent is arrested for prostitution and assault on a parent. The adolescent says, "I hate my parents. They focus all their attention on my brother, who's perfect in their eyes." Which nursing diagnosis is most applicable?
a. Ineffective coping, related to seeking parental attention as evidenced by acting out b. Disturbed personal identity, related to acting out as evidenced by prostitution c. Impaired parenting, related to showing preference for one child over another d. Hopelessness, related to feeling unloved by parents