Chapter 5 Peds

The nurse is caring for a child receiving intravenous (IV) morphine for severe postoperative pain. The nurse observes a slower respiratory rate, and the child cannot be aroused. What is the priority nursing action?

Administer naloxone (Narcan)

Which dietary recommendations should a nurse make to an adolescent patient to manage constipation related to opioid analgesic administration? (Select all that apply.) a.

Bran cereal, c. Prune juice. e. Vegetables

The nurse is caring for a 6-year-old girl who had surgery 12 hours ago. The child tells the nurse that she does not have pain, but a few minutes later she tells her parents that she does. Which should the nurse consider when interpreting this?

Children may be experiencing pain even though they deny it to the nurse.

A lumbar puncture is needed on a school-age child. What should the nurse apply to provide the most appropriate analgesia during this procedure?

EMLA (eutectic mixture of local anesthetics) 1 hour

A 2-year-old child has been returned to the nursing unit after an inguinal hernia repair. Which pain assessment tool should the nurse use to assess this child for the presence of pain?

FLACC tool

Which drug is usually the best choice for patient-controlled analgesia (PCA) for a child in the immediate postoperative period?

Morphine

Surgery has informed a nurse that the patient returning to the floor after spinal surgery has an opioid epidural catheter for pain management. The nurse should prepare to monitor the patient for which side effects of an opioid epidural catheter? (Select all that apply.) b.

Nausea, c. Itching, d. Respiratory depression

Nitrous oxide is being administered to a child with extensive burn injuries. Which is the purpose of this medication?

Provide anesthesia

Fentanyl and midazolam (Versed) are given before débridement of a child's burn wounds. Which is the rationale for administration of these medications?

Provide pain relief

A nurse is gathering a history on a school-age child admitted for a migraine headache. The child states, "I have been getting a migraine every 2 or 3 months for the last year." The nurse documents this as which type of pain?

Recurrent

The nurse is completing a pain assessment on a 4-year-old child. Which of the depicted pain scale tools should the nurse use with a child this age?

a.

A nurse recognizes which physiologic responses as a manifestation of pain in a neonate? (Select all that apply.)

b. Diaphoresis c. Decreased SaO2 e. Increased heart rate

A nurse is monitoring a patient for side effects associated with opioid analgesics. Which side effects should the nurse expect to monitor for? (Select all that apply.)

b. Respiratory depression d. Pruritus e. Sweating

Nonpharmacologic strategies for pain management:

may reduce pain perception.

Physiologic measurements in children's pain assessment are:

of limited value as sole indicator of pain.