The nurse is caring for a child who is receiving a narcotic for pain relief. Which of the following assessment should be a priority in monitoring the child (select all that apply)?

Respirations

Level of consciousness

Oxygen saturations.

Bowel Sounds

Answer and Explanation

Correct Answer : A,B,C

A. Respirations: Monitoring respiratory rate and pattern is crucial when a child is receiving narcotics, as these medications can depress the respiratory system. Rapid or shallow breathing may indicate respiratory distress.

B. Level of consciousness: This is important to assess for any signs of sedation or altered mental status, which can be a side effect of narcotics.

C. Oxygen saturations: Monitoring oxygen saturations is essential, especially if there are concerns about respiratory depression. A decrease in oxygen saturations could indicate inadequate ventilation.

D. Bowel sounds: While bowel sounds are important to assess for gastrointestinal function, they are not the top priority when monitoring a child receiving narcotics. Respiratory and central nervous system status take precedence.

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Correct Answer is B

Explanation

A. Child Abuse

While the presence of welts might be concerning, it is essential for the nurse to consider cultural practices before labeling the situation as child abuse. In this case, the coin rubbing is described as a cultural practice rather than an abusive act.

B. A cultural practice to rid the body of disease.

This is the correct choice. Coin rubbing, or "coining," is a cultural practice in some traditions, including Vietnamese culture. It is believed to have therapeutic benefits and is used to address health concerns.

C. A child discipline measure common in Asian cultures.

The scenario does not provide evidence that the coin rubbing is a form of discipline. It seems to be described as a traditional health practice rather than a disciplinary measure.

D. A cultural practice to treat temper tantrums.

The scenario does not indicate that the coin rubbing is related to treating temper tantrums. It appears to be described as a health-related cultural practice rather than a disciplinary measure.

A. "You should always hold your child's hand when crossing the street." B. "Swim lessons would be important now to ensure your child is safe around a pool." C. "Medications with child proof tops are safe to keep on the counter so you remember to take them." D. "All small objects should be kept out of your child's view since he may aspirate them."

Correct Answer is C

Explanation

A. "You should always hold your child's hand when crossing the street."

This is a critical teaching point. Holding a child's hand while crossing the street is an important safety measure to prevent accidents and ensure the child's safety.

B. "Swim lessons would be important now to ensure your child is safe around a pool."

This is also a critical teaching point. Swim lessons can be essential for water safety, especially if there is a pool in the vicinity.

C. "Medications with childproof tops are safe to keep on the counter so you remember to take them."

This statement is incorrect. Medications, even with childproof tops, should be stored out of reach of children to prevent accidental ingestion. It's important to emphasize proper medication storage.

D. "All small objects should be kept out of your child's view since he may aspirate them."

This is a valid teaching point. Small objects can pose a choking hazard, and keeping them out of a child's reach is crucial for safety.

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The nurse is caring for a child who is receiving a narcotic for pain relief. Which of the following assessment should be a priority in monitoring the child (select all that apply)?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse discovers welts on the back of a child whose parents identify as 1st generation Vietnamese. The mother states she rubbed the edge of a coin on her child's oiled back because he had back pain. The nurse should recognize that this is:

Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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