A nurse is caring for a six-year-old child who had surgery that morning.
The child is awake and lying very still in bed.
What should the nurse do?
Use an “ouch” scale for pain assessment.
Encourage the child to request pain medication when needed.
Plan to administer pain medication if the child begins to cry.
Ask the child to rate their pain on a scale of 1 to 10.
The Correct Answer is A
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Ergotamine does not increase hypoperfusion. It is used to constrict blood vessels to reduce blood flow.
Choice B rationale
Ergotamine does not decrease hypoperfusion. It is used to constrict blood vessels to reduce blood flow.
Choice C rationale
Ergotamine does not increase hyperperfusion. It is used to constrict blood vessels to reduce blood flow.
Choice D rationale
Ergotamine decreases hyperperfusion by constricting blood vessels in the basilar artery vascular bed, reducing the blood flow to relieve migraine headaches. .
Correct Answer is D
Explanation
Choice A rationale
Ataxia is less commonly associated with opioids than other adverse effects.
Choice B rationale
Dysrhythmias are not typically associated with opioids.
Choice C rationale
Blurred vision isn't a major adverse effect of opioids.
Choice D rationale
Hypotension is a common adverse effect of opioid use and must be monitored.
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