The nurse is caring for an infant in the intensive care unit. Which of the following is the most accurate description of factors that will influence the perception and management of pain for this patient?
a. Infants cannot tolerate analgesics owing to an underdeveloped metabolism.
b. Infants have an increased sensitivity to pain when compared with older children.
c. Pain cannot be accurately assessed in infants.
d. Infants respond behaviorally and physiologically to painful stimuli.
D
Infants cannot verbally express their pain, but they do express pain with behavioral cues and physiological indicators. Infants can tolerate analgesics, but proper dosing and close monitoring are essential. Infants and older children have the same sensitivity to pain. Pain can be assessed even though the neonate cannot verbalize; the nurse can observe behavioral clues. Nurses use behavioral cues and physiological responses to assess pain in infants.
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The pediatric nurse, along with the primary caregiver(s), has a special duty to ________ the child and the family
ANS:
A patient with an infection caused by Pseudomonas aeruginosa is being treated with piperacillin. The nurse providing care reviews the patient's laboratory reports and notes that the patient's blood urea nitrogen and serum creatinine levels are elevated. The nurse will contact the provider to discuss:
a. adding an aminoglycoside. b. changing to penicillin G. c. reducing the dose of piperacillin. d. ordering nafcillin.
The LPN has been asked to assist in collecting data for the initial assessment of a patient upon admission to the hospital. Which of the following actions should the LPN consider to be the highest priority?
A. decide on special equipment that will be needed to administer the patient’s medication B. monitor the patient for his response to administered medication C. collect and document a complete set of baseline vital signs D. review the nursing care plan to verify that it is being followed accurately
A nurse is educating a client who has just been diagnosed with a malignant mass. Which statement made by the nurse is accurate?
A) These are always a life-limiting diagnosis. B) These are abnormal growths of tissue that do not interfere with surrounding tissue. C) Typically, these are localized, treatable growths. D) Typically, these infiltrate surrounding tissue and can spread to distant areas of the body.