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.
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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Related Questions
Correct Answer is C
Explanation
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.
Correct Answer is C
Explanation
A. Separation from parents should be completed by this age
This statement is not accurate. The age at which a child separates from their parents can vary widely and is influenced by cultural, familial, and individual factors. There is no strict rule that separation should be completed by a specific age, and it can vary from one family to another.
B. Daytime attention should be increased
This statement does not directly address the issue of co-sleeping. It suggests increasing daytime attention but does not provide guidance or understanding about the parents' choice to have their child sleep with them.
C. This is a common practice, especially in some cultural groups
This statement recognizes the cultural diversity in child-rearing practices. Co-sleeping is indeed a common practice in many cultures, and acknowledging this fact helps to avoid making value judgments based on one's own cultural perspective.
D. It is illegal for parents to sleep with their children, and this is reportable abuse
This statement is not accurate. Co-sleeping itself is not illegal, and it is not considered abuse. The appropriateness of co-sleeping can depend on various factors, but it is not inherently illegal or abusive.
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