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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Productive cough, rales
A productive cough with rales (crackling or bubbling sounds in the lungs) is more indicative of conditions like pneumonia or bronchitis, not necessarily asthma.
B. Fever, general malaise
Fever and general malaise are more consistent with infections and not specific to asthma.
C. Stridor, suprasternal retractions
Stridor (high-pitched sound during breathing) and suprasternal retractions (visible sinking of the area just above the breastbone during inhalation) can be associated with upper airway obstruction but are not typical findings in asthma.
D. Nonproductive cough, wheezing
Asthma often presents with a nonproductive cough and wheezing. Wheezing is a common characteristic of asthma due to narrowed airways.
Correct Answer is C
Explanation
A. Airborne precautions: RSV is primarily spread through respiratory droplets, not airborne particles. Therefore, airborne precautions are not necessary.
B. Contact Precautions and droplet precautions: Contact precautions are not typically required for RSV. The main mode of transmission is respiratory droplets, so droplet precautions are appropriate.
C. Standard Precautions and droplet precautions: This is the correct answer. Standard precautions involve using protective barriers to prevent the spread of infection and are applied to all patients. In addition, droplet precautions are necessary for infections transmitted through respiratory droplets.
D. Positive pressure isolation and airborne isolation: Positive pressure isolation and airborne isolation are generally used for conditions where the infectious agents are transmitted through the air, such as tuberculosis. These precautions are not necessary for RSV.
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