The nurse is caring for a 3-year-old child who has been hospitalized for internal fixation of a fractured arm. The nurse is considering nonpharmacological pain management techniques to implement
What interventions should be included in the plan of care? Standard Text: Select all that apply. 1. Offer a glucose-coated pacifier.
2. Sit with the child and allow her to "blow bubbles."
3. Explain to the child the cause of the pain.
4. Teach the use of guided imagery.
5. Hold the child.
2,5
Rationale 1: Offer a glucose coated pacifier. The use of a glucose-coated pacifier is most effective with an infant in the management of pain.
Rationale 2: Sit with the child and allow her to "blow bubbles." Blowing bubbles is an age-appropriate activity for the preschool-age child. The child can be encouraged to "blow the pain" away.
Rationale 3: Explain to the child the cause of the pain. A child at the age of 3 is too young to grasp a discussion of the causes of the pain being experienced.
Rationale 4: Teach the use of guided imagery. Age-appropriate guided imagery is not a successful nonpharmacological means to manage pain in a preschool-age child. This may be helpful for the school-age child.
Rationale 5: Hold the child: The preschool-age child will find comfort in being held during the pain.
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