The nurse is caring for a child who has been admitted for a sickle cell crisis. What would the nurse do first to provide adequate pain management?
A) Administer a nonsteroidal anti-inflammatory drug (NSAID) as ordered.
B) Use guided imagery and therapeutic touch.
C) Administer meperidine as ordered.
D) Initiate pain assessment with a standardized pain scale.
Ans: D
The nurse should first initiate pain assessment with a standardized pain scale upon admission and provide frequent evaluations of pain. Administering NSAIDs or meperidine and the use of nonpharmacologic pain management techniques are all appropriate. However, the first action is to assess the child's pain to provide a baseline for future comparison.
You might also like to view...
The nurse includes in the discharge teaching of a patient who has had a lithotripsy that the patient should:
1. check for edema of the legs and ankles. 2. watch for stone debris in the urine in 1 to 4 weeks. 3. decrease fluid intake to 1000 mL/day. 4. remain on restricted activity for a week.
When caring for a client, the nurse notes inflammation of the cornea associated with irritation or allergies. Which of the following would the nurse suspect is associated with irritation or allergies?
a. chalazion c. keratitis b. glaucoma d. conjunctivitis
Which most accurately defines gender-based violence?
A) A homicide of a female that occurs in the context of intimate partner violence B) Violence that targets people or groups of people on the basis of their gender C) A pattern of assaultive and coercive behaviors perpetrated against an individual by one who is, was, or wishes to be in an intimate relationship with the victim D) A type of violence typically committed by one gender but not the other
During an antenatal examination the nurse becomes concerned that the client is at high risk. What findings did the nurse use to make this clinical determination? Select all that apply
1. Smokes one half pack per day of cigarettes 2. Employer provides maternal leave of absence 3. Is estranged from family and the baby's father 4. Loss of 3 lb since last examination 1 month ago 5. Treated for a sexually transmitted infection (STI) 2 months ago