Exam 5: Pain Assessment and Management in Children

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A preterm infant has just been admitted to the neonatal intensive care unit. The infant's parents ask the nurse about anesthesia and analgesia when painful procedures are necessary. What should the nurse's explanation be?

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Which coanalgesics should the nurse expect to be prescribed for pruritus? (Select all that apply.)

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Which is the most consistent and commonly used data for assessment of pain in infants?

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A health care provider prescribes hydroxyzine (Atarax), 0.6 mg/kg PO every 4 to 6 hours as needed for pruritus. The medication label states: "Hydroxyzine 10 mg/5 mL." The child weighs 20 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 in a whole number. ________________

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A burn patient is experiencing anxiety over dressing changes. Which prescription should the nurse expect to be ordered to control anxiety?

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A child receiving chemotherapy is experiencing mucositis. Which prescriptions should the nurse plan to administer for initial treatment? (Select all that apply.)

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Which nonpharmacologic intervention appears to be effective in decreasing neonatal procedural pain?

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The parents of a preterm infant in a neonatal intensive care unit are concerned about their infant experiencing pain from so many procedures. The nurse's response should be based on which characteristic about preterm infants' pain?

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A child receiving morphine sulfate (Morphine) is experiencing respiratory depression. A health care provider prescribes naloxone (Narcan), 0.5 mcg/kg IV in 2-minute increments until breathing improves. The medication label states: "Naloxone 400 mcg/1 mL." The child weighs 40 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 using two decimal places. ________________

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

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

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

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The nurse is teaching a staff development program about levels of sedation in the pediatric population. Which statement by one of the participants should indicate a correct understanding of the teaching?

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The nurse is planning to administer a nonopioid for pain relief to a child. Which timing should the nurse plan so the nonopioid takes effect?

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The nurse is planning pain control for a child. Which is the advantage of administering pain medication by the intravenous (IV) bolus route?

(Multiple Choice)
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A health care provider prescribes OxyContin (oxycodone), 3 mg PO every 4 to 6 hours as needed for pain. The medication label states: "OxyContin 5 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 one decimal place. ________________

(Short Answer)
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A health care provider prescribes diphenhydramine (Benadryl), 1 mg/kg PO every 4 to 6 hours as needed for pruritus. The child weighs 10 kg. The medication label states: "Diphenhydramine 12.5 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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Which drug is usually the best choice for patient-controlled analgesia (PCA) for a child in the immediate postoperative period?

(Multiple Choice)
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A 6-year-old child has patient-controlled analgesia (PCA) for pain management after orthopedic surgery. The parents are worried that their child will be in pain. What should your explanation to the parents include?

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Children as young as age 3 years can use facial scales for discrimination. What are some suggested anchor words for the preschool age group?

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