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Exam (elaborations)

NURS-3032 EXAM 1 QUESTIONS WITH ACTUAL ANSWERS GRADED A+

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NURS-3032 EXAM 1 QUESTIONS WITH ACTUAL ANSWERS GRADED A+

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NURS-3032 EXAM 1 QUESTIONS WITH
ACTUAL ANSWERS GRADED A+


which statement represents accurate information about the physiological
assessment of child's pain?
a) The best indicator of pain in children of all ages.
b) Essential to determine whether a child is telling the truth about pain.
c) Most value in children also report having pain.
d) Of limit value as sole indicator of pain. Answer - d) Of limit value as sole
indicator of pain


Which is true about non pharmacological strategies for pain management?
a) They may reduce pain perception.
b)They make pharmacological strategies unnecessary.
c)They usually take too long to implement. d)They treat children into believing
they do not have pain. Answer - they may reduce pain perception


which drug is usually the best choice for patient controlled analgesia for a child
in the immediate postoperative.
a) codeine.
b)Morphine.
c)Methadone.
d) meperidine Answer - morphine


A lumbar puncture is needed on a school age child. Which medication is the
most appropriate to apply to provide analgesia during this procedure?

,a) tetracaine-adrenaline-cocaine (TAC) 15 minutes before procedure.
b)Transdermal fentanyl patch immediately before procedure.
c) Eutectic mixture of local anaesthetic (EMLA) one hour before the procedure.
d) EMLA 30 minutes before procedure Answer - Eutectic mixture of local
anaesthetic (EMLA) one hour before the procedure.


The nurse is caring for a child receiving intravenous morphine for severe
postoperative pain the nurse observes a slower respiratory rate and the child
cannot be aroused what is the most appropriate action for the nurse?
a) Administer naloxone. (narcan)
b) Discontinue IV infusion.
c) Discontinue morphine until the child is fully awake.
d) Stimulate the child by calling his or her name shaking gently and asking a
child to breathe deeply. Answer - administer naloxone


which with the nurse identify as being an adverse effect when assessing a child
who is receiving an opioid for pain management?
a) Diarrhea.
b) Agitation.
c)Pruritus.
d) Meiosis.
e) Lacrimation.
f) Anorexia.
g) Nausea and vomiting. Answer - b, c, d, g


What should the nurse consider when having consent forms signed for surgery
or procedures on children?
a) Only a parent or legal guardian can give consent.

, b) The person giving consent must be at least 18 years old.
c) The risk and benefits of a procedure part of the consent process.
d) A mental age of 7 years old or older is required for a consent to be
considered "informed" Answer - c


The nurse is planning how to prepare for year-old child for some diagnostic
procedures which guidelines should be included to prepare this preschooler?
a) Plan for a short teaching lessons about 30 minutes.
b) Tell the child that procedures are never form of punishment.
c) Keep equipment out of the Childs view.
d) Use correct scientific and medical terminologies and explanations. Answer -
b


A four-year-old is admitted to outpatient surgery for the removal of a cyst on
her foot. Her mother puts the hospital gown on for her but the child is crying
because she wants to leave her underpants on what is the most appropriate
nursing action?
a) Allow the child to wear her underpants.
b). Discuss with her mother why this is important to the child.
c) Ask her mother to explain to her why she cannot wear them.
d) Explain in a kind matter-of-fact manner that removing all clothing as hospital
policy Answer - a


From a child development perspective what is the best approach to prepare a
toddler for procedure?
a) Avoid asking a child to make choices.
b) Demonstrate the procedure on a doll.
c) Plan for the teaching session to last about 20 minutes.
d) Show the necessary come in without allowing the child to hold it Answer - b

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