The nursing plan of care for a 4-year-old following a tonsillectomy should include which of the following concepts?
A) Analgesic dosing is based on year in school and weight.
B) Administer analgesics by the least painful route.
C) Administer analgesics only when the Wong-Baker FACES scale indicates a pain rating of 6 or higher.
D) Administer analgesics rectally.
B) Administer analgesics by the least painful route.
Explanation: A) Analgesic dosing must be based on the age and weight of the patient.
B) Analgesics should be administered to children by the simplest, most effective, and least painful route; oral formulations are the most convenient and usually the least expensive route of administration.
C) The WHO recommends that analgesics in pediatrics be administered at regular intervals, not as needed, with the addition of rescue doses for intermittent and breakthrough pain.
D) Rectal administration has an unreliable bioavailability.
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Which of the following demonstrates the use of the caring process?
a. Respecting the uniqueness of every client b. Problem solving for the client c. Performing tasks for the client d. Communicating expectations of the health care team
A client has undergone an incision and drainage of an anorectal abscess. Which of the following nursing interventions would be appropriate for this client?
A. Pack the rectum with iodoform gauze. B. Assist the client with sitz baths several times per day. C. Administer daily enemas to keep the surgical area free of stool. D. Place the client in a prone position for 8 hours after the surgery.
One of the biggest differences between medical and nursing models is that medical models
a. focus on preventing disease b. focus on maintaining health c. are devoted to curing diseases and restoring health d. are concerned with the interrelationships between body, mind, and spirit