Question 1

Which drug is usually the best choice for patient-controlled analgesia (PCA)for a child in the immediate postoperative period?

Accepted Answer

A)  Codeine 
B)  Morphine 
C)  Methadone 
D)  Meperidine 
A)  Codeine 
B)  Morphine 
C)  Methadone 
D)  Meperidine B

Question 2

Which would the nurse identify as being an adverse effect when assessing a child who is receiving an opioid for pain management? Select all that apply.Express answer with small letters followed by a comma and a space-e.g. ,a,b,c

Accepted Answer

A)  Diarrhea 
B)  Agitation 
C)  Pruritus 
D)  Miosis 
E)  Lacrimation
F) Anorexia
G) Nausea and vomiting 
A)  Diarrhea 
B)  Agitation 
C)  Pruritus 
D)  Miosis 
E)  Lacrimation
F) Anorexia
G) Nausea and vomiting B,C,D,G

Question 3

Which is true about nonpharmacological strategies for pain management?

Accepted Answer

A)  They may reduce pain perception. 
B)  They make pharmacological strategies unnecessary. 
C)  They usually take too long to implement. 
D)  They trick children into believing they do not have pain. 
A)  They may reduce pain perception. 
B)  They make pharmacological strategies unnecessary. 
C)  They usually take too long to implement. 
D)  They trick children into believing they do not have pain. A

Question 4

The nurse is caring for a child receiving intravenous (IV)morphine for severe postoperative pain.The nurse observes a slower respiratory rate,and the child cannot be aroused.What is the most appropriate action for the nurse?

Accepted Answer

A)  Administer naloxone (Narcan). 
B)  Discontinue IV infusion. 
C)  Discontinue morphine until the child is fully awake. 
D)  Stimulate the child by calling his or her name,shaking gently,and asking the child to breathe deeply. 
A)  Administer naloxone (Narcan). 
B)  Discontinue IV infusion. 
C)  Discontinue morphine until the child is fully awake. 
D)  Stimulate the child by calling his or her name,shaking gently,and asking the child to breathe deeply.

Question 5

A lumbar puncture is needed on a school-age child.Which medication is the most appropriate to apply to provide analgesia during this procedure?

Accepted Answer

A)  Tetracaine-adrenaline-cocaine (TA
C) 15 minutes before procedure 
B)  Transdermal fentanyl (Duragesic)patch immediately before procedure 
C)  Eutectic mixture of local anaesthetics (EML
A) 1 hour before procedure 
D)  EMLA 30 minutes before procedure 
A)  Tetracaine-adrenaline-cocaine (TA
C) 15 minutes before procedure 
B)  Transdermal fentanyl (Duragesic)patch immediately before procedure 
C)  Eutectic mixture of local anaesthetics (EML
A) 1 hour before procedure 
D)  EMLA 30 minutes before procedure

Question 6

Which statement represents accurate information about the physiological assessment of children's pain?

Accepted Answer

A)  The best indicator of pain in children of all ages 
B)  Essential to determine whether a child is telling the truth about pain 
C)  Of most value when children also report having pain 
D)  Of limited value as sole indicator of pain 
A)  The best indicator of pain in children of all ages 
B)  Essential to determine whether a child is telling the truth about pain 
C)  Of most value when children also report having pain 
D)  Of limited value as sole indicator of pain

Exam 34: Pain Assessment and Management

Which drug is usually the best choice for patient-controlled analgesia (PCA)for a child in the immediate postoperative period?

Which would the nurse identify as being an adverse effect when assessing a child who is receiving an opioid for pain management? Select all that apply.Express answer with small letters followed by a comma and a space-e.g. ,a,b,c

Which is true about nonpharmacological strategies for pain management?

The nurse is caring for a child receiving intravenous (IV)morphine for severe postoperative pain.The nurse observes a slower respiratory rate,and the child cannot be aroused.What is the most appropriate action for the nurse?

A lumbar puncture is needed on a school-age child.Which medication is the most appropriate to apply to provide analgesia during this procedure?

Which statement represents accurate information about the physiological assessment of children's pain?

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