A nurse is planning 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.)
Guided imagery
Activity
Acetaminophen
High protein diet
Warm compress
Opioids
Correct Answer : A,C,E
A. Guided imagery can help preschoolers manage mild to moderate pain by promoting relaxation and distraction.
B. Engaging in activity may increase discomfort and should be limited during acute pain.
C. Acetaminophen is appropriate for managing mild to moderate pain in preschoolers.
D. A high-protein diet is important for overall healing but does not directly address acute pain.
E. Warm compresses can provide comfort and relieve musculoskeletal discomfort.
F. Opioids are typically reserved for severe pain and not the first-line treatment for preschoolers with mild to moderate pain.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. A 3-year-old may not consistently recognize danger and requires adult supervision.
B. By age 3, children can answer simple questions, reflecting their growing language and cognitive skills.
C. Engaging in complex conversations typically develops later, around age 4 to 5.
D. Adhering to rules consistently occurs closer to the preschool and early school years.
Correct Answer is C
Explanation
A. The 18-month-old shows signs of improving hydration status, evidenced by adequate wet diapers and food intake. This client is stable.
B. The adolescent with mild postoperative pain and preparing for discharge is stable and does not require immediate attention.
C. The toddler's low oxygen saturation (91%) and continued coughing indicate potential airway obstruction or impaired gas exchange, which requires immediate assessment and intervention to prevent respiratory failure.
D. Although the 6-year-old with asthma should be monitored, their last use of a rescue inhaler 16 hours ago suggests they are not in acute distress.
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