Exam 30: Pain Assessment and Management in Children

When pain is assessed in an infant,it is inappropriate for the nurse to assess for:

The pediatric nurse understands that nonpharmacologic strategies for pain management:

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

Which medication is the most effective choice for treating pain associated with sickle cell crisis in a newly admitted 5-year-old child?

MATCHING A patient receiving an intravenous opioid analgesic has become apneic. Match the nursing interventions with the step numbers in order from the highest priority (first intervention) to the lowest priority (last intervention). -Step 3

An appropriate tool to assess pain in a 3-year-old child is the: (Select all that apply.)

A dose of oxycodone (OxyContin)2 mg/kg has been ordered for a child weighing 33 lbs.The nurse should administer ______ mg of OxyContin.(Record your answer as a whole number.)

The nurse is using the FLACC scale to evaluate pain in a preverbal child.The nurse makes the following assessment: Face: occasional grimace; Leg: relaxed; Activity: squirming,tense; Cry: no cry; Consolability: content,relaxed.The nurse records the FLACC assessment as ________.(Record your answer as a whole number.)

Which dietary recommendations should a nurse make to an adolescent patient to manage constipation related to opioid analgesic administration? (Select all that apply.)

Physiologic measurements in children's pain assessment are:

MATCHING A patient receiving an intravenous opioid analgesic has become apneic. Match the nursing interventions with the step numbers in order from the highest priority (first intervention) to the lowest priority (last intervention). -Step 2

Which assessment indicates to a nurse that a school-aged child is in need of pain medication?

A lumbar puncture is needed on a school-age child.The most appropriate action to provide analgesia during this procedure is to apply:

A 2-year-old child has been returned to the nursing unit after an inguinal hernia repair.Which pain assessment tool should the nurse use to assess this child for the presence of pain?

The nurse caring for the child in pain understands that distraction:

MATCHING A patient receiving an intravenous opioid analgesic has become apneic. Match the nursing interventions with the step numbers in order from the highest priority (first intervention) to the lowest priority (last intervention). -Step 1

The nurse is monitoring a patient for side effects associated with opioid analgesics.Which side effects should the nurse expect to monitor for? (Select all that apply.)

A nurse is gathering a history on a school-age child admitted for a migraine headache.The child states,"I have been getting a migraine every 2 or 3 months for the last year." The nurse documents this as which type of pain?

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.The most appropriate management of this child is for the nurse to:

Kyle,age 6 months,is brought to the clinic.His parent says,"I think he hurts.He cries and rolls his head from side to side a lot." This most likely suggests which feature of pain?