A nurse is caring for a 5-year-old child who is postoperative following a tonsillectomy.
Which of the following pain scales should the nurse use to determine the child's pain level?

Choice A rationale

Weight gain is a common side effect of corticosteroids, which alter metabolism and promote fluid retention. This effect can be pronounced in patients with muscular dystrophy, as corticosteroids are used to slow disease progression but may lead to unwanted changes in body composition.

Choice B rationale

Mood changes are another potential side effect of corticosteroids. These medications can affect neurotransmitter regulation in the brain, resulting in mood swings, irritability, or even more serious psychiatric effects such as depression or anxiety.

Choice C rationale

Chronic fatigue is not a primary side effect of corticosteroids. While muscular dystrophy itself may cause fatigue due to muscle wasting and decreased activity, the corticosteroids typically do not directly contribute to this symptom.

Choice D rationale

Osteoporosis is a long-term side effect of corticosteroid use, as these medications can interfere with calcium absorption and bone metabolism. Prolonged use may weaken bones, increasing the risk of fractures, especially in growing adolescents.

Choice A rationale

Removing a pacifier does not align with preventing SIDS. Studies suggest pacifier use during sleep reduces the risk of SIDS by maintaining airway patency and ensuring better sleep quality, though it should be used appropriately without attaching strings or clips that may pose risks.

Choice B rationale

Feeding every 2 hours does not directly prevent SIDS but supports adequate nutrition for growth and development. While proper feeding schedules are important, specific sleeping arrangements and environment management play a more significant role in reducing SIDS risk.

Choice C rationale

Placing the newborn on their back to sleep aligns with safe sleep recommendations to prevent SIDS. This position reduces the risk of airway obstruction and promotes proper breathing. The supine sleep position is widely endorsed by health organizations for its protective effect.

Choice D rationale

Draping a blanket over the newborn increases the risk of suffocation and overheating, both of which are associated with SIDS. It is essential to keep sleep environments free of loose items and ensure the baby is dressed appropriately for the room's temperature to reduce these risks.