The nurse is caring for an infant in the intensive care unit. Which information should the nurse consider when planning care for this patient?
a. Infants cannot be assessed for pain.
b. Infants respond behaviorally and physiologically to painful stimuli.
c. Infants cannot tolerate analgesics owing to an underdeveloped metabolism.
d. Infants have a decreased sensitivity to pain when compared with older children.
ANS: B
Infants cannot verbally express their pain, but they do express pain with behavioral cues (facial expressions, crying) and physiological indicators (changes in vital signs). 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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