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 C
Explanation
A. A permissive style lacks structure and discipline, often leading to poor self-regulation, but frequent discipline is not a typical characteristic.
B. An authoritative style does involve input from children, but the focus is more on communication and reasoning.
C. An authoritative parenting style promotes open communication, sets clear expectations, and uses reasoning, leading to better child outcomes.
D. An uninvolved parenting style is characterized by neglecting the child’s needs and providing minimal structure or support.
Correct Answer is {"A":{"answers":"B"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"B"},"F":{"answers":"A"}}
Explanation
Heart rate: Not changed
No specific mention of heart rate changes, so it remains unchanged.
Respiratory rate: Not changed
Respirations are described as clear and shallow, with no significant change noted over time. The child's respiratory rate appears stable.
Urine output: Improved
Initially, the output was 8 mL of concentrated urine over 2 hours, and by 1600, the output increased to 30 mL of yellow urine over 2 hours. The improvement in both the volume and color indicates that hydration status is improving.
Mucous membranes: Improved
At 1000, the mucous membranes were described as pale and dry. By 1200, they were pale and sticky, which is still a sign of dehydration, but by 1600, they are likely improving as the child is receiving intravenous fluids and hydration.
Abdominal examination: Not changed
The abdominal examination remains consistent, with mild tenderness on palpation and hyperactive bowel sounds observed throughout the shift. These findings indicate that the child is still experiencing gastrointestinal upset but without significant worsening.
Vomiting frequency: Improved
Vomiting frequency decreased from 8 times in the previous 24 hours to just 1 episode in the past 2 hours, indicating a significant improvement in vomiting control.
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