Exam 39: Pain Management for Children

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A student nurse is preparing to administer fentanyl 2-mcg/kg IV push to a child who weighs 26.4 pounds.The pharmacy delivers a vial with 50 mcg/10 mL.How much fentanyl does the student draw up?

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4.8 mL
First convert weight to kg: 26.4 pounds = 12 kg
Set up equation: 50 mcg = 2.4 mcg
10 mL ´ mL
X = 4.8 mL

A nurse is administering an opioid medication to a child.Which side effects should the nurse watch for with this classification of medication? (Select all that apply.)

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A,C,D

A nurse uses the CRIES tool to assess pain in neonates.What categories does the nurse assess? (Select all that apply.)

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A,B

In which developmental stage is the child first able to localize pain and describe both the amount and the intensity of the pain felt?

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When using the poker chip tool,it is important for the nurse to know that

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Which statement indicates the nurse's lack of understanding about the use of patient-controlled analgesia (PCA)therapy?

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The nurse caring for the child in pain knows that distraction

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Which medications are the most effective choices for treating pain associated with inflammation in children? (Select all that apply.)

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

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

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What myth may interfere with the treatment of pain in infants and children?

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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 action by the nurse takes priority?

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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 tells her parent that she does.What should the nurse consider when interpreting this?

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A nurse in the pediatric critical care unit assesses a child for pain using the COMFORT behavior scale.The child scores a 25.What action by the nurse is most appropriate?

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

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When assessing a child for pain,the nurse is aware that

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When assessing pain in any child,the nurse should consider that

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Which assessment indicates to a nurse that a 2-year-old child is in need of pain medication?

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Which drug is usually the best choice for PCA for a child in the immediate postoperative period?

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The nurse knows that physiologic changes associated with pain in the neonate include

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