The postoperative unit of the pediatric hospital has several children who had surgery this morning. While making rounds, the nurse observes all of the following behaviors. Which child should be further evaluated as to postoperative pain?
1. The six-month-old in deep sleep
2. The two-year-old who is cooperative when the nurse takes his vital signs
3. The four-year-old who is actively watching cartoons
4. The 14-month-old who is thrashing his arms and legs
4
Rationale 1: Children are unable to obtain deep sleep when experiencing acute pain.
Rationale 2: When experiencing acute pain, children are less likely to cooperate with treatments.
Rationale 3: It is difficult for children to concentrate when experiencing acute pain.
Rationale 4: Young children in acute pain display a variety of behaviors, including loud crying, screaming, thrashing their arms and legs, lack of cooperation, clinging behavior, and restlessness and irritability.
Global Rationale:
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