The pediatric nurse performs a pain assessment on a 5-year-old girl who is admitted to the hospital for fractures following an accident. Depending on the assessment, the nurse could implement which of the following interventions? (Select all that apply.)
A.
Manage mild pain with a combination of mild analgesics such as NSAIDs and distraction.
B.
Manage mild pain with regularly timed analgesic administration of mild opioids.
C.
Manage moderate pain with distraction plus regularly timed analgesic administration.
D.
Manage severe pain with strong analgesics such as morphine sulfate (Astramorph).
E.
Manage severe pain with strong analgesics (Astramorph) when distraction doesn't work.
ANS: A, C, D
Mild pain is a slight discomfort. Its management may include minor analgesics along with comfort measures or distraction. Moderate pain may also be relieved by using distraction in conjunction with regularly timed analgesic administration, including milder opioids such as codeine in varying combinations of acetaminophen (Tylenol). Management of severe pain, often associated with surgical interventions, usually calls for strong analgesics such as morphine. Distraction is not as helpful with severe pain.
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