A nurse is monitoring an infant who is receiving opioids for pain. Which of the following findings should indicate to the nurse that the medication is having a therapeutic effect?
Relaxed facial expression
Increased blood pressure
Limb withdrawal
Bradycardia
The Correct Answer is A
Choice A Reason:
Relaxed facial expression is correct. Opioids, when effectively managing pain, can lead to a more relaxed facial expression in infants. It's a common indicator that the pain is being controlled and the infant is experiencing relief.
Choice B Reason:
Increased blood pressure is incorrect. Opioids usually cause a decrease in blood pressure rather than an increase. Elevated blood pressure wouldn't typically signify a therapeutic effect of opioids; it might indicate other factors such as stress, discomfort, or an adverse reaction.
Choice C Reason:
Limb withdrawal is incorrect. Limb withdrawal is a reflex action and might occur in response to a stimulus. It's not a direct indicator of pain relief; rather, it's a reflexive response to a sensation.
Choice D Reason:
Bradycardia is incorrect. Bradycardia, a slowed heart rate, can be a side effect of opioid medications. However, it's not an indicator of the therapeutic effect of pain relief. In fact, bradycardia might signal an adverse reaction or a dose that's too high for the infant.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
No explanation
Correct Answer is A
Explanation
Choice A Reason:
"Let me know when you want to take the medication.": This statement offers the child autonomy and control over the situation, allowing them to feel empowered to decide when to take the medication.
Choice B Reason:
"The medication isn't bad. It tastes like candy.": This statement might be misleading, as medications often don't taste like candy. It's important to maintain honesty with children about the taste of medication to build trust.
Choice C Reason:
"The medication will treat your hypersensitivity reaction.": While it's important to explain the purpose of the medication, this statement might not resonate well with a preschooler. Using simpler language and a more relatable explanation might be more effective.
Choice D Reason:
"Sometimes, when a child has to take medication, they feel sad.": This statement acknowledges the child's feelings, but it might inadvertently suggest negative emotions associated with taking medication. Instead, it's often better to use positive and reassuring language.
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