A nurse is contributing to the plan of care for a preschooler who is experiencing acute pain from a recent injury. The child describes the pain as "achy". Which of the following interventions should the nurse recommend? (Select All that Apply)

Activity

Warm compress

Opioids

Acetaminophen

Guided imagery

High protein diet

Answer and Explanation

Correct Answer : B,D,E

A. Activity. Encouraging physical activity is not appropriate for a preschooler experiencing acute pain, as movement may worsen discomfort or delay healing. Rest is often more beneficial in managing pain from an injury.

B. Warm compress. A warm compress can help relieve muscle tension and improve blood flow, reducing pain perception in certain injuries, such as sprains or muscle aches. It is a safe and effective non-pharmacological intervention for preschoolers.

C. Opioids. Opioids are not the first-line treatment for mild to moderate acute pain in children due to the risk of side effects such as respiratory depression and dependence. Less potent pain management options should be used first.

D. Acetaminophen. Acetaminophen is a safe and effective analgesic for managing mild to moderate pain in children. It helps reduce discomfort and is commonly used for injuries, fevers, and post-procedural pain.

E. Guided imagery. Guided imagery is a distraction technique that can help preschoolers manage pain by shifting focus away from discomfort. Simple visualizations, like imagining a favorite place or a comforting scenario, can be effective.

F. High protein diet. While a high-protein diet supports tissue healing, it does not provide immediate pain relief. Nutritional support is important for recovery but is not a direct intervention for acute pain management.

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Correct Answer is C

Explanation

A. "Warming blankets can minimize the body changes in deceased children." After death, the body naturally cools (algor mortis), and circulation ceases, leading to skin color changes and rigidity. Warming blankets cannot prevent or reverse these postmortem changes.

B. "A nurse must obtain locks of hair from the deceased child." While some families may request a lock of hair as a keepsake, it is not a mandatory practice. The decision to keep a lock of hair is up to the family, and their consent should be obtained.

C. "Several members of the team will assist you after your child dies." Hospice staff, social workers, grief counselors, and chaplains are available to support the family emotionally and practically after their child's passing. This ensures compassionate care and bereavement support.

D. "A provider will explain the changes you may see in your child's body after they have died." Nurses often take the lead in preparing families for expected physical changes (e.g., cooling, skin color changes, loss of muscle tone). While a provider may also be involved, nurses play a key role in this discussion.

A. Changes in feeding and bowel habits. B. Presence of a single palmar crease on the child's hands. C. Height and weight measurement below the 50th percentile for their age. D. Evaluation of the caregiver's financial resources.

Correct Answer is A

Explanation

A. Changes in feeding and bowel habits. In children with Down syndrome, sudden changes in feeding and bowel habits can indicate serious conditions such as gastrointestinal obstruction (e.g., Hirschsprung’s disease) or hypothyroidism. These conditions require immediate follow-up as they can lead to complications like malnutrition or bowel obstruction.

B. Presence of a single palmar crease on the child's hands. A single transverse palmar crease (simian crease) is a common physical feature in Down syndrome but is not an urgent concern. It does not require immediate medical intervention.

C. Height and weight measurement below the 50th percentile for their age. Children with Down syndrome often have shorter stature and lower weight percentiles due to their genetic condition. While growth monitoring is important, it is not an immediate concern unless severe failure to thrive is present.

D. Evaluation of the caregiver's financial resources. Assessing financial resources is important for long-term care planning, but it does not require urgent medical intervention. Immediate follow-up should prioritize health concerns affecting the child’s well-being.

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A nurse is contributing to the plan of care for a preschooler who is experiencing acute pain from a recent injury. The child describes the pain as "achy". Which of the following interventions should the nurse recommend? (Select All that Apply)

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Correct Answer is A

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