Exam 5: Pain Assessment and Management in Children

The nurse is caring for a 6-year-old girl who had surgery 12 hours ago. The child tells the nurse that she does not have pain, but a few minutes later she tells her parents that she does. Which should the nurse consider when interpreting this?

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:

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 priority nursing action?

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?

Nitrous oxide is being administered to a child with extensive burn injuries. Which is the purpose of this medication?

A patient on an intravenous opioid analgesic has become apneic. The nurse should implement which interventions? Place the interventions in order from the highest priority (first intervention) to the lowest priority (last intervention). Provide your answer using lowercase letters separated by commas (e.g., a, b, c, d). A) Place the patient on continuous pulse oximetry to assess SaO₂. B) Administer the prescribed naloxone (Narcan) dose by slow IV push. C) Ensure oxygen is available. D) Prepare to calm the child as analgesia is reversed.

Fentanyl and midazolam (Versed) are given before débridement of a child's burn wounds. Which is the rationale for administration of these medications?

The nurse is completing a pain assessment on a 4-year-old child. Which of the depicted pain scale tools should the nurse use with a child this age?

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?

Surgery has informed a nurse that the patient returning to the floor after spinal surgery has an opioid epidural catheter for pain management. The nurse should prepare to monitor the patient for which side effects of an opioid epidural catheter? (Select all that apply.)

A 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 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 which number? (Record your answer as a whole number.)

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

A nurse recognizes which physiologic responses as a manifestation of pain in a neonate? (Select all that apply.)

Nonpharmacologic strategies for pain management:

A dose of oxycodone (OxyContin) 2 mg/kg has been ordered for a child weighing 33 lb. How many milligrams of OxyContin should the nurse administer? (Record your answer as a whole number.)

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