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. - Answers 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. -
Answers 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 - Answers 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 - Answers 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. -
Answers 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. - Answers 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" - Answers 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. - Answers 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 - Answers 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 - Answers b
The nurse is preparing a 12-year-old girl for a bone marrow aspiration she tells the nurse that she wants
her mother with her "like before" what is the appropriate nursing action?
a) Grant her request.
b) Explain why this is not possible.
c) Identify an appropriate substitute for her mother.
d) Offered to provide support to her during the procedure. - Answers a
The emergency department nurse is cleaning multiple facial abrasions on a nine-year-old boy. Her
mother is present. He is crying in screaming loudly. What should the nurse do?
a) Ask him to be quieter.
b) Have his mother tell him to relax.
c) Tell him it is OK to scream and cry.
d) Suggest that he talk to his mother instead of crying. - Answers c
in some genetically susceptible children anaesthetic agents can trigger malignant hyperthermia. In
addition to an increase temperature what is one early sign of this disorder?
a) Apnea.
b) bradycardia.
c) Muscle rigidity.
d) Decreased blood pressure. - Answers c