A 6-year-old was complaining of elbow pain.
The nurse will advise the patient to give which pain medication?

Choice A rationale

Administering a non-steroidal anti-inflammatory drug (NSAID) is not a priority action for a patient who has received a narcotic analgesic. The priority should be to ensure the patient’s safety and prevent falls, which can occur due to the sedative effects of narcotics.

Choice B rationale

Putting side rails up and placing the bed in the lowest position is essential for patient safety. Narcotics can cause dizziness, drowsiness, and impaired coordination, increasing the risk of falls. Ensuring the bed is in the lowest position and side rails are up helps prevent injury if the patient tries to get up.

Choice C rationale

Encouraging fluids is beneficial for many patients, but it is not the priority action when a patient has received a narcotic analgesic. Hydration is important but secondary to ensuring the patient’s immediate safety.

Choice D rationale

Creating a restful, dark environment may help the patient rest, but it does not directly address the immediate safety needs of a patient who has received a narcotic analgesic. The focus should be on preventing falls and injury.

Choice A rationale

Using an “ouch” scale, such as the Wong-Baker FACES Pain Rating Scale, is appropriate for young children. It allows them to express their pain intensity in a way that is understandable and relatable to their age group.

Choice B rationale

Encouraging a six-year-old to request pain medication may not be effective, as they might not understand when they need it or might be reluctant to ask.

Choice C rationale

Waiting to administer pain medication until the child begins to cry can delay pain relief, leading to unnecessary discomfort and anxiety.

Choice D rationale

Asking a young child to rate their pain on a scale of 1 to 10 might be confusing and less effective than using a more child-friendly method like the “ouch” scale.