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.

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Correct Answer is ["A","D"]

Explanation

A. Allow the child to hold the thermometer in their mouth until it beeps:

Allowing the child to hold the thermometer can provide a sense of control and involvement in the process. It may help reduce anxiety and make the experience less intimidating for the child. The beeping sound indicates when the temperature measurement is complete.

B. If the child protests, tell them you will come back later:

This choice is not recommended because it ignores the child's immediate needs and concerns. It may increase anxiety or fear, and delaying the process may not be in the best interest of the child's well-being.

C. Have the parents wait outside the room:

While it's common to have parents present during medical procedures for emotional support, in this case, involving the parents may not directly address the child's need for control during the temperature measurement.

D. Ask the child if it is ok to take their temperature:

Asking the child for permission respects their autonomy and involves them in the decision-making process. It promotes a sense of control and may reduce any potential resistance or fear the child might have.

A. Peak expiratory flow meter B. Inhaled steroids C. Metered dose inhaler with spacer D. Pulse oximetry

Correct Answer is A

Explanation

A. Peak expiratory flow meter:

- A peak expiratory flow meter is a device used to measure how fast a person can exhale. It is commonly used to monitor and manage asthma by assessing the degree of airway obstruction. Regular use can help determine how well asthma is controlled and whether changes in the management plan are needed.

B. Inhaled steroids:

- Inhaled steroids are a type of long-term control medication used to manage asthma by reducing inflammation in the airways. While these are essential for controlling symptoms, they do not directly assess how well the asthma is currently controlled.

C. Metered dose inhaler with spacer:

- A metered dose inhaler (MDI) with a spacer is a device used to deliver medication directly to the lungs. While it is a crucial part of asthma management, it does not directly measure how well the asthma is controlled.

D. Pulse oximetry:

- Pulse oximetry measures the oxygen saturation in the blood and is useful in assessing respiratory status. However, it is not specific to asthma control and may not provide a comprehensive picture of asthma management.

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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

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Correct Answer is A

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