A nurse assesses a toddler using the FLACC score. The child is kicking and crying steadily. The mother is upset, as she is unable to console the child
Which action by the nurse is most appropriate?
A.
Administer acetaminophen (Tylenol).
B.
Give a dose of morphine (Duramorph).
C.
Play soothing, quiet music.
D.
Prepare a dose of propofol (Diprovan).
ANS: B
This child exhibits several behaviors seen in the severe pain category according to the FLACC score. The best medication for this level of pain is an opioid analgesic, such as morphine. Tylenol is used for mild to moderate pain. Nonpharmacological measures can be used as an adjunct, but it will not relieve this degree of pain alone. Propofol is usually used for procedures.
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A) "Everything that is discussed will be kept confidential." B) "Since you are a minor, your health history is to be shared with your parents." C) "The only thing that I can share with your parents is if you are sexually active." D) "The only thing that I must share is information that concerns your safety."
While completing a discharge plan for a 24-year-old woman prescribed an antiepileptic drug, which comment should the nurse give the patient about this drug?
a. "If you stop taking the medication all of a sudden, an unpleasant, acute withdrawal syndrome is likely to occur." b. "You may probably stop taking this drug when you have had no seizures for 1 full year." c. "Let's talk about what kind of contraception you plan to use while you are taking this medication." d. "I know it's depressing to have to take a drug for the rest of your life, but you absolutely may not ever stop taking it."
The mother brings her infant to the clinic due to ear pain. The infant has a fever of 102°F, and the mother has the infant tightly swaddled in layers of blankets to sweat out the fever. The nurse plans to teach this mother How to:
1. Spongewith cool water to reduce fever. 2. Encourage the intake of solid foods. 3. Take an accurate temperature. 4. Dress an infant with a fever.
Which of the following statements is true about the formation of feces?
A. The rectum removes water and minerals from the residual waste product and compresses the waste into feces for excretion through the anus. B. The small intestine compresses the waste into feces for excretion. C. Contractions of the small intestine move digested food and chyme toward the colon. D. None of these are correct.