A six-year-old complains of pain at the surgical site, one hour after the nurse gave IV morphine, which is ordered every four hours prn pain. What is the nurse's best next step?

Ask the patient to wait a little longer for the medicine to work.

Review whether the morphine dose is therapeutic for his weight.

Call the physician immediately.

Encourage the child to use television as a form of distraction.

Answer and Explanation

The Correct Answer is C

A. Ask the patient to wait a little longer for the medicine to work.
This option may not be appropriate, especially if the child is experiencing significant pain. It's essential to address the child's pain promptly rather than asking them to wait, as adequate pain management is crucial for the child's well-being.
B. Review whether the morphine dose is therapeutic for his weight.
While reviewing the dose for the child's weight is important, it may not be the immediate next step in this situation. If the child is experiencing pain that persists after one hour, the priority is to address the immediate pain concern. The nurse can later review the medication orders and dosages in collaboration with the healthcare provider.
C. Call the physician immediately.
This is the most appropriate next step in this scenario. If the child is experiencing pain despite having received morphine one hour ago, contacting the physician is important to discuss the current situation, assess the need for additional pain management, and potentially make adjustments to the treatment plan.
D. Encourage the child to use television as a form of distraction.
Distraction can be a helpful complementary measure for managing pain, but it may not be sufficient in this case if the pain persists. The primary focus should be on addressing the pain through appropriate medical interventions, and calling the physician is a more urgent step.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

A. Autonomy.

The ethical/moral principle represented in this situation is autonomy. Autonomy refers to the respect for an individual's right to make their own decisions and choices about their own life and well-being. In this case, the parent expressing second thoughts about the child's surgery reflects a reconsideration of the decision, and the nurse's action of calling the surgeon respects the parent's autonomy by seeking further discussion and clarification.

B. Fidelity

Fidelity refers to the principle of faithfulness, loyalty, and keeping promises. While it is important in the healthcare context, the scenario does not involve a breach of fidelity.

C. Equality

Equality relates to the fair and just treatment of individuals. In this scenario, the primary focus is on the parent's autonomy and the reconsideration of the elective surgery, rather than issues of equality.

D. Justice

Justice involves the fair distribution of benefits and burdens in society. The scenario does not directly relate to justice but is more aligned with the principle of autonomy as the parent reconsiders the decision about the child's surgery.

A. Productive cough, rales B. Fever, general malaise C. Stridor, suprasternal retractions D. Nonproductive cough, wheezing

Correct Answer is D

Explanation

A. Productive cough, rales

A productive cough with rales (crackling or bubbling sounds in the lungs) is more indicative of conditions like pneumonia or bronchitis, not necessarily asthma.

B. Fever, general malaise

Fever and general malaise are more consistent with infections and not specific to asthma.

C. Stridor, suprasternal retractions

Stridor (high-pitched sound during breathing) and suprasternal retractions (visible sinking of the area just above the breastbone during inhalation) can be associated with upper airway obstruction but are not typical findings in asthma.

D. Nonproductive cough, wheezing

Asthma often presents with a nonproductive cough and wheezing. Wheezing is a common characteristic of asthma due to narrowed airways.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A six-year-old complains of pain at the surgical site, one hour after the nurse gave IV morphine, which is ordered every four hours prn pain. What is the nurse's best next step?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Shortly before a child's elective surgery, the parent tells the nurse, "I am having second thoughts about my child undergoing this surgery." The nurse respects the parent's concern and calls the surgeon. What ethical/moral principle is represented by this situation?

Correct Answer is A

Explanation

A child is admitted to the hospital with asthma. Which assessment findings support this diagnosis?

Correct Answer is D

Explanation

Cystic fibrosis (CF) is suspected in a toddler. Which test is essential in establishing this diagnosis?

The primary factor responsible for possible multiple clinical manifestations in cystic fibrosis is which of the following?

Which medication should the nurse administer to provide quick relief to a child with asthma who is coughing, wheezing and having difficulty catching her breath?

To enhance the effectiveness of the pharmacological pain intervention administered to a 4-year old child with an injured knee, the nurse plans to add a nonpharmacological intervention. Which of the following actions would be appropriate for the nurse to perform? (select all that apply)

A 5 year old child with asthma is ordered Albuterol. The nurse knows that the primary action of Albuterol is to:

An 8-year old child, who has a history of asthma is seen in the office of the school nurse with coughing and wheezing. Which of the following actions should the nurse perform first?

The nurse is using the FLACC scale to evaluate pain in a preverbal child. The nurse makes the following assessment: Face:occasional grimace; Leg: relaxed; Activity: squirming, tense; Cry: no cry; Consolability: content, relaxed. The nurse records patient's pain using the FLACC assessment as: