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
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Two 2-1/2 year old children are playing with trucks next to each other but not interacting.
This situation describes parallel play, where children play alongside each other without direct interaction. It's typical in toddlers.
B. Six 8-year-old children are playing kickball at recess.
This situation describes a group engaging in a physical activity (kickball). It doesn't specifically represent associative play, which involves more interaction between children.
C. A 9-month-old infant is shaking a rattle their father hands to them.
This scenario represents a form of solitary play, as the infant is playing alone with the rattle.
D. Two 4-year-old children are playing house together.
This situation describes associative play. In associative play, children engage in similar or identical activities without rigid organization or rules. In this case, the children are playing house together, involving some interaction.
Correct Answer is D
Explanation
A. "They will come around dinner time."
This response uses the term "dinner time," which might be too abstract for a young child. It doesn't provide a specific visual reference.
B. "It won't be much longer."
This response is somewhat vague and may not offer a clear understanding of when the parents will arrive. Young children may not grasp the concept of "much longer."
C. "They will be here soon."
Similar to choice B, this response is somewhat vague and relies on the child's interpretation of "soon," which can vary.
D. "Let me show you where 6 o'clock is on the clock."
This response is the most concrete and provides a visual reference by using the clock. It helps the child understand the passage of time in a more tangible way.
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