A dying 8-year-old child tells the nurse that she is still in pain even though the nurse has administered the maximum dosage of pain medication only 1 hour ago. The nurse's most effective initial intervention would be to:
a. Tell the child she will have to wait 3 hours
b. Assess the child to determine if the pain is real
c. Inquire if the medication dosage can be adjusted
d. Distract the child by reading a story
D
When pain medication becomes ineffective in the course of a child's illness, complementary methods such as distraction, relaxation, biofeedback, or guided imagery may be helpful. Inquiring about a dosage change is also appropriate but will not get immediate results, but the distraction might.
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A nursing instructor has completed teaching a class on anesthesias used during labor. Which of the following was identified by a student as a form of regional anesthesia would indicate to the instructor that further teaching is needed?
a. General block c. Spinal block b. Epidural d. Subarachnoid block
A 2-year-old child is being admitted to the hospital for possible bacterial meningitis. When preparing for a lumbar puncture, what should the nurse do?
a. Set up a tray with equipment the same size as for adults. b. Apply EMLA to the puncture site 15 minutes before the procedure. c. Prepare the child for conscious sedation being used for the procedure. d. Reassure the parents that the test is simple, painless, and risk free.
A 10-year old is referred for counseling due to problems at school. During the interview, it is learned that the child has been the victim of sexual violence. An assessment of this child would most likely find:
A) Substance abuse. B) Disruptive behavior. C) Depression. D) Anxiety.
A nurse is caring for a child who has had watery diarrhea for the past 3 days. Which of the following is an appropriate action for the nurse to take?
A. Offer Chicken broth B. Initiate oral rehydration therapy C. Start hypertonic IV solution D. Keep NPO until the diarrhea subsides