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 C
Explanation
Choice A rationale
Poor self-care is not directly associated with reddened, bleeding gums in this context.
Choice B rationale
While aspirin can cause bleeding issues, the context here is related to seizure disorder and phenytoin.
Choice C rationale
Phenytoin, an anticonvulsant used to manage seizures, can cause gingival hyperplasia, leading to reddened and bleeding gums.
Choice D rationale
Hepatotoxicity is related to liver damage and does not present with reddened, bleeding gums.
Correct Answer is B
Explanation
Choice A rationale
While tinnitus can occur with certain medications, it is not a common adverse effect of lidocaine.
Choice B rationale
Dizziness is a common adverse effect of lidocaine and can indicate an issue with its administration.
Choice C rationale
Dysphagia is not a typical adverse effect of lidocaine administration.
Choice D rationale
Excessive bruising is not associated with lidocaine but rather with anticoagulants or trauma.
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