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)

Perform passive range of motion on the injured knee.

Put an ice pack on the child's knee.

Have the child watch a favorite program on television.

Read a book to the child.

Answer and Explanation

Correct Answer : B,C,D

A. Perform passive range of motion on the injured knee.

While passive range of motion exercises can be beneficial in some situations, it's important to exercise caution, especially with an injured knee. Without detailed information about the nature and extent of the injury, manipulating the injured area could potentially worsen the pain or cause harm. It is advisable to consult with the healthcare provider before implementing passive range of motion exercises.

B. Put an ice pack on the child's knee.

Applying an ice pack is a nonpharmacological intervention that can help reduce inflammation and provide pain relief for certain types of injuries. It is commonly used in the management of acute injuries to minimize swelling and alleviate discomfort.

C. Have the child watch a favorite program on television.

Distraction is an effective nonpharmacological approach to pain management, especially in children. Allowing the child to engage in a favorite activity, such as watching a program on television, can divert their attention from the pain and contribute to their overall well-being.

D. Read a book to the child.

Reading a book is a comforting and distracting activity. It creates a positive and calming environment, and it can help shift the child's focus away from the pain. This nonpharmacological intervention promotes a sense of comfort and reassurance.

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Correct Answer is ["3"]

Explanation

The FLACC (Face, Legs, Activity, Cry, Consolability) scale is commonly used to assess pain in preverbal children. Each category is scored on a scale from 0 to 2, and the total scores range from 0 to 10. Let's assess the given observations:

Face: occasional grimace (score 1)

Leg: relaxed (score 0)

Activity: squirming, tense (score 2)

Cry: no cry (score 0)

Consolability: content, relaxed (score 0)

Now add the scores together: 1 (Face) + 0 (Leg) + 2 (Activity) + 0 (Cry) + 0 (Consolability) = 3

Therefore, the FLACC score for this preverbal child is 3. This score indicates a moderate level of pain.

Correct Answer is ["46"]

Explanation

To provide adequate hydration for a toddler with dehydration, the nurse needs to calculate the daily fluid requirements based on the child's weight and then divide it by 24 hours to get the hourly rate.

For a 12 kg toddler, the daily fluid requirement is 1000 ml for the first 10 kg plus 50 ml for each additional kg, which equals 1100 ml.

Therefore, the hourly rate is 1100 ml / 24 hours, which is about 46 ml.

The nurse would set the pump at 46 ml per hour.

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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)

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Naxlex Comprehensive Predictor Exams

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:

Correct Answer is ["3"]

Explanation

Correct Answer is ["46"]

Explanation

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