Ch. 36 Questions Maternity and Pediatric
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Workbook exam with correct answers ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
The nurse is providing postsurgical care for a 5-year
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
old. The nurse knows to avoid which question when
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
assessing the child's pain level? ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
a. Would you say that the pain you are feeling is
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
sharp or dull? ||\\||\\ ||\\||\\
b. Would you point to the cartoon face that best
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
describes your pain? ||\\||\\ ||\\||\\
c. Would you point to the spot where your pain is?
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
d. Would you please show me which photograph and
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
number best describes your hurt? - correct answers ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
✔✔a. Would you say that the pain you are feeling is
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
sharp or dull? ||\\||\\ ||\\||\\
,RATIONALE: A preschooler may have difficulty ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
distinguishing between the types of pain such as if ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
the pain is sharp or dull. It also limits the information
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
being obtained by the nurse. They can, however, tell
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
someone where it hurts and can use various tools ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
such as the FACES scale (cartoon faces) or the
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
OUCHER scale (photograph and corresponding ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
numbers) to rate their pain. ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
The nurse is assisting with the administration of the
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
child's initial dose of parenteral opioids. Which ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
action should the nurse take first? ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
a. Ensure naloxone is readily available
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
b. Assess for any adverse reaction
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
c. Assess the status of bowel sounds
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
d. Premedicate with acetaminophen - correct
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
answers ✔✔a. Ensure naloxone is readily available ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
, RATIONALE: Respiratory depression, although rare ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
when epidural analgesia is used, is always a ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
possibility. However, when it does occur it usually ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
occurs gradually over a period of several hours after ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
the medication is initiated. This allows adequate time
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
for early detection and prompt intervention. The
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
nurse should also monitor for pruritus, urinary ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
retention, and nausea and vomiting but the priority ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
is to monitor for respiratory depression.
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
The nurse is caring for a child who has received
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
postoperative epidural analgesia. Which nursing ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
assessment is priority? ||\\||\\ ||\\||\\
||\\||\\
a. Urinary retention
||\\||\\ ||\\||\\
b. Pruritus ||\\||\\
c. Nausea and vomiting
||\\||\\ ||\\||\\ ||\\||\\
d. Respiratory depression - correct answers ✔✔d.
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Respiratory depression ||\\||\\
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Workbook exam with correct answers ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
The nurse is providing postsurgical care for a 5-year
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
old. The nurse knows to avoid which question when
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
assessing the child's pain level? ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
a. Would you say that the pain you are feeling is
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
sharp or dull? ||\\||\\ ||\\||\\
b. Would you point to the cartoon face that best
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
describes your pain? ||\\||\\ ||\\||\\
c. Would you point to the spot where your pain is?
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
d. Would you please show me which photograph and
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
number best describes your hurt? - correct answers ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
✔✔a. Would you say that the pain you are feeling is
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
sharp or dull? ||\\||\\ ||\\||\\
,RATIONALE: A preschooler may have difficulty ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
distinguishing between the types of pain such as if ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
the pain is sharp or dull. It also limits the information
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
being obtained by the nurse. They can, however, tell
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
someone where it hurts and can use various tools ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
such as the FACES scale (cartoon faces) or the
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
OUCHER scale (photograph and corresponding ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
numbers) to rate their pain. ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
The nurse is assisting with the administration of the
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
child's initial dose of parenteral opioids. Which ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
action should the nurse take first? ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
a. Ensure naloxone is readily available
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
b. Assess for any adverse reaction
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
c. Assess the status of bowel sounds
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
d. Premedicate with acetaminophen - correct
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
answers ✔✔a. Ensure naloxone is readily available ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
, RATIONALE: Respiratory depression, although rare ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
when epidural analgesia is used, is always a ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
possibility. However, when it does occur it usually ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
occurs gradually over a period of several hours after ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
the medication is initiated. This allows adequate time
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
for early detection and prompt intervention. The
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
nurse should also monitor for pruritus, urinary ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
retention, and nausea and vomiting but the priority ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
is to monitor for respiratory depression.
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
The nurse is caring for a child who has received
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
postoperative epidural analgesia. Which nursing ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
assessment is priority? ||\\||\\ ||\\||\\
||\\||\\
a. Urinary retention
||\\||\\ ||\\||\\
b. Pruritus ||\\||\\
c. Nausea and vomiting
||\\||\\ ||\\||\\ ||\\||\\
d. Respiratory depression - correct answers ✔✔d.
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Respiratory depression ||\\||\\
