Exam 5: Pain Assessment and Management in Children

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A health care provider prescribes haloperidol (Haldol), 0.15 mg/kg IV every 4 to 6 hours as needed for confusion. The medication label states: "Haloperidol 2 mg/1 mL." The child weighs 30 kg. The nurse prepares to administer one dose. How many milliliters will the nurse prepare to administer one dose? Fill in the blank. Record your answer rounding to one decimal place. ________________

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2.3
Follow the formula for dosage calculation.
Multiply 0.15 mg * 30 kg to get the dose = 4.5 mg
(Desired/Available)* Volume = mL per dose
4.5 mg/2 mg * 1 mL = 2.25 mL = rounded to one decimal space = 2.3 mL

The nurse is caring for a child receiving a continuous intravenous (IV) low-dose infusion of 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 do which first?

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A

A health care provider prescribes ibuprofen (Motrin), 5 mg/kg PO every 6 to 8 hours as needed for pain. The child weighs 8 kg. The medication label states: "Ibuprofen 100 mg/5 mL." The nurse prepares to administer one dose. How many milliliters will the nurse prepare to administer one dose? Fill in the blank. Record your answer in a whole number. ________________

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2
Follow the formula for dosage calculation.
Multiply 5 mg * 8 kg to get the dose = 40 mg
(Desired/Available)* Volume = mL per dose
40 mg/100 mg * 5 mL = 2 mL

The nurse is teaching the parents of a child with recurrent headaches methods to modify behavior patterns that increase the risk of headache. Which statement by the parents indicates understanding the teaching?

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A child is in the intensive care unit after a motor vehicle collision. The child has numerous fractures and is in pain that is rated 9 or 10 on a 10-point scale. In planning care, the nurse recognizes that the indicated action is which?

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A health care provider prescribes Kytril (granisetron), 10 mcg/kg IV every 4 to 6 hours as needed for nausea. The medication label states: "Kytril 100 mcg/1 mL." The child weighs 15 kg. The nurse prepares to administer one dose. How many milliliters will the nurse prepare to administer one dose? Fill in the blank. Record your answer to one decimal place. _______________

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A health care provider prescribes choline magnesium trisalicylate (Trilisate), 15 mg/kg PO every 8 to 12 hours as needed for pain. The child weighs 10 kg. The medication label states: "Choline magnesium trisalicylate 500 mg/5 mL." The nurse prepares to administer one dose. How many milliliters will the nurse prepare to administer one dose? Fill in the blank. Record your answer to one decimal place. ________________

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What is a significant common side effect that occurs with opioid administration?

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Which is a complication that can occur after abdominal surgery if pain is not managed?

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What describes nonpharmacologic techniques for pain management?

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A bone marrow aspiration and biopsy are needed on a school-age child. The most appropriate action to provide analgesia during the procedure is which?

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What is an important consideration when using the FACES pain rating scale with children?

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The nurse is using the CRIES pain assessment tool on a preterm infant in the neonatal intensive care unit. Which are the components of this tool? (Select all that apply.)

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MATCHING Complementary and alternative medicine therapies are grouped into five classes. Match the complementary or alternative therapy to its classification. -Alternative medical system

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Which are components of the FLACC scale? (Select all that apply.)

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A health care provider prescribes promethazine (Phenergan), 9 mg IV every 6 to 8 hours as needed for pruritus. The medication label states: "Promethazine 25 mg/1 mL." The nurse prepares to administer one dose. How many milliliters will the nurse prepare to administer one dose? Fill in the blank. Record your answer using two decimal places. ________________

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A health care provider prescribes acetaminophen (Tylenol) gtt, 10 mg/kg/dose PO every 4 to 6 hours as needed for pain. The infant weighs 8 kg. The medication label states: "Acetaminophen 80 mg/0.8 mL." The nurse prepares to administer one dose. How many milliliters will the nurse prepare to administer one dose? Fill in the blank. Record your answer to one decimal place. ________________

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A cancer patient is experiencing neuropathic cancer pain. Which prescription should the nurse expect to be ordered to control anxiety?

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A health care provider prescribes naproxen (Naprosyn), 7 mg/kg PO every 12 hours for pain. The child weighs 25 kg. The medication label states: "Naproxen 125 mg/5 mL." The nurse prepares to administer one dose. How many milliliters will the nurse prepare to administer one dose? Fill in the blank. Record your answer in a whole number. ________________

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MATCHING Complementary and alternative medicine therapies are grouped into five classes. Match the complementary or alternative therapy to its classification. -Energy based

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